Application value of intestinal stent placement assisted by disposable subscope for acute malignant colorectal obstruction (with video)
10.3760/cma.j.cn321463-20250303-00427
- VernacularTitle:一次性子镜辅助肠道支架置入术在急性恶性结直肠梗阻中的应用价值（含视频）
- Author:
Yuanzhi WANG
1
;
Bengang ZHOU
;
Bangjie LIU
;
Guanghuai YAO
;
Guiqing LI
;
Yaoyao LI
;
Feng XUE
;
Ming ZHOU
;
Yanbing DING
Author Information
1. 扬州大学附属医院消化内科，扬州 225000
- Publication Type:Journal Article
- Keywords:
Colorectal tumor;
Disposable subscope;
Malignant intestinal obstruction;
Intestinal stent
- From:
Chinese Journal of Digestive Endoscopy
2025;42(9):722-726
- CountryChina
- Language:Chinese
-
Abstract:
To investigate the application value of disposable subscope-assisted intestinal metal stent placement in the treatment for acute malignant colorectal obstruction, a retrospective analysis was conducted on the patients who underwent intestinal metal stent placement assisted by disposable subscope for acute malignant colorectal obstruction at the Digestive Endoscopy Center, Affiliated Hospital of Yangzhou University from June 2023 to July 2024. The technical success rate, clinical success rate, operation time, postoperative complications and first-stage surgical resection anastomosis rate of intestinal metal stent placement assisted by subscope were analyzed. Among the 16 included patients, there were 10 males and 6 females, with the age of 72.19±9.40 years. Obstruction occurred at the descending colon in 8 cases (50.00%), at the sigmoid colon in 6 cases (37.50%), at the rectosigmoid junction in 1 case (6.25%), and at the splenic flexure of the transverse colon in 1 case (6.25%). All 16 patients successfully underwent stent placement, with a technical success rate of 100.00% (16/16). Obstruction symptoms did not relieve in one patient (6.25%) after stent placement, resulting in a clinical success rate of 93.75% (15/16). The endoscopic operation time for the 16 patients was 37.8±13.9 minutes. No bleeding, perforation, stent displacement, or detachment occurred after the operation. Fourteen patients underwent subsequent surgical treatment, the first-stage surgical resection anastomosis rate was 71.43% (10/14). This preliminary study suggests that the disposable subscope-assisted intestinal metal stent placement for the treatment of acute malignant colorectal obstruction is safe and effective, with no radiation exposure.
