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The Egyptian Journal of Internal Medicine
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Role of endoscopic colonic stent insertion in patients with colonic obstructing malignancy: a single-center study

The Egyptian Journal of Internal Medicine volume 31, pages 831–835 (2019)Cite this article

Abstract

Background

Left-sided colonic malignant lesions have the potential of acute bowel obstruction. Emergency surgery with stoma construction is considered the standard of management. Insertion of colonic stent to allow bowel decompression, primary resection, and re-anastomosis, avoiding the need of colostomy formation, can be an alternative. We describe our experience with the use of colonic stent in left-sided malignant obstruction as a step to relieve the obstruction before definitive surgical intervention.

Patients and methods

A total of 30 patients with left-sided colonic malignant obstruction were included; 15 patients were offered colonic self-expandable metal stent insertion, and the other fifteen patients were offered emergent surgery.

Results

Of the 15 patients, 10 (66.6%) had successful stent insertion (technical and clinical). We failed to insert stent in four (26%) patients, and one (6.6%) patient had colonic perforation. All patients with successful colonic stent insertion underwent one-step resection and primary anastomosis.

Conclusion

Colonic stent for left-sided colonic malignant obstruction represents a valuable procedure for one-step resection and primary anastomosis without the need for colostomy.

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Authors and Affiliations

  1. Department of Endemic Medicine and Hepatogastroenterology, Faculty of Medicine, Cairo University, Egypt

    Mohammad S. Marie MD

  2. Department of General Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt

    Gad M. Behairy

Authors
  1. Mohammad S. Marie MD
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  2. Gad M. Behairy
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Corresponding author

Correspondence to Mohammad S. Marie MD.

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Marie, M.S., Behairy, G.M. Role of endoscopic colonic stent insertion in patients with colonic obstructing malignancy: a single-center study. Egypt J Intern Med 31, 831–835 (2019). https://doi.org/10.4103/ejim.ejim_161_19

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  • DOI: https://doi.org/10.4103/ejim.ejim_161_19

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