Abstract
Colorectal stenting has been reported as an effective method of relieving colonic obstruction in the palliative setting for advanced cancer and in the preoperative setting as a bridge to surgery. Stenting can allow for an emergency operation to be converted to an elective operation. By decompressing the colon and allowing for medical optimization of the patient, self-expandable metal stent (SEMS) placement can transition a patient from a high-risk situation to a one-stage elective operation with potential primary resection and anastomosis. Stenting of select benign strictures is also accepted. In the hands of experienced advanced endoscopists, the placement of the stent has a high chance of technical and clinical success. In this chapter, we will discuss the indications and contraindications for stenting, types of stents available with advantages and disadvantages, up-to-date literature on success rates, short- and long-term complication rates, and cost. Finally, we will discuss what we feel are technical pearls for successful stenting.
| Original language | American English |
|---|---|
| Title of host publication | Advanced Colonoscopy |
| Subtitle of host publication | Principles and Techniques Beyond Simple Polypectomy |
| Publisher | Springer New York |
| Pages | 65-79 |
| Number of pages | 15 |
| ISBN (Electronic) | 9781493915842 |
| ISBN (Print) | 1493915835, 9781493915835 |
| DOIs | |
| State | Published - Jul 1 2014 |
| Externally published | Yes |
ASJC Scopus subject areas
- General Medicine
Keywords
- Colon cancer
- Colon obstruction
- Colon stenosis
- Colonic stent
- Endoscopic
- Enteral stent
- Palliation
- Self-expandable stent