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KMID : 0359020100410060378
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Korean Journal of Gastrointestinal Endoscopy
2010 Volume.41 No. 6 p.378 ~ p.381
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Colonic Stent Insertion Through a Colostomy in a Patient with Recurred Malignant Obstruction
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Jin Nam-Chul
Kim Dae-Hyun
Song Young-A
Ryu Ho-Seong
Cho Sung-Bum
Lee Wan-Sik
Kim Hyun-Soo
Joo Young-Eun
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Abstract
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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.
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KEYWORD
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Colorectal cancer, Malignant obstruction, Colostomy, Stent
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