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KMID : 1038120200530010009
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Clinical Endoscopy
2020 Volume.53 No. 1 p.9 ~ p.17
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Endoscopic Management of Malignant Colonic Obstruction
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Seo Seung-Young
Kim Sang-Wook
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Abstract
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Advanced colorectal cancer can cause acute colonic obstruction, which is a life-threatening condition that requires emergency bowel decompression. Malignant colonic obstruction has traditionally been treated using emergency surgery, including primary resection or stoma formation. However, relatively high rates of complications, such as anastomosis site leakage, have been considered as major concerns for emergency surgery. Endoscopic management of malignant colonic obstruction using a self-expandable metal stent (SEMS) was introduced 20 years ago and because of its application as a palliative management tool, there is sufficient evidence for its application as first-line treatment. However, endoscopic treatment of malignant colonic obstruction using SEMSs as a bridge to surgery remains controversial owing to short-term complications and long-term oncological outcomes. In this review, the current status of and recommendations for endoscopic management using SEMSs for malignant colonic obstruction will be discussed.
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KEYWORD
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Colorectal cancer, Malignant colonic obstruction, Self-expandable metal stent
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