Skip to main content
SpringerLink
Log in

Endoluminal Colorectal Stenting

  • Chapter
  • First Online:
Advanced Colonoscopy and Endoluminal Surgery

Abstract

Self-expanding metal stents (SEMS) have become, an alternative to surgery and an important addition to the treatment of colonic obstruction in the last two decades. Emergency surgery in patients with colonic obstruction is associated with significant morbidity and mortality rates. Endoluminal colonic stenting can be performed as palliation or as a bridge to future surgical intervention; however, its oncologic safety remains uncertain. There is limited data regarding stenting for benign colonic obstruction.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 99.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 139.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Dohomoto M. New method-endoscopic implantation of rectal stent in palliative treatment of malignant stenosis. Endosc Dig. 1991;3:1507–12.

    Google Scholar 

  2. Tejero E, Mainar A, Fernandez L, Tobio R, De Gregorio MA. New procedure for the treatment of colorectal neoplastic obstructions. Dis Colon Rectum. 1994;37(11):1158–9.

    Article  CAS  PubMed  Google Scholar 

  3. Sagar J. Colorectal stents for the management of malignant colonic obstructions. Cochrane Database Syst Rev. 2011;11:CD0007378.

    Google Scholar 

  4. Lee HJ, Hong SP, Cheon JH, Kim TI, Min BS, Kim NK, Kim WH. Long-term outcome of palliative therapy for malignant colorectal obstruction in patients with unresectable metastatic colorectal cancers: endoscopic stenting versus surgery. Gastrointest Endosc. 2011;73(3):535–42.

    Article  PubMed  Google Scholar 

  5. Súarez J, Jiménez J, Vera R, Tarifa A, Balén E, Arrazubi V, Vila J, Lera JM. Stent or surgery for incurable obstructive colorectal cancer: an individual decision. Int J Colorectal Dis. 2010;25(1):91–6.

    Article  PubMed  Google Scholar 

  6. Small AJ, Coelho-Prabhu N, Baron TH. Endoscopic placement of self-expandable metal stents for malignant colonic obstruction: long-term outcomes and complication factors. Gastrointest Endosc. 2010;71(3):560–72.

    Article  PubMed  Google Scholar 

  7. Fernández-Esparrach G, Bordas JM, Giráldez MD, Ginès A, Pellisé M, Sendino O, Martínez-Pallí G, Castells A, Llach J. Severe complications limit long-term clinical success of self-expanding metal stents in patients with obstructive colorectal cancer. Am J Gastroenterol. 2010;105(5):1087–93.

    Article  PubMed  Google Scholar 

  8. Brehant O, Fuks D, Bartoli E, Yzet T, Verhaeghe P, Regimbeau JM. Elective (planned) colectomy in patients with colorectal obstruction after placement of a self-expanding metallic stent as a bridge to surgery: the results of a prospective study. Colorectal Dis. 2009;11(2):178–83.

    Article  CAS  PubMed  Google Scholar 

  9. Tilney HS, Lovegrove RE, Purkayastha S, Sains PS, Weston-Petrides GK, Darzi AW, Tekkis PP, Heriot AG. Comparison of colonic stenting and open surgery for malignant large bowel obstruction. Surg Endosc. 2007;21(2):225–33.

    Article  CAS  PubMed  Google Scholar 

  10. Tan CJ, Dasari BV, Gardiner K. Systematic review and meta-analysis of randomized clinical trials of self-expanding metallic stents as a bridge to surgery versus emergency surgery for malignant left-sided large bowel obstruction. Br J Surg. 2012;99(4):469–76.

    Article  CAS  PubMed  Google Scholar 

  11. Kim JH, Kwon KA, Lee JJ, Lee WS, Back JH, Kim YJ, Chung JW, Kim KO, Park DK, Kim JH. Surgical failure after colonic stenting as a bridge to surgery. World J Gastroenterol. 2014;20(33):11826–34.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Van Hooft JE, van Halsema EE, Vanbiervliet G, Beets-Tan RG, DeWitt JM, Donnellan F, Dumonceau JM, Glynne-Jones RG, Hassan C, Jiménez-Perez J, Meisner S, Muthusamy VR, Parker MC, Regimbeau JM, Sabbagh C, Sagar J, Tanis PJ, Vandervoort J, Webster GJ, Manes G, Barthet MA, Repici A. Self-expandable metal stents for obstructing colonic and extracolonic cancer: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline. Endoscopy. 2014;46(11):990–1053.

