Korean J Gastrointest Endosc > Volume 41(6); 2010 > Article
Korean Journal of Gastrointestinal Endoscopy 2010;41(6): 378-381.
재발성 대장암에 의한 장 폐쇄 환자에서 결장루를 통한 스텐트 삽입 1예
전남대학교 의과대학 소화기내과학교실
Colonic Stent Insertion Through a Colostomy in a Patient with Recurred Malignant Obstruction
Nam Chul Jin, M.D., Dae Hyun Kim, M.D., Young A Song, M.D., Ho Seong Ryu, M.D., Sung Bum Cho, M.D., Wan Sik Lee, M.D., Hyun Soo Kim, M.D. and Young Eun Joo, M.D.
Division of Gastroenterology, Department of Internal Medicine, Chonnam National University Medical School, Hwasun, Korea
Colorectal self-expanding metal stents have been used for palliation or preoperative decompression as a bridge-to-surgery in patients with malignant obstruction due to primary or recurred colorectal cancer. The usual attempt to implant of the stent is through the anus under endoscopic guidance, but that is difficult or impossible in patient who have undergone laparoscopic abdominoperineal resection (APR) and who have a colostomy. Especially, to advance and position the stent in the target lesion through the colostomy is very difficult because of the tortuosity and anatomical alteration of the proximal bowel caused by surgery. We herein report on a case of recurred malignant colonic obstruction with stent placement through a preformed colostomy. To date, this approach through a colostomy for the deployment of a stent has not been described in the Korean literature. (Korean J Gastrointest Endosc 2010;41:378-381)
Key Words: Colorectal cancer, Malignant obstruction, Colostomy, Stent
주요어: 대장암, 악성 폐쇄, 결장루, 스텐트
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