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Using our own developed stent in the palliative treatment of obstruction in the left half of the colon due to ovarian cancer
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Abstract
Objectives: An assessment of implantation efficacy and safety of self-developed self-expanding stent in patients with an ovarian cancer induced by intestinal obstruction.
Material and methods: The study of the stenting efficacy and safety was realized prospectively. The group consisted of 13 patients with left half colon obstruction due to an inoperable metastatic ovarian carcinoma. All the patients had a histopathologically diagnosed ovarian carcinoma and were treated in the past both surgically and systemically. Stenting was preceded by a Computed Tomography (CT) scan confirming and locating the obstruction. Patients with a multilevel intestinal obstruction were disqualified.
Results: Nine stents were implanted in the rectosigmoid; 4 stents were implanted in an externally compressed rectum. One migration of implanted stent was observed. In one case 2 stents were implanted due to an insufficient coverage of the stricture. The decompression of the obstruction of the gastrointestinal tract was achieved in 11 patients (85%).
Conclusions: 1) The implantation of our own developed, self-expanding stent is effective and safe. 2) The implantation of the stent in patients with an inoperable ovarian cancer causing an obstruction of the gastrointestinal tract is an effective procedure limiting postoperative complications and improving life comfort by avoiding stoma.
Abstract
Objectives: An assessment of implantation efficacy and safety of self-developed self-expanding stent in patients with an ovarian cancer induced by intestinal obstruction.
Material and methods: The study of the stenting efficacy and safety was realized prospectively. The group consisted of 13 patients with left half colon obstruction due to an inoperable metastatic ovarian carcinoma. All the patients had a histopathologically diagnosed ovarian carcinoma and were treated in the past both surgically and systemically. Stenting was preceded by a Computed Tomography (CT) scan confirming and locating the obstruction. Patients with a multilevel intestinal obstruction were disqualified.
Results: Nine stents were implanted in the rectosigmoid; 4 stents were implanted in an externally compressed rectum. One migration of implanted stent was observed. In one case 2 stents were implanted due to an insufficient coverage of the stricture. The decompression of the obstruction of the gastrointestinal tract was achieved in 11 patients (85%).
Conclusions: 1) The implantation of our own developed, self-expanding stent is effective and safe. 2) The implantation of the stent in patients with an inoperable ovarian cancer causing an obstruction of the gastrointestinal tract is an effective procedure limiting postoperative complications and improving life comfort by avoiding stoma.
Keywords
cancer-induced intestinal obstruction, ovarian carcinoma, stent
About this articleTitle
Using our own developed stent in the palliative treatment of obstruction in the left half of the colon due to ovarian cancer
Journal
Issue
Article type
Research paper
Pages
1-4
Published online
2017-01-31
Page views
1269
Article views/downloads
1626
DOI
10.5603/GP.2016.0098
Pubmed
Bibliographic record
Ginekol Pol 2017;88(1):1-4.
Keywords
cancer-induced intestinal obstruction
ovarian carcinoma
stent
Authors
Tomasz Miłek
Konrad Pasek
Piotr Ciostek
Habib Alkalaya
Agnieszka Timorek
Włodzimierz Sawicki
Krzysztof Cendrowski
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