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Okugawa T, Oshima T, Ikeo K, et al. Successful Self-Expandable Metallic Stent Placement for a Case of Distal Rectal Stenosis due to Gastric Cancer Metastasis. Case Rep Gastroenterol. 2013;7(2):214-8doi: 10.1159/000351818.
Okugawa, T., Oshima, T., Ikeo, K., Kondo, T., Tomita, T., Fukui, H., Watari, J., & Miwa, H. (2013). Successful Self-Expandable Metallic Stent Placement for a Case of Distal Rectal Stenosis due to Gastric Cancer Metastasis. Case reports in gastroenterology, 7(2), 214-8. https://doi.org/10.1159/000351818
Okugawa, Takuya, et al. "Successful Self-Expandable Metallic Stent Placement for a Case of Distal Rectal Stenosis due to Gastric Cancer Metastasis." Case reports in gastroenterology vol. 7,2 (2013): 214-8. doi: https://doi.org/10.1159/000351818
Okugawa T, Oshima T, Ikeo K, Kondo T, Tomita T, Fukui H, Watari J, Miwa H. Successful Self-Expandable Metallic Stent Placement for a Case of Distal Rectal Stenosis due to Gastric Cancer Metastasis. Case Rep Gastroenterol. 2013 May 18;7(2):214-8. doi: 10.1159/000351818. Print 2013 May. PMID: 23741209; PMCID: PMC3670628.
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Case Rep Gastroenterol. 2013 May 18;7(2):214-8. doi: 10.1159/000351818. Print 2013 May.

Successful Self-Expandable Metallic Stent Placement for a Case of Distal Rectal Stenosis due to Gastric Cancer Metastasis.

Case reports in gastroenterology

Takuya Okugawa, Tadayuki Oshima, Koichi Ikeo, Takashi Kondo, Toshihiko Tomita, Hirokazu Fukui, Jiro Watari, Hiroto Miwa

Affiliations

  1. Division of Upper Gastroenterology, Department of Internal Medicine, Hyogo College of Medicine, Nishinomiya, Japan.

PMID: 23741209 PMCID: PMC3670628 DOI: 10.1159/000351818

Abstract

A 47-year-old woman was diagnosed as having advanced gastric cancer with malignant ascites. Despite chemotherapy, recurrent peritoneal dissemination was seen 1.5 years after operation. A computed tomography scan revealed rectal stenosis due to Schnitzler's metastasis. When the distance from the distal end of the obstruction to the anal verge is less than 5 cm, stent replacement has been said to be contraindicated due to the development of anal pain and foreign body sensation. Although the distance from the distal end of the obstruction to the anal verge was 4 cm in this case, a WallFlex(TM) colonic stent could be placed. She stayed home, and luminal patency remained until she died 270 days after stent insertion. This report demonstrates that rectal obstruction located less than 5 cm from the anal verge due to Schnitzler's metastasis could be treated by stenting without any symptomatic or technical complications.

Keywords: Carcinomatosis; Gastric cancer; Rectal stent

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