Self-expanding metallic stent for palliative treatment malignant colorectal obstruction – case report and review of literature

Konrad Wroński^{1, 2}, Jacek Janiszewski³, Joanna Woźniak³, Iwona Kot-Gromuł³

Summary
Carcinomas of the colon and rectum are the third most common in the world in men and second in women. About 60% of cases occur in developed countries. Colorectal carcinomas are observed more frequently in men than women. In Poland most cases of colorectal cancers occur after the age of 50 – about 94%, with more than 75% of cases in both sexes falls on the population of the elderly over 60 years. Approximately 20% of patients with colorectal cancer have distant metastasis at time of diagnosis. Up to 29% patients with colorectal cancer present symptoms of bowel obstruction such as: vomiting and abdominal pain. Due to age, serious multiple comorbidities and metastatic disease, colonic stenting is safe and effective alternative approach for palliation.
The authors of this article presented a case of a 76-year-old Caucasian man who was admitted to the Department of Surgical Oncology because of colorectal carcinoma which was located in descending colon. Due to age and serious multiple comorbidities, doctors with the patient decided to palliative treatment by using self-expanding metallic stent. The authors performed a literature review on enteral metallic stents for the management of malignant colorectal cancers.

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