Abstract
Stent (SEMS : self-expandable metallic stent) treatment for the colon and rectum finally became available from 2012 in Japan within the public health insurance system. In this review, I described the present conditions and the future prospects mainly taking data from the literature into consideration. The current indication in Japan is malignant colorectal stenosis.
In palliative treatment, the avoidance of colostomy, release of obstruction, shorter duration of hospitalization and better QOL of the patients have been widely reported. Also in the Bridge to surgery (BTS), the short duration of hospitalization, and reduced postoperative complications, colostomy rate and mortality rate are expected as compared to emergency surgery. Although it has been reported that the complication rate is low, adequate preparation and informed consent are important because complications can still occur. There are some tips and points to be taken into consideration to achieve safe procedures. Therefore, the occurrence of incidence can be minimized by following these. The Colonic Stent Safe Procedure Research Group, one of the subordinate organizations of the Japan Society for Gastrointestinal Endoscopy, has put together a set of mini-guidelines for the colon stent and the mini-guidelines have been published on the Society’s website. Reference to the mini-guidelines before performing any procedure is recommended.
