Endoscopy 2020; 52(S 01): S187
DOI: 10.1055/s-0040-1704582
ESGE Days 2020 ePoster Podium presentations
Friday, April 24, 2020 14:30 – 15:00 Keeping the lumen 2 ePoster Podium 7
© Georg Thieme Verlag KG Stuttgart · New York

FEASIBILITY OF ENTERAL STENTS WITH A NEW METHOD FOR MALIGNANT OBSTRUCTION IN RT SIDE COLON

CB Ryu
1   Soon Chun Hyang University School Of Medicine, Department of Internal Medicine, Bucheon, Korea, Republic of
,
MS Lee
1   Soon Chun Hyang University School Of Medicine, Department of Internal Medicine, Bucheon, Korea, Republic of
,
JY Bae
1   Department of Internal Medicine, Seoul Medical Center, Seoul, Korea, Republic of
› Author Affiliations
Further Information

Publication History

Publication Date:
23 April 2020 (online)

Also available at
 

Aims This study aimed to (1) investigate the effectiveness of SEMS insertion for right-sided obstructive colon cancer compared to conventional decompression tube placement and (2) confirm the safety and technical success of SEMS insertion in the right colon compared to left-sided SEMS insertion.

Methods The data from ten patients who underwent SEMS with a new technique for malignant obstruction of ascending colon in our hospital were analyzed retrospectively

Results Technical and clinical success of Rt side colonic obstruction was achieved in all patients of both groups. (cap group: 4/4, papillotome group: 9/9) range 66 to 100 percent.

Other adverse events (such as bleeding and perforation) were not happened. Bowel preparation status in both group were all poor. Expected length of lesion, maximum diameter of small bowel, maximum diameter of large bowel, and distribution of bowel dilatation lTotal procedure time, Intubation time to lesion, total time from cannulation to stent deployment were not statistically different but trials of cannulation in papillotome group was lower than cap goup (1.11 ± 0.25 vs 2.5 ± 0.91, p < 0.001).

Conclusions A new technique of curved type guiding tube with SEMS insertion for right-sided colon, especially distal ascending colon is significantly more effective than straight type guiding tube, and this procedure was safer and less technically challenging than expected. SEMS insertion should be considered for treating right-sided malignant colonic obstruction