Expandable Metallic Stent Endoprosthesis for Colorectal Obstruction.

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  • Saida Y.
    3rd Dept. of Surgery, Toho University School of Medicine
  • Sumiyama Y.
    3rd Dept. of Surgery, Toho University School of Medicine
  • Nagao J.
    3rd Dept. of Surgery, Toho University School of Medicine
  • Takase M.
    3rd Dept. of Surgery, Toho University School of Medicine

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  • 大腸の治療内視鏡　　大腸狭窄に対するＳｔｅｎｔｉｎｇ

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Development of expandable metallic stent endoprosthesis for colorectal obstruction relatively delayed compared to other digestive tract causes of the anatomical peculiarity of the large bowel. However, in the late 1990s, several clinical cases of the application of the metallic stent for rectal malignant stenosis have been reported. Further, insertion of self-expanding stainless steel stent under colonoscopic observation for the stenosis of large bowel cancer was started in November 1993 as preoperative preparation in our hospital. In this review, the history of the clinical literatures of metallic stent endoprosthesis for colorectal obstruction is presented. The method and results of Stent Endoprosthesis for Colorectal Cancer (SECC) that we developed are also presented. SECC was performed for 33 patients and the rate of insertion was 82% (27 cases). SECC is a new method for the operative preparation of patients with obstructing colorectal cancers, which may reduce the morbidity and mortality associated with this difficult problem. This method was noteworthy. The exclusive stent and kit are being developed for public sale. Development of the exclusive stent for colon and rectum would provoke the metallic stent endoprosthesis for colorectal obstruction being popularized as a part of therapeutic endoscopic treatment.

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