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Stenting and decompression in obstructive colorectal cancer - is this a real advance in the modern coloproctology?

Sh. Tadjer, M. Tadjer, Nikola Kolev, Aleksandar Zlatarov, Valentin Ignatov, Anton Tonev, Krasimir Ivanov

Abstract

The aim of the study is stenting and decompression (non-operatively and operatively) in case of obstructive colorectal cancer and if they are really an advance in the modern coloproctology. The stenting as palliation is effective in 90% of the cases and most patients have no obstruction until they die from the metastatic disease. The stenting is attractive and alternative method for colonic decompression for obstructive colorectal cancer (CRC), which helps the bowel preparation for further planned oncological resection. The stenting is useful for high-risk patients and candidates for laparoscopic resection. The emergency surgery is avoided in 94% of the patients.The stents can be used for protection of colorectal anastomoses, avoidance of stenosis after mucous re section, the optimization of treatment allowed for planned laparoscopic resections. The com pli ca tions af ter stenting of the colon are: migration 11%, perforation 4.5%, tumor ingrowth 12%; the clinical success was 85% to 100%, mortality from 0% to 2%, primary perforation0%, mortality after restenting 5%. Primary stenting followed by surgery is the future. Pre operative stenting may benefit the postoperative results after the consequtive surgery. The aim is to establish the cases in which stenting improves the course of the diseasein comparison to emergency surgery. Today stenting and decompression of obstructive colorectal cancer are seen as huge advance in the modern coloproctology.

SSM, 2012;44(1):67-70


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DOI: http://dx.doi.org/10.14748/ssm.v44i1.384

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About The Authors

Sh. Tadjer
National Multiprofile Transport Hospital Tsar Boris III - Sofia
Bulgaria

M. Tadjer
National Multiprofile Transport Hospital Tsar Boris III - Sofia
Bulgaria

Nikola Kolev
Medical University of Varna
Bulgaria

First Clinic of Surgery

Aleksandar Zlatarov
Medical University of Varna
Bulgaria

First Clinic of Surgery

Valentin Ignatov
Medical University of Varna
Bulgaria

First Clinic of Surgery

Anton Tonev
Medical University of Varna
Bulgaria

First Clinic of Surgery

Krasimir Ivanov
Medical University of Varna
Bulgaria

First Clinic of Surgery

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