Placement of a colonic stent by percutaneous colostomy in a case of malignant stenosis

Diaz, Laura Paul; Pabon, Isabel Pinto; Fernandez, Rosa Lobato

doi:10.1007/S002700001726

Title: Placement of a colonic stent by percutaneous colostomy in a case of malignant stenosis

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Abstract

We present a patient with disseminated stomach cancer who presented with symptoms of acute obstruction of the splenic flexure of the colon caused by tumor spread. During a first attempt to insert a colon stent through the anus under endoscopic guidance as final palliative therapy, it was not possible to reach the region of the stricture, and iatrogenic perforation of the descending colon occurred, which resolved favorably under conservative management. A second attempt to insert a stent was made via percutaneous puncture of the transverse colon, approaching the region of the stricture by a descending route. The procedure was completed without complications and the patient's symptoms improved. Stent placement via percutaneous puncture of the colon has not previously been described in the literature. It may be an alternate route in cases of proximal strictures in which access through the anus has been unsuccessful even with the aid of endoscopic guidance.

Authors:

Diaz, Laura Paul; Pabon, Isabel Pinto; Fernandez, Rosa Lobato ^[1]

Hospital Universitario de Getafe, Servicio de Radiodiagnostico (Spain)

Publication Date:: Mon Jan 15 00:00:00 EST 2001

OSTI Identifier:: 21414347

Resource Type:: Journal Article

Journal Name:: Cardiovascular and Interventional Radiology

Additional Journal Information:: Journal Volume: 24; Journal Issue: 1; Other Information: DOI: 10.1007/s002700001726; Copyright (c) 2001 Springer-Verlag; Article Copyright (c) 2001 Springer-Verlag New York, Inc; Journal ID: ISSN 0174-1551

Country of Publication:: United States

Language:: English

Subject:: 62 RADIOLOGY AND NUCLEAR MEDICINE; CARCINOMAS; LARGE INTESTINE; STOMACH; TUBES; BODY; DIGESTIVE SYSTEM; DISEASES; GASTROINTESTINAL TRACT; INTESTINES; NEOPLASMS; ORGANS

Citation Formats


                    Herrero, Helena Gomez, E-mail: nmvelilla@airtel.net, Diaz, Laura Paul, Pabon, Isabel Pinto, and Fernandez, Rosa Lobato. Placement of a colonic stent by percutaneous colostomy in a case of malignant stenosis.  United States: N. p., 2001. 
        Web.  doi:10.1007/S002700001726.

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                    Herrero, Helena Gomez, E-mail: nmvelilla@airtel.net, Diaz, Laura Paul, Pabon, Isabel Pinto, & Fernandez, Rosa Lobato. Placement of a colonic stent by percutaneous colostomy in a case of malignant stenosis.  United States.  https://doi.org/10.1007/S002700001726

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                    Herrero, Helena Gomez, E-mail: nmvelilla@airtel.net, Diaz, Laura Paul, Pabon, Isabel Pinto, and Fernandez, Rosa Lobato. 2001.  
        "Placement of a colonic stent by percutaneous colostomy in a case of malignant stenosis".  United States.  https://doi.org/10.1007/S002700001726.

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@article{osti_21414347,

  title        = {Placement of a colonic stent by percutaneous colostomy in a case of malignant stenosis},

  author       = {Herrero, Helena Gomez, E-mail: nmvelilla@airtel.net and Diaz, Laura Paul and Pabon, Isabel Pinto and Fernandez, Rosa Lobato},

  abstractNote = {We present a patient with disseminated stomach cancer who presented with symptoms of acute obstruction of the splenic flexure of the colon caused by tumor spread. During a first attempt to insert a colon stent through the anus under endoscopic guidance as final palliative therapy, it was not possible to reach the region of the stricture, and iatrogenic perforation of the descending colon occurred, which resolved favorably under conservative management. A second attempt to insert a stent was made via percutaneous puncture of the transverse colon, approaching the region of the stricture by a descending route. The procedure was completed without complications and the patient's symptoms improved. Stent placement via percutaneous puncture of the colon has not previously been described in the literature. It may be an alternate route in cases of proximal strictures in which access through the anus has been unsuccessful even with the aid of endoscopic guidance.},

  doi          = {10.1007/S002700001726},

  url          = {https://www.osti.gov/biblio/21414347},
  journal      = {Cardiovascular and Interventional Radiology},

  issn         = {0174-1551},

  number       = 1,

  volume       = 24,

  place        = {United States},

  year         = {Mon Jan 15 00:00:00 EST 2001},

  month        = {Mon Jan 15 00:00:00 EST 2001}

}

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