Abstract
So far we are obliged to perform colostomy temporarily for rectal stenosis due to Schnitzler metastasis from gastric cancer. This time we were able to manage a case of the disease by placement of an expandable metallic stent (EMS).
A 64-year-old woman who had been followed clinical course after the operation for gastric cancer was admitted to the hospital because of abdominal distension and general fatigue. Intestinal obstruction due to rectal stenosis was suspected. Fluoroscopy of the rectum revealed a stenosis at the RS of the rectum. One year and 4 months after the operation, an EMS was placed at the same site. Thereafter gradual symptomatic remission was attained. The patient started to eat and was discharged from the hospital.
This EMS method can be easily and safely performed and appears to be very helpful to improve the quality of the patient.