Guest guest Posted April 9, 2004 Report Share Posted April 9, 2004 Endoluminal Colonic Wall Stents Effective in Management of Large Bowel Obstructions WESTPORT, Apr 18 (Reuters Health) - Endoluminal colonic wall stenting is a safe, effective and lasting method of managing benign and malignant large bowel obstructions, according to the results of an 11-patient study. Dr. C. Counihan and colleagues from the University of Massachusetts Medical School, Worcester, successfully placed endoluminal colonic wall stents in 10 of the 11 patients. Eight patients had malignant disease and three had diverticular disease of the sigmoid colon. " In one patient with large bowel obstruction the guide wire could not be passed through the blockage, " the researchers report. Of the patients with malignant disease, " six patients had successful and lasting palliation without colostomy [and] one patient underwent one-stage resection 1 month later with no evidence of obstruction, " and the eighth was the patient who could not be stented. Of the three patients with benign blockage, none required diversion and " two had complete bowel preparation followed by resection with primary anastomosis. " The third patient refused surgery. The stent in one patient migrated, leading to recurrent obstruction and the need for a repeat procedure. There were no other complications, Dr. Counihan and colleagues report in the April issue of the Archives of Surgery. They believe that placement of endoluminal colonic wall stents " should be considered as initial treatment in all patients with benign or malignant disease seen with large bowel obstruction in the absence of peritonitis. " SOURCE: Reuters Health, April 18, 2000 Archives of Surgery, April 2000; 135:434-438 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 10, 2004 Report Share Posted April 10, 2004 Very interesting. Thanks for posting this, flipper759. Clare > > > Endoluminal Colonic Wall Stents Effective in Management of Large Bowel > Obstructions > > > > > > WESTPORT, Apr 18 (Reuters Health) - Endoluminal colonic wall stenting is a > safe, effective and lasting method of managing benign and malignant large bowel > obstructions, according to the results of an 11-patient study. > > Dr. C. Counihan and colleagues from the University of Massachusetts > Medical School, Worcester, successfully placed endoluminal colonic wall stents > in 10 of the 11 patients. Eight patients had malignant disease and three had > diverticular disease of the sigmoid colon. " In one patient with large bowel > obstruction the guide wire could not be passed through the blockage, " the > researchers report. > > Of the patients with malignant disease, " six patients had successful and > lasting palliation without colostomy [and] one patient underwent one-stage > resection 1 month later with no evidence of obstruction, " and the eighth was the > patient who could not be stented. Of the three patients with benign blockage, > none required diversion and " two had complete bowel preparation followed by > resection with primary anastomosis. " The third patient refused surgery. > > The stent in one patient migrated, leading to recurrent obstruction and the > need for a repeat procedure. There were no other complications, Dr. Counihan > and colleagues report in the April issue of the Archives of Surgery. > > They believe that placement of endoluminal colonic wall stents " should be > considered as initial treatment in all patients with benign or malignant disease > seen with large bowel obstruction in the absence of peritonitis. " > > SOURCE: > Reuters Health, April 18, 2000 > > Archives of Surgery, April 2000; 135:434-438 > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 10, 2004 Report Share Posted April 10, 2004 Thanks for posting that interesting link, Hildreth. I'm with you. I think it sounds like a much better approach than the stent. We hadn't heard of it. It wasn't mentioned to my friend. :>) Clare > I am sending a link that I know is a little gross but don't think it would bother anyone on this list. I think this is what I am going to try to get them to do instead of stent. When the Dr who tried to do the colonscopy and could not he did mention the balloon stretch. The surgeon is the one who talked about the stent. This sounds much easier to me unless there is a reason they can't do it. This link shows my problem perfectly. > > http://www.gihealth.com/html/education/photo/printable/printAnastomoti cStricture.html > > Hildreth > Re: re:colon stents > > > Very interesting. Thanks for posting this, flipper759. > > Clare > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 10, 2004 Report Share Posted April 10, 2004 Thanks for posting that interesting link, Hildreth. I'm with you. I think it sounds like a much better approach than the stent. We hadn't heard of it. It wasn't mentioned to my friend. :>) Clare > I am sending a link that I know is a little gross but don't think it would bother anyone on this list. I think this is what I am going to try to get them to do instead of stent. When the Dr who tried to do the colonscopy and could not he did mention the balloon stretch. The surgeon is the one who talked about the stent. This sounds much easier to me unless there is a reason they can't do it. This link shows my problem perfectly. > > http://www.gihealth.com/html/education/photo/printable/printAnastomoti cStricture.html > > Hildreth > Re: re:colon stents > > > Very interesting. Thanks for posting this, flipper759. > > Clare > > > Quote Link to comment Share on other sites More sharing options...
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