Reocclusion after Self-Expandable Metallic Stent Placement for Relieving Malignant Colorectal Obstruction as a Palliative Treatment
Self-expandable metallic stent (SEMS) placement has been practiced in several hospitals in Japan, including ours, since January 2012. Here, we report the case of an 82-year-old Japanese man who presented to the hospital with a 1-week history of right hypochondrial pain. Computed tomography (CT) find...
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2016-12-01
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doaj-5ab9f5e6de82400aad60274c53fe10aa2020-11-25T00:29:59ZengKarger PublishersCase Reports in Gastroenterology1662-06312016-12-0110373374210.1159/000452200452200Reocclusion after Self-Expandable Metallic Stent Placement for Relieving Malignant Colorectal Obstruction as a Palliative TreatmentToshikatsu NittaKensuke FujiiYoshimasa HirataTomo TominagaYoshihiro InoueHiroshi KawasakiKen KawakamiTakashi IshibashiSelf-expandable metallic stent (SEMS) placement has been practiced in several hospitals in Japan, including ours, since January 2012. Here, we report the case of an 82-year-old Japanese man who presented to the hospital with a 1-week history of right hypochondrial pain. Computed tomography (CT) findings indicated colorectal cancer. The laboratory findings on admission indicated severe anemia (red blood cell count, 426 × 104/μL; hemoglobin, 7.9 g/dL). We performed SEMS placement because the patient refused to undergo surgery. He did not attend any of the scheduled follow-up visits after SEMS placement. However, a year and a half after the SEMS placement, the patient attended the hospital because of difficulty in passing stool. A plain abdominal CT scan showed bowel reobstruction due to the ascending colon cancer after SEMS placement. We performed an emergency operation, ascending colostomy, on the same day. Colorectal stent placement may be a good treatment option for patients who refuse to undergo conventional therapeutic treatments or in those with unresectable colorectal cancer. Patients should be carefully followed up every few months after SEMS placement because of the risk of reocclusion.http://www.karger.com/Article/FullText/452200Self-expandable metallic stent placementReocclusionMalignant colorectal obstructionPalliative treatment |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Toshikatsu Nitta Kensuke Fujii Yoshimasa Hirata Tomo Tominaga Yoshihiro Inoue Hiroshi Kawasaki Ken Kawakami Takashi Ishibashi |
spellingShingle |
Toshikatsu Nitta Kensuke Fujii Yoshimasa Hirata Tomo Tominaga Yoshihiro Inoue Hiroshi Kawasaki Ken Kawakami Takashi Ishibashi Reocclusion after Self-Expandable Metallic Stent Placement for Relieving Malignant Colorectal Obstruction as a Palliative Treatment Case Reports in Gastroenterology Self-expandable metallic stent placement Reocclusion Malignant colorectal obstruction Palliative treatment |
author_facet |
Toshikatsu Nitta Kensuke Fujii Yoshimasa Hirata Tomo Tominaga Yoshihiro Inoue Hiroshi Kawasaki Ken Kawakami Takashi Ishibashi |
author_sort |
Toshikatsu Nitta |
title |
Reocclusion after Self-Expandable Metallic Stent Placement for Relieving Malignant Colorectal Obstruction as a Palliative Treatment |
title_short |
Reocclusion after Self-Expandable Metallic Stent Placement for Relieving Malignant Colorectal Obstruction as a Palliative Treatment |
title_full |
Reocclusion after Self-Expandable Metallic Stent Placement for Relieving Malignant Colorectal Obstruction as a Palliative Treatment |
title_fullStr |
Reocclusion after Self-Expandable Metallic Stent Placement for Relieving Malignant Colorectal Obstruction as a Palliative Treatment |
title_full_unstemmed |
Reocclusion after Self-Expandable Metallic Stent Placement for Relieving Malignant Colorectal Obstruction as a Palliative Treatment |
title_sort |
reocclusion after self-expandable metallic stent placement for relieving malignant colorectal obstruction as a palliative treatment |
publisher |
Karger Publishers |
series |
Case Reports in Gastroenterology |
issn |
1662-0631 |
publishDate |
2016-12-01 |
description |
Self-expandable metallic stent (SEMS) placement has been practiced in several hospitals in Japan, including ours, since January 2012. Here, we report the case of an 82-year-old Japanese man who presented to the hospital with a 1-week history of right hypochondrial pain. Computed tomography (CT) findings indicated colorectal cancer. The laboratory findings on admission indicated severe anemia (red blood cell count, 426 × 104/μL; hemoglobin, 7.9 g/dL). We performed SEMS placement because the patient refused to undergo surgery. He did not attend any of the scheduled follow-up visits after SEMS placement. However, a year and a half after the SEMS placement, the patient attended the hospital because of difficulty in passing stool. A plain abdominal CT scan showed bowel reobstruction due to the ascending colon cancer after SEMS placement. We performed an emergency operation, ascending colostomy, on the same day. Colorectal stent placement may be a good treatment option for patients who refuse to undergo conventional therapeutic treatments or in those with unresectable colorectal cancer. Patients should be carefully followed up every few months after SEMS placement because of the risk of reocclusion. |
topic |
Self-expandable metallic stent placement Reocclusion Malignant colorectal obstruction Palliative treatment |
url |
http://www.karger.com/Article/FullText/452200 |
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