caa a22 4500 475780930 CHVBK 20180406123644.0 cr unu---uuuuu 170329e20000801xx s 000 0 eng 10.1007/s004640000198 doi (NATIONALLICENCE)springer-10.1007/s004640000198 Use of a self-expanding stent in the palliation of rectal cancer recurrences [Elektronische Daten] A report of three cases [C. Coco, S. Cogliandolo, M. Riccioni, S. Ciletti, L. Marino-Consentino, R. Coppola, A. Picciocchi] Background: Patients with nonresectable rectal cancer recurrences and elderly high risk patients are currently given a colostomy as a palliative therapy. To improve the quality of life in these patients, we inserted a self-expanding metal stent to relieve the symptoms of obstruction caused by a rectal cancer recurrence. Methods: Three patients (two male, one female; ages 61, 69, and 59), all suffering from a rectal cancer pelvic recurrence and diffuse metastases, had a stent inserted. Using fluoroscopic and endoscopic control, a metal guidewire was passed through the obstruction. A mild dilatation of the stenosis was carried out before positioning of the expandable metal stent. Results: The procedure was successful at the first attempt in all the patients, and stool evacuation was immediate. Patients complained of rectal tenesmus during the first 48 h, which was treated with nonsteroid anti-inflammatory drugs. However, there were no serious complications related to the procedure. Regular endoscopic and clinical follow-up were carried out. No patient had any evidence of recurrent obstruction. Conclusion: In cases of inoperable rectal cancer recurrence, the placement of self-expanding metal stents is technically feasible and safe, and it avoids a permanent colostomy. Springer-Verlag, 2000 Rectal cancer nationallicence Local recurrence nationallicence Self-expanding metal stents nationallicence Endoscopic palliation nationallicence Coco C. Department of Surgery, Catholic University, L.go Agostino Gemelli, 8, 00168, Rome, Italy aut Cogliandolo S. Department of Surgery, Catholic University, L.go Agostino Gemelli, 8, 00168, Rome, Italy aut Riccioni M. Department of Surgery, Catholic University, L.go Agostino Gemelli, 8, 00168, Rome, Italy aut Ciletti S. Department of Surgery, Catholic University, L.go Agostino Gemelli, 8, 00168, Rome, Italy aut Marino-Consentino L. Department of Surgery, Catholic University, L.go Agostino Gemelli, 8, 00168, Rome, Italy aut Coppola R. Department of Surgery, Catholic University, L.go Agostino Gemelli, 8, 00168, Rome, Italy aut Picciocchi A. Department of Surgery, Catholic University, L.go Agostino Gemelli, 8, 00168, Rome, Italy aut Surgical Endoscopy Springer-Verlag 14/8(2000-08-01), 708-711 0930-2794 14:8<708 2000 14 464 https://doi.org/10.1007/s004640000198 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004640000198 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Coco C. Department of Surgery, Catholic University, L.go Agostino Gemelli, 8, 00168, Rome, Italy aut NATIONALLICENCE 700 1- Cogliandolo S. Department of Surgery, Catholic University, L.go Agostino Gemelli, 8, 00168, Rome, Italy aut NATIONALLICENCE 700 1- Riccioni M. Department of Surgery, Catholic University, L.go Agostino Gemelli, 8, 00168, Rome, Italy aut NATIONALLICENCE 700 1- Ciletti S. Department of Surgery, Catholic University, L.go Agostino Gemelli, 8, 00168, Rome, Italy aut NATIONALLICENCE 700 1- Marino-Consentino L. Department of Surgery, Catholic University, L.go Agostino Gemelli, 8, 00168, Rome, Italy aut NATIONALLICENCE 700 1- Coppola R. Department of Surgery, Catholic University, L.go Agostino Gemelli, 8, 00168, Rome, Italy aut NATIONALLICENCE 700 1- Picciocchi A. Department of Surgery, Catholic University, L.go Agostino Gemelli, 8, 00168, Rome, Italy aut NATIONALLICENCE 773 0- Surgical Endoscopy Springer-Verlag 14/8(2000-08-01), 708-711 0930-2794 14:8<708 2000 14 464 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer