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Proc (Bayl Univ Med Cent). 2018 Sep 27;31(4):462-464. doi: 10.1080/08998280.2018.1490115. eCollection 2018 Oct.

Colonic stenting for a malignant large bowel obstruction with pneumatosis coli to reduce surgical risk.

Proceedings (Baylor University. Medical Center)

Ronney F Stadler, Matthew R Hughes, Jefferson B Hurley, Randall W Crim

Affiliations

  1. Texas Colon and Rectal Specialists, LLPFlower MoundTexas.
  2. Department of Colon and Rectal Surgery, Baylor Scott and White Medical Center-IrvingIrvingTexas.

PMID: 30948980 PMCID: PMC6413968 DOI: 10.1080/08998280.2018.1490115

Abstract

Patients with a malignant large bowel obstruction are often late in seeking medical attention and are usually in poor health by the time a complete blockage is apparent. Emergency surgery in this setting, particularly in a patient with significant comorbidities, often requires the creation of an ostomy and can result in postoperative complications that delay the administration of adjuvant chemotherapy. This recent case at our center illustrates how the use of a colon stent, as a bridge to surgery, can help patients avoid the need for a stoma and reduce surgical complications.

Keywords: Bowel obstruction; colon stent; pneumatosis coli; risk calculator; sigmoid colectomy

References

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