Case of treatment of malignant stenosis of colostomy for gastric cancer with SEMS

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  • Arai Naoko
    Department of Gastroenterological and General Surgery, Kyorin University Faculty of Medicine
  • Ohki Atsuko
    Department of Gastroenterological and General Surgery, Kyorin University Faculty of Medicine
  • Kojima Yohei
    Department of Gastroenterological and General Surgery, Kyorin University Faculty of Medicine
  • Tsurumi Masanao
    Department of Gastroenterological and General Surgery, Kyorin University Faculty of Medicine
  • Hashimoto Yoshikazu
    Department of Gastroenterological and General Surgery, Kyorin University Faculty of Medicine
  • Takeuchi Hirohisa
    Department of Gastroenterological and General Surgery, Kyorin University Faculty of Medicine
  • Suzuki Yutaka
    Department of Gastroenterological and General Surgery, Kyorin University Faculty of Medicine
  • Sunami Eiji
    Department of Gastroenterological and General Surgery, Kyorin University Faculty of Medicine
  • Sakamoto Yoshihiro
    Department of Gastroenterological and General Surgery, Kyorin University Faculty of Medicine
  • Abe Nobutsugu
    Department of Gastroenterological and General Surgery, Kyorin University Faculty of Medicine

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Other Title
  • 胃癌腹膜播種による人工肛門狭窄にステント留置術が有効であった1例

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Abstract

<p>We present an 84-year-old female patient with a colostomy for pelvic recurrence of esophagogastric junction cancer (T3 N2 M0, StageIIIA). Four months postoperatively, she complained of cessation of colostomy output and abdominal pain. The colostomy was stenosed owing to the progression of peritoneal metastases. We placed a self-expanding metallic stent (SEMS) via the colostomy site. Her abdominal distention improved once she passed stool. She started to eat from the next day and was discharged from the hospital 11 days later. Stenting for malignant stenosis of a colostomy may effectively improve the quality of life at the end of life in patients with peritoneal dissemination.</p>

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