    Article  PubMed  Google Scholar 

  13. Sirikurnpiboon S, Awapittaya B, Jivapaisarnpong P, Rattanachu-ek T, Wannaprasert J, Panpimarnmas S. Bridging metallic stent placement in acute obstructed left sided malignant colorectal cancer: optimal time for surgery. J Med Assoc Thai. 2014;97(Suppl 11):S81–6.

    PubMed  Google Scholar 

  14. Shin SJ, Kim TI, Kim BC, Lee YC, Song SY, Kim WH. Clinical application of self-expandable metallic stent for treatment of colorectal obstruction caused by extrinsic invasive tumors. Dis Colon Rectum. 2008;51(5):578–83.

    Article  PubMed  Google Scholar 

  15. Keränen I, Lepistö A, Udd M, Halttunen J, Kylänpää L. Outcome of patients after endoluminal stent placement for benign colorectal obstruction. Scand J Gastroenterol. 2010;45(6):725–31.

    Article  PubMed  Google Scholar 

  16. Luigiano C, Ferrara F, Fabbri C, Ghersi S, Bassi M, Billi P, Polifemo AM, Landi P, Cennamo V, Consolo P, Morace C, Alibrandi A, D’Imperio N. Through-the-scope large diameter self-expanding metal stent placement as a safe effective technique for palliation of malignant colorectal obstruction a single center experience with a long-term follow-up. Scand J Gastroenterol. 2011;46(5):591–6.

    Article  PubMed  Google Scholar 

  17. Trompetas V, Saunders M, Gossage J, Anderson H. Shortcomings in colonic stenting to palliate large bowel obstruction from extracolonic malignancies. Int J Colorectal Dis. 2010;25(7):851–4.

    Article  PubMed  Google Scholar 

  18. Small AJ, Young-Fadok TM, Baron TH. Expandable metal stent placement for benign colorectal obstruction: outcomes for 23 cases. Surg Endosc. 2008;22(2):454–62.

    Article  CAS  PubMed  Google Scholar 

  19. Pommergaard HC, Vilmann P, Jacobsen HL, Achiam MP. A clinical evaluation of endoscopically placed self-expanding metallic stents in patients with acute large bowel obstruction. Scand J Surg. 2009;98(3):143–7.

    Article  CAS  PubMed  Google Scholar 

  20. Ahmad M, Nice C, Katory M. Covered metallic stent for the palliation of colovesical fistula. Ann R Coll Surg Engl. 2010;92(6):43–5.

    Article  Google Scholar 

  21. Abbas MA. Endoscopic management of acute colorectal anastomotic complications with temporary stent. JSLS. 2009;13(3):420–4.

    PubMed  PubMed Central  Google Scholar 

  22. Lamazza A, Sterpetti AV, De Cesare A, Schillaci A, Antoniozzi A, Fiori E. Endoscopic placement of self-expanding stents in patients with symptomatic anastomotic leakage after colorectal resection for cancer: long-term results. Endoscopy. 2015;47(3):270–2.

    Article  PubMed  Google Scholar 

  23. Rejchrt S, Kopáˇcová M, Bártová J, Vacek Z, Bureˇs J. Intestinal biodegradable Stents. Folia Gastroenterol Hepatol. 2009;7(1):7–11.

    Article  Google Scholar 

  24. Rodrigues C, Oliveira A, Santos L, Pires E, Deus J. Biodegradable stent for the treatment of a colonic stricture in Crohn’s disease. World J Gastrointest Endosc. 2013;5(5):265–9.

    Article  PubMed  PubMed Central  Google Scholar 

  25. Van Halsema EE, van Hooft JE, Small AJ, Baron TH, García-Cano J, Cheon JH, Lee MS, Kwon SH, Mucci-Hennekinne S, Fockens P, Dijkgraaf MG, Repici A. Perforation in colorectal stenting: a meta-analysis and a search for risk factors. Gastrointest Endosc. 2014;79(6):970–82.

    Article  PubMed  Google Scholar 

  26. Van der Berg EH, Bargmann JF, Ledeboer M, van Dijk RA, Bosker RJ, Ter Borg F. Radiological position and clinical outcome of preoperative self-expanding metal stents for obstructing colonic cancer: a single center cohort study. Dig Surg. 2015;32(4):262–8.

    Article  Google Scholar 

  27. Sebastian S, Johnston S, Geoghegan T, Torreggiani W, Buckley M. Pooled analysis of the efficacy and safety of self-expanding metal stenting in malignant colorectal obstruction. Am J Gastroenterol. 2004;99(10):2051–7.

    Article  PubMed  Google Scholar 

  28. Khot UP, Wenk L, Murali K, Parker MC. Systematic review of the efficacy and safety of colorectal stents. Br J Surg. 2002;89(9):1096–102.

    Article  CAS  PubMed  Google Scholar 

  29. Samper Wamba JD, Fernández Martínez A, López González L, Balboa Arregui O. Efficacy and complications in the use of self-expanding colonic stents: analysis of 15 years’ experience. Radiologia. 2015;57(5):402–11.

    Article  CAS  PubMed  Google Scholar 

  30. Im JP, Kim SG, Kang HW, Kim JS, Jung HC, Song IS. Clinical outcomes and patency of self-expanding metal stents in patients with malignant colorectal obstruction: a prospective single center study. Int J Colorectal Dis. 2008;23(8):789–94.

    Article  PubMed  Google Scholar 

  31. Gürbulak B, Gürbulak EK, Akgün İE, Büyükaşık K, Bektaş H. Endoscopic stent placement in the management of malignant colonic obstruction: Experiences from two centers. Ulus Cerrahi Derg. 2015;31(3):132–7.

    PubMed  PubMed Central  Google Scholar 

  32. Boyle DJ, Thorn C, Saini A, Elton C, Atkin GK, Mitchell IC, Lotzof K, Marcus A, Mathur P. Predictive factors for successful colonic stenting in acute large-bowel obstruction: a 15-year cohort analysis. Dis Colon Rectum. 2015;58(3):358–62.

    Article  PubMed  Google Scholar 

  33. Tominaga K, Maetani I, Sato K, Shigoka H, Omuta S, Ito S, Saigusa Y. Favorable long-term clinical outcome of uncovered D-weave stent placement as definitive palliative treatment for malignant colorectal obstruction. Dis Colon Rectum. 2012;55(9):983–9.

    Article  PubMed  Google Scholar 

  34. Bayraktar B, Ozemir IA, Kefeli U, Demiral G, SagiroÄŸlu J, Bayraktar O, Adali G, Ozcelik A, Tortum OB. Colorectal stenting for palliation and as a bridge to surgery: a 5-year follow-up study. World J Gastroenterol. 2015;21(31):9373.

    Article  PubMed  PubMed Central  Google Scholar 

  35. Camúñez F, Echenagusia A, Simó G, Turégano F, Vázquez J, Barreiro-Meiro I. Malignant colorectal obstruction treated by means of self-expanding metallic stents: effectiveness before surgery and in palliation. Radiology. 2000;216(2):492–7.

    Article  PubMed  Google Scholar 

  36. Lee JH, Ross WA, Davila R, Chang G, Lin E, Dekovich A, Davila M. Self-expandable metal stents (SEMS) can serve as a bridge to surgery or as a definitive therapy in patients with an advanced stage of cancer: clinical experience of a tertiary cancer center. Dig Dis Sci. 2010;55(12):3530–6.

