Year 2022 / Volume 114 / Number 10
Letter
Experience in the treatment of obstructive colorectal cancer with self-expandable colon prosthesis in a tertiary hospital

626-627

DOI: 10.17235/reed.2022.8797/2022

Isabela Angulo McGrath, María Martínez Burgos, Manuel Bracho González, Asunción Durán Campos, David Marín García, Luis Vázquez Pedreño, Miguel Jiménez Pérez,

Abstract
Colorectal cancer is one of the most frequent neoplasms, with an increasing incidence in recent years. Intestinal obstruction is present at the time of diagnosis in 10-30% of patients. The aim of our study is to describe our experience in the use of colonic SEMS in the treatment of colonic stenosing neoplasia. For this purpose, we retrospectively evaluated the 92 patients treated with self-expandable metallic prostheses in our hospital between 2016 and 2021. In 66.3% of patients the prosthesis placement was bridge to curative surgery and in 33.7% with palliative attitude. The stenosis location was differentiated: rectum (2.1%), rectosigmoid junction (20.7%), sigma (58.7%), left colon (8.7%), splenic angle (8.7%) and transverse colon (1.1%); being the size of the self-expandable metallic prostheses used 60x25 mm, 90x25 mm and 120x25 mm. The procedure was technically effective in 92.4% of the cases and clinically effective in 89.1%, with post-procedural perforations being detected in 9 patients (9.8%). Survival 30 days after prosthesis placement was 91.3%. No mortality directly related to the procedure was detected. In our experience, placement of self-expandable metallic prostheses is a safe and effective option in the initial management of neoplastic colon stenosis.
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References
1. Gargallo CJ, Ferrandez A, Carrera P, Simon MA, Ducons J, Lanas A. Short- and long-term clinical outcomes of self-expandable metal stents inserted for colorectal obstruction and efficacy of different insertion techniques. Gastroenterol Hepatol [Internet]. 2019; 42(3): 157-63. Disponible en: https://doi.org/10.1016/j.gastrohep.2018.07.014.
2. Kuwai T, Yamaguchi T, Imagawa H, Yoshida S, Isayama H, Matsuzawa T, et al. Factors related to difficult self-expandable metallic stent placement for malignant colonic obstruction: A post-hoc analysis of a multicenter study across Japan. Dig Endosc [Internet]. 2019; 31(1): 51-8. Disponible en: http://doi.wiley.com/10.1111/ den.13260
3. Morita, S., Yamamoto, K., Ogawa, A. et al. Benefits of using a self-expandable metallic stent as a bridge to surgery for right- and left-sided obstructive colorectal cancers. Surg Today 49, 32–37 (2019). https://doi.org/10.1007/s00595-018-1701-4
4. Huang, X., Lv, B., Zhang, S. et al. Preoperative Colonic Stents Versus Emergency Surgery for Acute Left-Sided Malignant Colonic Obstruction: A Meta-analysis. J Gastrointest Surg 18, 584–591 (2014). https://doi.org/10.1007/s11605-013-2344-9
Seoane Urgorri A , Saperas E, O'Callaghan Castella E et al. Colonic stent vs surgical resection of the primary tumor. Effect on survival from stage-IV obstructive colorectal cancer. Rev Esp Enferm Dig 2020 Sep;112(9):694-700. doi: 10.17235/reed.2020.5701/2018.
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Angulo McGrath I, Martínez Burgos M, Bracho González M, Durán Campos A, Marín García D, Vázquez Pedreño L, et all. Experience in the treatment of obstructive colorectal cancer with self-expandable colon prosthesis in a tertiary hospital. 8797/2022


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Publication history

Received: 17/03/2022

Accepted: 24/03/2022

Online First: 26/04/2022

Published: 07/10/2022

Article Online First time: 40 days

Article editing time: 204 days


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