Colonic stenting

Ioana Smith, Michel Kahaleh

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Colorectal stenting has been reported as an effective method of relieving colonic obstruction in the palliative setting for advanced cancer and in the preoperative setting as a bridge to surgery. Stenting can allow for an emergency operation to be converted to an elective operation. By decompressing the colon and allowing for medical optimization of the patient, self-expandable metal stent (SEMS) placement can transition a patient from a high-risk situation to a one-stage elective operation with potential primary resection and anastomosis. Stenting of select benign strictures is also accepted. In the hands of experienced advanced endoscopists, the placement of the stent has a high chance of technical and clinical success. In this chapter, we will discuss the indications and contraindications for stenting, types of stents available with advantages and disadvantages, up-to-date literature on success rates, short- and long-term complication rates, and cost. Finally, we will discuss what we feel are technical pearls for successful stenting.

Original languageEnglish (US)
Title of host publicationAdvanced Colonoscopy
Subtitle of host publicationPrinciples and Techniques Beyond Simple Polypectomy
PublisherSpringer New York
Pages65-79
Number of pages15
ISBN (Electronic)9781493915842
ISBN (Print)1493915835, 9781493915835
DOIs
StatePublished - Jul 1 2014
Externally publishedYes

Keywords

  • Colon cancer
  • Colon obstruction
  • Colon stenosis
  • Colonic stent
  • Endoscopic
  • Enteral stent
  • Palliation
  • Self-expandable stent

ASJC Scopus subject areas

  • Medicine(all)

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  • Cite this

    Smith, I., & Kahaleh, M. (2014). Colonic stenting. In Advanced Colonoscopy: Principles and Techniques Beyond Simple Polypectomy (pp. 65-79). Springer New York. https://doi.org/10.1007/978-1-4939-1584-2_6