SUCCESSFUL PLACEMENT OF SELF-EXPANDABLE METALLIC STENTS FOR DOUBLE COLORECTAL CANCERS
| Autor: | Sumio Fujinuma, Yoshihiro Sakai, Iruru Maetani, Tsuyoshi Abe, Tadayoshi Kakemura |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test Colorectal cancer business.industry medicine.medical_treatment Gastroenterology Transverse colon Sigmoid colon Colonoscopy Stent equipment and supplies medicine.disease digestive system diseases Surgery Stenosis surgical procedures operative medicine.anatomical_structure Self-expandable metallic stent medicine Introducer sheath Radiology Nuclear Medicine and imaging cardiovascular diseases business |
| Zdroj: | Digestive Endoscopy. 18:298-302 |
| ISSN: | 1443-1661 0915-5635 |
| DOI: | 10.1111/j.1443-1661.2006.00662.x |
| Popis: | Stent placement for the palliation of unresectable colon cancer is an alternative to surgical treatment that has recently become popular. A dedicated stent for colorectal cancer is not available in Japan. We report a patient with two colonic obstructions who underwent a successful palliative treatment using two stents. He was admitted to Toho University Ohashi Medical Center because of ileus. A colonoscopy revealed two advanced lesions with stenosis in the sigmoid and transverse colon. Because he had multiple liver metastases and severe Alzheimer dementia, we selected palliative stent placement for the treatment of both strictures. We placed a covered stent in the sigmoid colon stricture and subsequently attempted to place a second stent in the transverse colon stricture. However, the second stent could not be placed in the transverse colon because the modified delivery system could not pass through the first stent in the sigmoid colon. This probably led to a twisting of the stent in the sigmoid colon. We next used the 24 F introducer sheath that is included in Keller-Timmermans Introducer Sets. This strategy allowed the modified delivery system to be easily passed through the initial stent in the sigmoid colon and then advanced into the transverse colon stricture, enabling both stents to be positioned properly. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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