Preprint Brief Report Version 1 This version is not peer-reviewed

Endoscopic Stenting for Colorectal Cancer. The Importance of Collaboration between Specialists

Version 1 : Received: 13 November 2018 / Approved: 15 November 2018 / Online: 15 November 2018 (04:59:37 CET)

How to cite: Sterpetti, A.V.; Lamazza, A.; Di Marzo, L.; Fiori, E. Endoscopic Stenting for Colorectal Cancer. The Importance of Collaboration between Specialists. Preprints 2018, 2018110341 (doi: 10.20944/preprints201811.0341.v1). Sterpetti, A.V.; Lamazza, A.; Di Marzo, L.; Fiori, E. Endoscopic Stenting for Colorectal Cancer. The Importance of Collaboration between Specialists. Preprints 2018, 2018110341 (doi: 10.20944/preprints201811.0341.v1).

Abstract

BACKGROUND: Endoscopic placement of Self Expandable Metal Stents to relieve malignant colorectal obstruction has become a common therapeutic  advancement in clinical practice. MATERIAL: In a 16 year period 167 patients had endoscopic placement of a Self Expandable Metal Stent  in a center where gastroenterologists and surgeons cooperate in  a daily basis, discussing indications. RESULTS: There was no operative mortality and no major complication in placement of the stent. Technical and clinical success was respectively 95.1% and 92.9%. Consultation among specialists changed the preoperative indication in 60 patients, during the same time period. CONCLUSIONS: Self expandable metal stents placement represents an important tool to treat patients with obstructing colorectal cancer and complications after colorectal resection . A proper training is required, and this training in operative endoscopy is not always available and possible. In this scenario, a close collaboration among specialists in selecting the most appropriate operative procedure is essential and brings to better results.

Subject Areas

colorectal cancer; new technologies; palliative care for colorectal cancer patients; stenting

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