Repeated coaxial colonic stenting in the palliative management of benign colonic obstruction

In inflammatory bowel disease, strictures of the colon, causing bowel obstruction, is not uncommon. Usually an operative procedure can deal with these strictures. We describe a case of an unfit patient with pulmonary malignancy having a Crohnʼs stricture of the recto–sigmoid junction in which repeat...

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Veröffentlicht in:European journal of gastroenterology & hepatology 2007-01, Vol.19 (1), p.83-86
1. Verfasser: Dafnis, George
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description In inflammatory bowel disease, strictures of the colon, causing bowel obstruction, is not uncommon. Usually an operative procedure can deal with these strictures. We describe a case of an unfit patient with pulmonary malignancy having a Crohnʼs stricture of the recto–sigmoid junction in which repeated coaxial placement of self-expanding metallic stents eliminated the need to perform an operation. This is the first report of multiple coaxial colonic stenting. It shows that there is a place for stents in selected cases of inflammatory bowel disease with a limited life expectancy and that repeated colonic stenting makes colonic stenting possible also in patients requiring stents for longer time periods.
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source MEDLINE; Journals@Ovid Complete
subjects Aged
Biological and medical sciences
Colonic Diseases - surgery
Crohn Disease - complications
Digestive system. Abdomen
Endoscopy
Female
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Intestinal Obstruction - etiology
Intestinal Obstruction - surgery
Investigative techniques, diagnostic techniques (general aspects)
Lung Neoplasms - complications
Medical sciences
Other diseases. Semiology
Palliative Care - methods
Reoperation
Stents
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
title Repeated coaxial colonic stenting in the palliative management of benign colonic obstruction
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