Colonic stents

Alessandro Repici, Daniel De Paula Pessoa Ferreira

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Self-expandable metal stents (SEMS) can be used to relieve benign and malignant colonic obstruction. Data for the use of SEMS in benign disease are largely limited to preoperative use to allow decompression of acute obstruction. Long-term use of uncovered SEMS for benign disease is limited because of their nonremovability and long-term complications. When covered SEMS are used for benign disease, the high migration rates are high and long-term resolution of the underlying disease is modest at best. SEMS are most useful for relief of malignant colonic obstruction - both preoperatively and palliatively. Although retrospective studies of surgery and SEMS for preoperative and palliative indications show comparable to superior results following SEMS placement, randomized trials have not shown as favorable results after SEMS placement. Outcomes following placement of colonic SEMS are dependent on both patient and operator factors. Although generally safe, serious complications may occur. This chapter reviews the outcomes following SEMS placement for benign and malignant disease.

Original languageEnglish
Title of host publicationSelf-Expandable Stents in the Gastrointestinal Tract
PublisherSpringer New York
Pages275-289
Number of pages15
ISBN (Print)9781461437468, 1461437458, 9781461437451
DOIs
Publication statusPublished - Oct 1 2013

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ASJC Scopus subject areas

  • Medicine(all)

Cite this

Repici, A., & De Paula Pessoa Ferreira, D. (2013). Colonic stents. In Self-Expandable Stents in the Gastrointestinal Tract (pp. 275-289). Springer New York. https://doi.org/10.1007/978-1-4614-3746-8_19