    Article  CAS  PubMed  Google Scholar 

  37. Suh JP, Kim SW, Cho YK, Park JM, Lee IS, Choi MG, Chung IS, Kim HJ, Kang WK, Oh ST. Effectiveness of stent placement for palliative treatment in malignant colorectal obstruction and predictive factors for stent occlusion. Surg Endosc. 2010;24(2):400–6.

    Article  PubMed  Google Scholar 

  38. Mackay CD, Craig W, Hussey JK, Loudon MA. Self-expanding metallic stents for large bowel obstruction. Br J Surg. 2011;98(11):1625–9.

    Article  CAS  PubMed  Google Scholar 

  39. Cheung HY, Chung CC, Tsang WW, Wong JC, Yau KK, Li MK. Endolaparoscopic approach vs conventional open surgery in the treatment of obstructing left-sided colon cancer: a randomized controlled trial. Arch Surg. 2009;144(12):1127–32.

    Article  PubMed  Google Scholar 

  40. White SI, Abdool SI, Frenkiel B, Braun WV. Management of malignant left-sided large bowel obstruction: a comparison between colonic stents and surgery. ANZ J Surg. 2011;81(4):257–60.

    Article  PubMed  Google Scholar 

  41. Pirlet IA, Slim K, Kwiatkowski F, Michot F, Millat BL. Emergency preoperative stenting versus surgery for acute left-sided malignant colonic obstruction: a multicenter randomized controlled trial. Surg Endosc. 2011;25(6):1814–21.

    Article  PubMed  Google Scholar 

  42. Alcántara M, Serra-Aracil X, Falcó J, Mora L, Bombardó J, Navarro S. Prospective, controlled, randomized study of intraoperative colonic lavage versus stent placement in obstructive left-sided colonic cancer. World J Surg. 2011;35(8):1904–10.

    Article  PubMed  Google Scholar 

  43. Guo MG, Feng Y, Zheng Q, Di JZ, Wang Y, Fan YB, Huang XY. Comparison of self-expanding metal stents and urgent surgery for left-sided malignant colonic obstruction in elderly patients. Dig Dis Sci. 2011;56(9):2706–10.

    Article  PubMed  Google Scholar 

  44. Ho KS, Quah HM, Lim JF, Tang CL, Eu KW. Endoscopic stenting and elective surgery versus emergency surgery for left-sided malignant colonic obstruction: a prospective randomized trial. Int J Colorectal Dis. 2012;27(3):355–62.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Colorectal Surgery, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates

    Zoltan Lackberg M.D.

  2. Dubai Colorectal Clinic, Dubai, United Arab Emirates

    Maher A. Abbas M.D., F.A.C.S., F.A.S.C.R.S.

Authors
  1. Zoltan Lackberg M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Maher A. Abbas M.D., F.A.C.S., F.A.S.C.R.S.
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Maher A. Abbas M.D., F.A.C.S., F.A.S.C.R.S. .

Editor information

Editors and Affiliations

  1. Department of Surgery - Colon and Rectal Surgery, Keck School of Medicine of University of Southern California, Los Angeles, California, USA

    Sang W. Lee

  2. Division of Colon and Rectal Surgery Department of Surgery, Lewis Katz School of Medicine at Temple University, Philadelphia, Pennsylvania, USA

    Howard M. Ross

  3. Department of Colon and Rectal Surgery Northwell Health, Huntington Hospital Hofstra School of Medicine, Woodbury, New York, USA

    David E. Rivadeneira

  4. Case Western Reserve University School of Medicine, Cleveland, Ohio, USA

    Scott R. Steele

  5. Division of Colorectal Surgery Department of Surgery, Columbia University, New York, New York, USA

    Daniel L. Feingold

Electronic Supplementary Material

Endoscopic colonic stenting (WMV 121944 kb)

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing AG

About this chapter

Cite this chapter

Lackberg, Z., Abbas, M.A. (2017). Endoluminal Colorectal Stenting. In: Lee, S., Ross, H., Rivadeneira, D., Steele, S., Feingold, D. (eds) Advanced Colonoscopy and Endoluminal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-48370-2_19

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-48370-2_19

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-48368-9

  • Online ISBN: 978-3-319-48370-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation