Efficacy and safety of self-expandable metal stents for obstructing colorectal cancer: experience in the last 7 years at a university hospital

Aims Colorectal cancer (CRC) is the most common malignant tumour world-wide, causing intestinal obstruction in 8-13% of patients with advanced CRC. In recent years, the use of self-expandable metal stents (SEMS) has been key in its management both in palliative intent and as a bridge before surgery [1].

Our purpose is to analyze the indication, effectiveness and safety of patients with placement of colonic SEMS for CRC in our center ([Fig. 1]).

Fig. 1

Methods Retrospective study of the total of SEMS in CRC carried out from 2014 to the present. Demographic, clinical and endoscopic data are collected. Data extraction from the Endobase system.

Results The main results are presented in the table:

Conclusions Technical and clinical success is achieved in most patients with less than 20% of complications. Stenting colonic obstruction is an effective and safe therapy in the management of advanced CRC.

 

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Conflicts of interest

Authors do not have any conflict of interest to disclose.

• 1 van Hooft JE, Veld JV, Arnold D. et al. Self-expandable metal stents for obstructing colonic and extracolonic cancer: European Society of Gastrointestinal Endoscopy (ESGE) Guideline – Update 2020. Endoscopy 2020; 52: 389-407

Publication History

Article published online:
14 April 2023