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KMID : 0359020100410060378
Korean Journal of Gastrointestinal Endoscopy
2010 Volume.41 No. 6 p.378 ~ p.381
Colonic Stent Insertion Through a Colostomy in a Patient with Recurred Malignant Obstruction
Jin Nam-Chul

Kim Dae-Hyun
Song Young-A
Ryu Ho-Seong
Cho Sung-Bum
Lee Wan-Sik
Kim Hyun-Soo
Joo Young-Eun
Abstract
Colorectal self-expanding metal stents have been used for palliation or preoperative decompression as a bridge-to-surgery in patients with malignant obstruction due to primary or recurred colorectal cancer. The usual attempt to implant of the stent is through the anus under endoscopic guidance, but that is difficult or impossible in patient who have undergone laparoscopic abdominoperineal resection (APR) and who have a colostomy. Especially, to advance and position the stent in the target lesion through the colostomy is very difficult because of the tortuosity and anatomical alteration of the proximal bowel caused by surgery. We herein report on a case of recurred malignant colonic obstruction with stent placement through a preformed colostomy. To date, this approach through a colostomy for the deployment of a stent has not been described in the Korean literature.
KEYWORD
Colorectal cancer, Malignant obstruction, Colostomy, Stent
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학술진흥재단(KCI) KoreaMed 대한의학회 회원