Self-expandable Metallic Stent Therapy for a Patient with Colostomy Stricture Caused by an Abdominal Wall Metastasis of Rectal Cancer

SUTO Takayuki, FUJITA Tomohiro, MITOMO Shingo, UMEMURA Akira, ISHIDA Kaoru, MAKABE Kenji

doi:10.3919/jjsa.75.154

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Other Title

金属ステント留置術を行った直腸癌腹壁転移による人工肛門狭窄の1例
症例金属ステント留置術を行った直腸癌腹壁転移による人工肛門狭窄の1例
ショウレイキンゾクステントリュウチジュツオオコナッタチョクチョウガンフクヘキテンイニヨルジンコウコウモンキョウサクノ 1レイ

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Abstract

We report the use of a self-expandable metallic stent for a colostomy stricture caused by an abdominal rectal cancer metastasis. A 73-year-old woman was referred for evaluation of abdominal distension, diarrhea, and weight loss first noted in June, 2010. She was diagnosed as having rectal cancer as well as multiple liver and lung metastases. In October, 2010, she had a colostomy and a central venous access port device installed. She was treated with 14 courses of bevacizumab+mFOLFOX6 therapy, 7 courses of bevacizumab+FOLFIRI therapy, and 9 courses of mFOLFOX6 therapy. She complained of constipation and abdominal distension in July, 2012. A colostomy stricture due to abdominal rectal cancer metastasis was diagnosed. A self-expandable, metallic stent (SEMS) was inserted from the colostomy. Immediately following insertion, a lot of stool passed via the stent. The patient could eat a meal the following day. She died on the 28^th postoperative day. A colostomy in a patient with a poor general condition is a psychological and physical burden and negatively impacts on QOL. SEMS therapy is a useful palliative option for improving QOL since it enables ingestion and is minimally invasive.

Journal

Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)

Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 75 (1), 154-157, 2014

Japan Surgical Association

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