naa a22 4500 510813917 CHVBK 20180411083455.0 cr unu---uuuuu 180411e20130601xx s 000 0 eng 10.1007/s12328-013-0378-x doi (NATIONALLICENCE)springer-10.1007/s12328-013-0378-x Long-term release of a malignant ileal obstruction by placement of a colorectal self-expandable metal stent [Elektronische Daten] [Sho Suzuki, Chika Kusano, Natsuko Yoshizawa, Masakatsu Nakamura, Toshiaki Hirasawa, Takuji Gotoda, Fuminori Moriyasu] An 84-year-old man underwent the Hartmann procedure with an R1 resection for advanced rectal cancer. One year after surgery, the patient presented with abdominal pain and vomiting. Abdominal radiography and computed tomography revealed an expanding small bowel and ileal obstruction caused by invasion of local, recurrent rectal cancer. In order to release the ileal obstruction, a colorectal self-expandable metal stent was placed via a through-the-scope technique using a colonoscope inserted through a stoma in the transverse colon. After stent placement, the patient's clinical symptoms and signs improved and the symptoms of obstruction did not recur. No major complications associated with the placement of the stent were observed during the 7-month follow-up period. Thus, self-expandable metal stents are a safe and effective palliative treatment for malignant gastroduodenal or colorectal obstructions, and as a bridge to surgery. However, endoscopic placement of these stents in cases of malignant small bowel obstruction is not yet feasible because of the limitations of endoscopic access and the stent delivery system. To our knowledge, this is the first report of malignant ileal obstruction treated with a colorectal self-expandable metal stent using a colonoscope. This case indicates that colorectal self-expandable metal stents can be effectively and safely used to treat malignant ileal obstructions. Springer Japan, 2013 Intestinal obstruction nationallicence Small bowel obstruction nationallicence Stent nationallicence Suzuki Sho Department of Gastroenterology, Cancer Institute Hospital, Japanese Foundation for Cancer Research, 3-8-31 Ariake, Koto-ku, 135-8550, Tokyo, Japan aut Kusano Chika Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan aut Yoshizawa Natsuko Department of Gastroenterology, Cancer Institute Hospital, Japanese Foundation for Cancer Research, 3-8-31 Ariake, Koto-ku, 135-8550, Tokyo, Japan aut Nakamura Masakatsu Department of Surgery, Yuri Kumiai General Hospital, Akita, Japan aut Hirasawa Toshiaki Department of Gastroenterology, Cancer Institute Hospital, Japanese Foundation for Cancer Research, 3-8-31 Ariake, Koto-ku, 135-8550, Tokyo, Japan aut Gotoda Takuji Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan aut Moriyasu Fuminori Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan aut Clinical Journal of Gastroenterology Springer Japan 6/3(2013-06-01), 202-206 1865-7257 6:3<202 2013 6 12328 https://doi.org/10.1007/s12328-013-0378-x text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12328-013-0378-x text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Suzuki Sho Department of Gastroenterology, Cancer Institute Hospital, Japanese Foundation for Cancer Research, 3-8-31 Ariake, Koto-ku, 135-8550, Tokyo, Japan aut NATIONALLICENCE 700 1- Kusano Chika Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan aut NATIONALLICENCE 700 1- Yoshizawa Natsuko Department of Gastroenterology, Cancer Institute Hospital, Japanese Foundation for Cancer Research, 3-8-31 Ariake, Koto-ku, 135-8550, Tokyo, Japan aut NATIONALLICENCE 700 1- Nakamura Masakatsu Department of Surgery, Yuri Kumiai General Hospital, Akita, Japan aut NATIONALLICENCE 700 1- Hirasawa Toshiaki Department of Gastroenterology, Cancer Institute Hospital, Japanese Foundation for Cancer Research, 3-8-31 Ariake, Koto-ku, 135-8550, Tokyo, Japan aut NATIONALLICENCE 700 1- Gotoda Takuji Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan aut NATIONALLICENCE 700 1- Moriyasu Fuminori Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan aut NATIONALLICENCE 773 0- Clinical Journal of Gastroenterology Springer Japan 6/3(2013-06-01), 202-206 1865-7257 6:3<202 2013 6 12328 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer