Malignant colorectal obstruction. Palliative endoscopic treatment with self-expanding metallic stents

Gioacchino Castronovo, Giovanni Tomasello, Giuseppe Agnello, Alfonso Maiorana, Gaspare Genova, Alessandra Ciulla, Giacomo Urso, Salvatore Damiani

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Abstract

The Authors report their experience in the palliative management of malignant colorectal obstruction. Between June 2000 and April 2003 sixteen patients (11 men and 5 women, age range 63-82) were found suffering from malignant colorectal obstruction. In these patients it was not possible to perform definitive surgical treatment because of the old age, advanced neoplastic disease and poor health condition, colostomy was the only therapeutic option. Endoscopic self-expanding stents placement was performed as a definitive palliative method to treat colorectal obstructions caused by advanced and unresectable tumours. This procedure was performed under endoscopic and fluoroscopic control and neither analgesia nor sedation was administered during the procedure.Results: Stent placement was successful in 14 cases (87,5%) with relief of bowel obstruction within following 24 hours. Conclusions: It was possible to obtain a permanent intestinal canalization and other treatments weren’t necessary during the follow-up. The results obtained were similar to the data of literature.
Lingua originaleEnglish
pagine (da-a)9-12
RivistaHEALTH SCIENCE JOURNAL OF MACAO
VolumeV
Stato di pubblicazionePublished - 2005

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Palliative Care
Stents
Colostomy
Analgesia
Therapeutics
Health
Neoplasms

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title = "Malignant colorectal obstruction. Palliative endoscopic treatment with self-expanding metallic stents",
abstract = "The Authors report their experience in the palliative management of malignant colorectal obstruction. Between June 2000 and April 2003 sixteen patients (11 men and 5 women, age range 63-82) were found suffering from malignant colorectal obstruction. In these patients it was not possible to perform definitive surgical treatment because of the old age, advanced neoplastic disease and poor health condition, colostomy was the only therapeutic option. Endoscopic self-expanding stents placement was performed as a definitive palliative method to treat colorectal obstructions caused by advanced and unresectable tumours. This procedure was performed under endoscopic and fluoroscopic control and neither analgesia nor sedation was administered during the procedure.Results: Stent placement was successful in 14 cases (87,5{\%}) with relief of bowel obstruction within following 24 hours. Conclusions: It was possible to obtain a permanent intestinal canalization and other treatments weren’t necessary during the follow-up. The results obtained were similar to the data of literature.",
keywords = "colorectal cancer, endoscopic treatment, self-expanding stents",
author = "Gioacchino Castronovo and Giovanni Tomasello and Giuseppe Agnello and Alfonso Maiorana and Gaspare Genova and Alessandra Ciulla and Giacomo Urso and Salvatore Damiani",
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TY - JOUR

T1 - Malignant colorectal obstruction. Palliative endoscopic treatment with self-expanding metallic stents

AU - Castronovo, Gioacchino

AU - Tomasello, Giovanni

AU - Agnello, Giuseppe

AU - Maiorana, Alfonso

AU - Genova, Gaspare

AU - Ciulla, Alessandra

AU - Urso, Giacomo

AU - Damiani, Salvatore

PY - 2005

Y1 - 2005

N2 - The Authors report their experience in the palliative management of malignant colorectal obstruction. Between June 2000 and April 2003 sixteen patients (11 men and 5 women, age range 63-82) were found suffering from malignant colorectal obstruction. In these patients it was not possible to perform definitive surgical treatment because of the old age, advanced neoplastic disease and poor health condition, colostomy was the only therapeutic option. Endoscopic self-expanding stents placement was performed as a definitive palliative method to treat colorectal obstructions caused by advanced and unresectable tumours. This procedure was performed under endoscopic and fluoroscopic control and neither analgesia nor sedation was administered during the procedure.Results: Stent placement was successful in 14 cases (87,5%) with relief of bowel obstruction within following 24 hours. Conclusions: It was possible to obtain a permanent intestinal canalization and other treatments weren’t necessary during the follow-up. The results obtained were similar to the data of literature.

AB - The Authors report their experience in the palliative management of malignant colorectal obstruction. Between June 2000 and April 2003 sixteen patients (11 men and 5 women, age range 63-82) were found suffering from malignant colorectal obstruction. In these patients it was not possible to perform definitive surgical treatment because of the old age, advanced neoplastic disease and poor health condition, colostomy was the only therapeutic option. Endoscopic self-expanding stents placement was performed as a definitive palliative method to treat colorectal obstructions caused by advanced and unresectable tumours. This procedure was performed under endoscopic and fluoroscopic control and neither analgesia nor sedation was administered during the procedure.Results: Stent placement was successful in 14 cases (87,5%) with relief of bowel obstruction within following 24 hours. Conclusions: It was possible to obtain a permanent intestinal canalization and other treatments weren’t necessary during the follow-up. The results obtained were similar to the data of literature.

KW - colorectal cancer

KW - endoscopic treatment

KW - self-expanding stents

UR - http://hdl.handle.net/10447/24914

M3 - Article

VL - V

SP - 9

EP - 12

JO - HEALTH SCIENCE JOURNAL OF MACAO

JF - HEALTH SCIENCE JOURNAL OF MACAO

SN - 1608-7801

ER -