Colonic stenting as a bridge to surgery in malignant colonic obstruction

Authors

DOI:

https://doi.org/10.18203/2349-2902.isj20203265

Keywords:

Colonic stent, Colorectal cancer obstruction, Stenting as a bridge to surgery

Abstract

Upto 80% of patients with colorectal cancer that show up to the emergency room have an obstructive pathology. The use of colonic stenting as a bridge to surgery may resolve the occlusive disorder, allowing the surgeon to do a laparoscopic procedure and safer anastomosis avoiding therefore any stomas. A 65 years old male presented with obstructing sigmoid cancer. A colonic stent was placed, resolved his obstruction and five days later he had an oncological laparoscopic procedure followed by an uneventful recovery. Colonic stenting as a bridge to surgery compared to emergent surgery in obstructing colon cancer decreases definitive stomas, length of hospital stays, anastomotic leakage, early adverse events, and increases primary anastomotic rate. There is no difference in short-term mortality. Use of colonic stent as a bridge to surgery did not showed difference in terms of overall survival, disease free survival, and recurrence.

Author Biographies

Ortiz de Elguea-Lizarraga J. I., Escuela de Medicina del Tecnologico de Monterrey, Mexico

General Surgery

Alberto Riojas-Garza, Escuela de Medicina del Tecnologico de Monterrey, Mexico

General Surgery

Alberto Chapa-Lobo, Coloncare Hospital Angeles Valle Oriente Monterrey, Nuevo Leon, Mexico

General Surgery

Colorectal surgery

Mario Rodarte-Shade, Escuela de Medicina del Tecnologico de Monterrey, Mexico

General Surgery

Colorectal surgery

Hugo Rangel-Rios, Coloncare Hospital Angeles Valle Oriente Monterrey, Nuevo Leon, Mexico

General Surgery

Colorectal surgery

Luis Enrique Salgado-Cruz, Escuela de Medicina del Tecnologico de Monterrey, Mexico Coloncare Hospital Angeles Valle Oriente Monterrey, Nuevo Leon, Mexico

General Surgery

Colorectal surgery

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Published

2020-07-23

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Section

Case Reports