Endoscopic Management of Malignant Colonic Obstruction
Advanced colorectal cancer can cause acute colonic obstruction, which is a life-threatening condition that requires emergency bowel decompression. Malignant colonic obstruction has traditionally been treated using emergency surgery, including primary resection or stoma formation. However, relatively...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Korean Society of Gastrointestinal Endoscopy
2020-01-01
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| Series: | Clinical Endoscopy |
| Subjects: | |
| Online Access: | http://www.e-ce.org/upload/pdf/ce-2019-051.pdf |
| _version_ | 1797668648408580096 |
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| author | Seung Young Seo Sang Wook Kim |
| author_facet | Seung Young Seo Sang Wook Kim |
| author_sort | Seung Young Seo |
| collection | DOAJ |
| description | Advanced colorectal cancer can cause acute colonic obstruction, which is a life-threatening condition that requires emergency bowel decompression. Malignant colonic obstruction has traditionally been treated using emergency surgery, including primary resection or stoma formation. However, relatively high rates of complications, such as anastomosis site leakage, have been considered as major concerns for emergency surgery. Endoscopic management of malignant colonic obstruction using a self-expandable metal stent (SEMS) was introduced 20 years ago and it has been used as a first-line palliative treatment. However, endoscopic treatment of malignant colonic obstruction using SEMSs as a bridge to surgery remains controversial owing to short-term complications and longterm oncological outcomes. In this review, the current status of and recommendations for endoscopic management using SEMSs for malignant colonic obstruction will be discussed. |
| first_indexed | 2024-03-11T20:31:28Z |
| format | Article |
| id | doaj.art-93508385dc754d1b8c0f5b9df5b49b5f |
| institution | Directory Open Access Journal |
| issn | 2234-2400 2234-2443 |
| language | English |
| last_indexed | 2024-03-11T20:31:28Z |
| publishDate | 2020-01-01 |
| publisher | Korean Society of Gastrointestinal Endoscopy |
| record_format | Article |
| series | Clinical Endoscopy |
| spelling | doaj.art-93508385dc754d1b8c0f5b9df5b49b5f2023-10-02T08:08:59ZengKorean Society of Gastrointestinal EndoscopyClinical Endoscopy2234-24002234-24432020-01-0153191710.5946/ce.2019.0517309Endoscopic Management of Malignant Colonic ObstructionSeung Young Seo0Sang Wook Kim Division of Gastroenterology, Department of Internal Medicine, Biomedical Research Institute, Chonbuk National University Hospital and Medical School, Jeonju, KoreaAdvanced colorectal cancer can cause acute colonic obstruction, which is a life-threatening condition that requires emergency bowel decompression. Malignant colonic obstruction has traditionally been treated using emergency surgery, including primary resection or stoma formation. However, relatively high rates of complications, such as anastomosis site leakage, have been considered as major concerns for emergency surgery. Endoscopic management of malignant colonic obstruction using a self-expandable metal stent (SEMS) was introduced 20 years ago and it has been used as a first-line palliative treatment. However, endoscopic treatment of malignant colonic obstruction using SEMSs as a bridge to surgery remains controversial owing to short-term complications and longterm oncological outcomes. In this review, the current status of and recommendations for endoscopic management using SEMSs for malignant colonic obstruction will be discussed.http://www.e-ce.org/upload/pdf/ce-2019-051.pdfcolorectal cancermalignant colonic obstructionself-expandable metal stent |
| spellingShingle | Seung Young Seo Sang Wook Kim Endoscopic Management of Malignant Colonic Obstruction Clinical Endoscopy colorectal cancer malignant colonic obstruction self-expandable metal stent |
| title | Endoscopic Management of Malignant Colonic Obstruction |
| title_full | Endoscopic Management of Malignant Colonic Obstruction |
| title_fullStr | Endoscopic Management of Malignant Colonic Obstruction |
| title_full_unstemmed | Endoscopic Management of Malignant Colonic Obstruction |
| title_short | Endoscopic Management of Malignant Colonic Obstruction |
| title_sort | endoscopic management of malignant colonic obstruction |
| topic | colorectal cancer malignant colonic obstruction self-expandable metal stent |
| url | http://www.e-ce.org/upload/pdf/ce-2019-051.pdf |
| work_keys_str_mv | AT seungyoungseo endoscopicmanagementofmalignantcolonicobstruction AT sangwookkim endoscopicmanagementofmalignantcolonicobstruction |