Benefits of Recurrent Colonic Stent Insertion in a Patient with Advanced Gastric Cancer with Carcinomatosis Causing Colonic Obstruction
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초록
Malignant obstruction develops frequently in advanced gastric cancer. Although it is primarily the gastric outlet that isobstructed, there are occasional reports of colonic obstruction. Treating intestinal obstruction usually requires emergencysurgery or stent insertion. There are several kinds of complications with stent insertion, such as bowel perforation, stentmigration, bleeding, abdominal pain and reobstruction. Nevertheless, endoscopic stent insertion could be a better treatmentthan emergency surgery in cases of malignant bowel obstruction in cancer patients with poor performance status. We reporta case of advanced gastric cancer with carcinomatosis in which a recurrent colonic stent was inserted at the same sitebecause of cancer growth into the stent. The patient maintained a good condition for chemotherapy, thus improving theirchances for survival.
Abstract
Malignant obstruction develops frequently in advanced gastric cancer. Although it is primarily the gastric outlet that isobstructed, there are occasional reports of colonic obstruction. Treating intestinal obstruction usually requires emergencysurgery or stent insertion. There are several kinds of complications with stent insertion, such as bowel perforation, stentmigration, bleeding, abdominal pain and reobstruction. Nevertheless, endoscopic stent insertion could be a better treatmentthan emergency surgery in cases of malignant bowel obstruction in cancer patients with poor performance status. We reporta case of advanced gastric cancer with carcinomatosis in which a recurrent colonic stent was inserted at the same sitebecause of cancer growth into the stent. The patient maintained a good condition for chemotherapy, thus improving theirchances for survival.
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