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Semin intervent Radiol 2004; 21(3): 205-216
DOI: 10.1055/s-2004-860941
Copyright © 2004 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Colon Stenting: A Review

Miguel Angel de Gregorio1 , 2 , 3 , Antonio Mainar2 , Juan Rodriguez3 , Eduardo Ramon Alfonso2 , Eloy Tejero2 , Marcos Herrera2 , Jokin Medrano2 , Horacio D'Agostino3
  • 1Professor
  • 2Interventional Radiology, Universidad de Zaragoza, Zaragoza, Spain
  • 3Department of Radiology, Health Sciences Center, Lousiana State University, Shreveport, Louisiana
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Publication History

Publication Date:
16 December 2004 (online)

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ABSTRACT

Up to 85% of patients who present with colonic obstruction have a colorectal cancer. Between 7% and 29% of these patients present with total or partial intestinal obstruction. Only 20% of these patients presenting with acute colonic obstruction due to malignancy survive 5 years. Emergent surgical intervention in patients with colonic obstruction is associated with significant morbidity and mortality rates. Only 40% of patients with obstructive carcinoma of the left colon can be treated with surgical resection without the need for a colostomy. The use of a temporary or permanent colostomy has a significant impact on quality of life. The decompressive effect seen with colonic stenting is a durable, simple, and effective palliative treatment of patients with advanced disease. Stent deployment provides an effective solution to acute colonic obstruction and allows surgical treatment of the patient in an elective and more favorable condition. In addition, colonic stenting reduces costs and avoids the need for a colostomy.

KEYWORDS

Colon cancer - intestinal obstruction - colonic stenting

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Prof. Miguel Angel de Gregorio Ariza

Department of Interventional Radiology, Hospital Clinico Universitario

San Juan Bosco 15

Zaragoza 50009, Spain

Email: mgregori@separ.es