- Author:
Jeong Mi LEE
1
;
Jeong Sik BYEON
Author Information
- Publication Type:Review
- Keywords: Colon; Stents; Colorectal neoplasms; Obstruction
- MeSH: Colon; Colorectal Neoplasms; Decompression; Humans; Stents*
- From:Clinical Endoscopy 2015;48(3):194-200
- CountryRepublic of Korea
- Language:English
- Abstract: A self-expandable metal stent (SEMS) is an effective and safe method for the decompression of colon obstruction. Based on recent evidence, colorectal SEMS is now recommended for the palliation of patients with colonic obstruction from incurable colorectal cancer or extracolonic malignancy and also as a bridge to surgery in those who are a high surgical risk. Prophylactic SEMS insertion in patients with no obstruction symptoms is not recommended. Most colorectal SEMS are inserted endoscopically under fluoroscopic guidance. The technical and clinical success rates of colorectal SEMS are high, and the complication rate is acceptable. Advances in this technology will make the insertion of colorectal SEMS better and may expand the indications of colorectal SEMS in the future.