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Endoluminal Colorectal Stenting

  • Zoltan Lackberg
  • Maher A. AbbasEmail author
Chapter
  • 626 Downloads

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.

Keywords

Colonic obstruction Self-expanding metal stents SEMS Colonic stenting Palliative therapy Bridge-to-surgery Through-the-scope Over-the-wire 

Supplementary material

Video 19.1

Endoscopic colonic stenting (WMV 121944 kb)

References

  1. 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. 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.CrossRefPubMedGoogle Scholar
  3. 3.
    Sagar J. Colorectal stents for the management of malignant colonic obstructions. Cochrane Database Syst Rev. 2011;11:CD0007378.Google Scholar
  4. 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.CrossRefPubMedGoogle Scholar
  5. 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.CrossRefPubMedGoogle Scholar
  6. 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.CrossRefPubMedGoogle Scholar
  7. 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.CrossRefPubMedGoogle Scholar
  8. 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.CrossRefPubMedGoogle Scholar
  9. 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.CrossRefPubMedGoogle Scholar
  10. 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.CrossRefPubMedGoogle Scholar
  11. 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.CrossRefPubMedPubMedCentralGoogle Scholar
  12. 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.CrossRefPubMedGoogle Scholar
  13. 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.PubMedGoogle Scholar
  14. 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.CrossRefPubMedGoogle Scholar
  15. 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.CrossRefPubMedGoogle Scholar
  16. 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.CrossRefPubMedGoogle Scholar
  17. 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.CrossRefPubMedGoogle Scholar
  18. 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.CrossRefPubMedGoogle Scholar
  19. 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.CrossRefPubMedGoogle Scholar
  20. 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.CrossRefGoogle Scholar
  21. 21.
    Abbas MA. Endoscopic management of acute colorectal anastomotic complications with temporary stent. JSLS. 2009;13(3):420–4.PubMedPubMedCentralGoogle Scholar
  22. 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.CrossRefPubMedGoogle Scholar
  23. 23.
    Rejchrt S, Kopáˇcová M, Bártová J, Vacek Z, Bureˇs J. Intestinal biodegradable Stents. Folia Gastroenterol Hepatol. 2009;7(1):7–11.CrossRefGoogle Scholar
  24. 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.CrossRefPubMedPubMedCentralGoogle Scholar
  25. 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.CrossRefPubMedGoogle Scholar
  26. 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.CrossRefGoogle Scholar
  27. 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.CrossRefPubMedGoogle Scholar
  28. 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.CrossRefPubMedGoogle Scholar
  29. 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.CrossRefPubMedGoogle Scholar
  30. 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.CrossRefPubMedGoogle Scholar
  31. 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.PubMedPubMedCentralGoogle Scholar
  32. 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.CrossRefPubMedGoogle Scholar
  33. 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.CrossRefPubMedGoogle Scholar
  34. 34.
    Bayraktar B, Ozemir IA, Kefeli U, Demiral G, Sagiroğlu 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.CrossRefPubMedPubMedCentralGoogle Scholar
  35. 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.CrossRefPubMedGoogle Scholar
  36. 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.CrossRefPubMedGoogle Scholar
  37. 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.CrossRefPubMedGoogle Scholar
  38. 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.CrossRefPubMedGoogle Scholar
  39. 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.CrossRefPubMedGoogle Scholar
  40. 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.CrossRefPubMedGoogle Scholar
  41. 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.CrossRefPubMedGoogle Scholar
  42. 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.CrossRefPubMedGoogle Scholar
  43. 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.CrossRefPubMedGoogle Scholar
  44. 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.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  1. 1.Department of Colorectal SurgeryCleveland Clinic Abu DhabiAbu DhabiUnited Arab Emirates
  2. 2.Dubai Colorectal ClinicDubaiUnited Arab Emirates

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