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Revista Cubana de Cirugía

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2011, Number 2

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Revista Cubana de Cirugía 2011; 50 (2)

Self-expanding endoluminal prosthesis in an acute occlusion due to left colon tumor

Cepero VM, Chao GL, Hernández RH, Cepero NM, Ruiz TJ
Full text How to cite this article

Language: Spanish
References: 6
Page: 204-209
PDF size: 166.09 Kb.


Key words:

Self-expanding metallic prosthesis, colon acute tumoral occlusion.

ABSTRACT

Endoscopic use of self-expanding prostheses is described in two patients with acute mechanical occlusion of left colon, treated in the emergence service of our center allowing us to improve the hydroelectric symptomatic status of patients, as well as the colon preparation. This latter avoided an emergence surgery and decompression colostomy; surgery was programmed for the subsequent five ones. Anatomicalpathological results confirmed the presence of large seal-ring colon's adenocarcinomas in the descendent colon in a patient, and in the sigmoid colon in another one.


REFERENCES

  1. Saida Y, Sumiyama Y, Nagao J. Stents endoprosthesis for obstructing colorectal cancers. Dis Col Rectum. 1996;39:552-5.

  2. Soonawalla Z, Thakur K, Boormann P. Use of Self-expanding metallic stents in the management of obstruction of the sigmoid colon. AJR. 1998;171:633-6.

  3. Law WL, Chu KW, Ho JWC. Self-expanding metallic stent in the treatment of colonic obstruction caused by advanced malignancies. Dis Colon Rectum. 2000;43:1522-7.

  4. Deans GT, Krukowski ZH, Irwin ST. Malignant obstruction of the left colon. Br JSurg. 1994;81:1270-6.

  5. Dohmoto M. New method: endoscopic implantation of rectal stent in palliative treatment of malignant stenosis. Endosc Dig. 1991;3:1507-12.

  6. Martínez-Santos C, Lobato RF, Fradejas JM. Self-expandable stent before elective surgery vs. emergency surgery for the treatment of malignant colorectal obstructions: comparison of primary anastomosis and morbidity rates. Dis Colon Rectum. 2002;45:401-6.




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Revista Cubana de Cirugía. 2011;50