Three cases of endoscopic resection for synchronous early colon cancers after self-expandable metallic stent placement for obstructive colon cancer
Background and study aims: The feasibility of endoscopic resection for synchronous early colon cancer after placement of self-expandable metallic stents (SEMS) for malignant colorectal obstruction is unknown. Herein we evaluated 3 cases of endoscopic resection for synchronous early colorectal cancer...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Georg Thieme Verlag KG
2016-08-01
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| Series: | Endoscopy International Open |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-113874 |
| _version_ | 1828836321328627712 |
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| author | Rintaro Moroi Katsuya Endo Ryo Ichikawa So Takahashi Takeharu Shiroki Hirohiko Shinkai Fumitake Ishiyama Shoichi Kayaba |
| author_facet | Rintaro Moroi Katsuya Endo Ryo Ichikawa So Takahashi Takeharu Shiroki Hirohiko Shinkai Fumitake Ishiyama Shoichi Kayaba |
| author_sort | Rintaro Moroi |
| collection | DOAJ |
| description | Background and study aims: The feasibility of endoscopic resection for synchronous early colon cancer after placement of self-expandable metallic stents (SEMS) for malignant colorectal obstruction is unknown. Herein we evaluated 3 cases of endoscopic resection for synchronous early colorectal cancers after SEMS placement. Patient 1 was an 82-year-old man with obstructive sigmoid colon cancer. We curatively treated the synchronous descending colon cancer with endoscopic submucosal dissection (ESD) and the rectal cancer with endoscopic mucosal resection (EMR) after SEMS placement. This is the first reported case of a successful ESD for synchronous early colon cancer via the use of a colonic stent. Patient 2 was an 81-year-old man with obstructive ascending colon cancer. We resected the synchronous transverse colon cancer via ESD. Histologic findings indicated that the carcinoma cells had invaded the submucosal layer. Therefore, we immediately performed expanded right-hemicolectomy. Patient 3 was an 81-year-old man with obstructive sigmoid colon cancer. We curatively treated the synchronous transverse colon cancer with EMR after SEMS placement. There were no complications associated with the endoscopic treatments in any of the cases. Our results indicate that preoperative endoscopic resection combined with the ESD technique for synchronous colorectal cancer after SEMS placement could be effective as a surgical strategy for patients with malignant colorectal obstruction. |
| first_indexed | 2024-12-12T18:20:02Z |
| format | Article |
| id | doaj.art-e835d556cfc34923984b9de28b1400e0 |
| institution | Directory Open Access Journal |
| issn | 2364-3722 2196-9736 |
| language | English |
| last_indexed | 2024-12-12T18:20:02Z |
| publishDate | 2016-08-01 |
| publisher | Georg Thieme Verlag KG |
| record_format | Article |
| series | Endoscopy International Open |
| spelling | doaj.art-e835d556cfc34923984b9de28b1400e02022-12-22T00:16:11ZengGeorg Thieme Verlag KGEndoscopy International Open2364-37222196-97362016-08-010409E970E97310.1055/s-0042-113874Three cases of endoscopic resection for synchronous early colon cancers after self-expandable metallic stent placement for obstructive colon cancerRintaro Moroi0Katsuya Endo1Ryo Ichikawa2So Takahashi3Takeharu Shiroki4Hirohiko Shinkai5Fumitake Ishiyama6Shoichi Kayaba7Department of Gastroenterology, Iwate Prefectural Isawa Hospital, Oshu, JapanDivision of Gastroenterology, Department of Internal Medicine, Tohoku University Graduate School of Medicine, Sendai, JapanDepartment of Gastroenterology, Iwate Prefectural Isawa Hospital, Oshu, JapanDepartment of Gastroenterology, Iwate Prefectural Isawa Hospital, Oshu, JapanDepartment of Gastroenterology, Iwate Prefectural Isawa Hospital, Oshu, JapanDepartment of Gastroenterology, Iwate Prefectural Isawa Hospital, Oshu, JapanDepartment of Gastroenterology, Iwate Prefectural Isawa Hospital, Oshu, JapanDepartment of Gastroenterology, Iwate Prefectural Isawa Hospital, Oshu, JapanBackground and study aims: The feasibility of endoscopic resection for synchronous early colon cancer after placement of self-expandable metallic stents (SEMS) for malignant colorectal obstruction is unknown. Herein we evaluated 3 cases of endoscopic resection for synchronous early colorectal cancers after SEMS placement. Patient 1 was an 82-year-old man with obstructive sigmoid colon cancer. We curatively treated the synchronous descending colon cancer with endoscopic submucosal dissection (ESD) and the rectal cancer with endoscopic mucosal resection (EMR) after SEMS placement. This is the first reported case of a successful ESD for synchronous early colon cancer via the use of a colonic stent. Patient 2 was an 81-year-old man with obstructive ascending colon cancer. We resected the synchronous transverse colon cancer via ESD. Histologic findings indicated that the carcinoma cells had invaded the submucosal layer. Therefore, we immediately performed expanded right-hemicolectomy. Patient 3 was an 81-year-old man with obstructive sigmoid colon cancer. We curatively treated the synchronous transverse colon cancer with EMR after SEMS placement. There were no complications associated with the endoscopic treatments in any of the cases. Our results indicate that preoperative endoscopic resection combined with the ESD technique for synchronous colorectal cancer after SEMS placement could be effective as a surgical strategy for patients with malignant colorectal obstruction.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-113874 |
| spellingShingle | Rintaro Moroi Katsuya Endo Ryo Ichikawa So Takahashi Takeharu Shiroki Hirohiko Shinkai Fumitake Ishiyama Shoichi Kayaba Three cases of endoscopic resection for synchronous early colon cancers after self-expandable metallic stent placement for obstructive colon cancer Endoscopy International Open |
| title | Three cases of endoscopic resection for synchronous early colon cancers after self-expandable metallic stent placement for obstructive colon cancer |
| title_full | Three cases of endoscopic resection for synchronous early colon cancers after self-expandable metallic stent placement for obstructive colon cancer |
| title_fullStr | Three cases of endoscopic resection for synchronous early colon cancers after self-expandable metallic stent placement for obstructive colon cancer |
| title_full_unstemmed | Three cases of endoscopic resection for synchronous early colon cancers after self-expandable metallic stent placement for obstructive colon cancer |
| title_short | Three cases of endoscopic resection for synchronous early colon cancers after self-expandable metallic stent placement for obstructive colon cancer |
| title_sort | three cases of endoscopic resection for synchronous early colon cancers after self expandable metallic stent placement for obstructive colon cancer |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-113874 |
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