2020 Volume 62 Issue 12 Pages 3079-3084
Colorectal obstruction (CO) is a complication that occurs at a certain frequency after patients take electrolyte lavage solution even with careful attention. Routine colonoscopy may lead to a serious iatrogenic outcome, in which a small percentage of patients may require colostomy, which would lead to a significant decrease in quality of life (QOL), and may sometimes even have a fatal course. However, in patients who develop CO after oral intake of electrolyte lavage solution, it may be possible to avoid emergency surgery by performing self-expandable metallic stent (SEMS) placement. We attempted SEMS placement in 8 of the 12 patients who developed CO after oral intake of electrolyte lavage solution. Stent placement was successfully performed in the 6 patients with stenosis due to circumferential type 2 lesions. We chose adaptations according to the Japan Colonic Stent Safe Procedure Research Group (JCSSPRG) Mini-Guidelines, and placement of a colonic stent for CO could be performed safely in cases of CO related to intake of electrolyte lavage solution. SEMS placement enables minimally invasive intestinal decompression, and it may be possible to avoid emergency surgery and deterioration of QOL.
