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 |
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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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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.</description><identifier>ISSN: 0954-691X</identifier><identifier>EISSN: 1473-5687</identifier><identifier>DOI: 10.1097/MEG.0b013e32801222f9</identifier><identifier>PMID: 17206082</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins, Inc</publisher><subject>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. 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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.</description><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Colonic Diseases - surgery</subject><subject>Crohn Disease - complications</subject><subject>Digestive system. Abdomen</subject><subject>Endoscopy</subject><subject>Female</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Humans</subject><subject>Intestinal Obstruction - etiology</subject><subject>Intestinal Obstruction - surgery</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Lung Neoplasms - complications</subject><subject>Medical sciences</subject><subject>Other diseases. Semiology</subject><subject>Palliative Care - methods</subject><subject>Reoperation</subject><subject>Stents</subject><subject>Stomach. Duodenum. Small intestine. Colon. Rectum. 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Abdomen</topic><topic>Endoscopy</topic><topic>Female</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Humans</topic><topic>Intestinal Obstruction - etiology</topic><topic>Intestinal Obstruction - surgery</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Lung Neoplasms - complications</topic><topic>Medical sciences</topic><topic>Other diseases. Semiology</topic><topic>Palliative Care - methods</topic><topic>Reoperation</topic><topic>Stents</topic><topic>Stomach. Duodenum. Small intestine. Colon. Rectum. 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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.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins, Inc</pub><pmid>17206082</pmid><doi>10.1097/MEG.0b013e32801222f9</doi><tpages>4</tpages></addata></record> |
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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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