Analysis of Palliative Colon Stent Treatment Cases for Malignant Stenosis of Colon

Abstract

Conventional treatments such as the Hartmann procedure or stoma creation have been performed to treat obstructive colorectal cancer. Due to the recent introduction of the trans-anal drainage tube and colonic stent placement, emergency surgery can now be avoided. We have experienced eight cases of colonic stent treatment for palliative care of non-curative colorectal cancer. Colonic stent placements were successful in all cases, but there were three complications after treatments: two cases of obstruction and one case of perforation, and one case of not effective. There were no cases of stent obstruction in the other patients receiving palliative care who eventually died. However, there are negative data for colonic stent replacement as a safe bridge to surgery (BTS). Thus, colonic stent placement as a palliative treatment may a useful option for providing a markedly improved quality of life to patients with advanced colonic cancer.