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is there a role for expandable metallic stent placement?

April 26, 2017Expandable metallic placement stent

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is there a role for expandable metallic stent placement?

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GROUND: Placement of expandable metallic stents (EMS) has been considered contraindicated for patients with malignant rectal obstruction within 5 cm of the anal verge because of the potential problems of anal pain. OBJECTIVE: Our purpose was to investigate the technical feasibility, clinical effectiveness, and safety of EMS placement in patients with malignant rectal obstruction within 5 cm of the anal verge. DESIGN: Retrospective study. SETTING: Single tertiary referral university hospital. PATIENTS: The sites of obstruction included the rectum within 5 cm (range, 25-50 mm) of the anal verge in 16 patients (group A) and more than 5 cm (range, 53-74 mm) in 14 patients (group B). INTERVENTIONS: Placement of 3 types of EMS. MAIN OUTCOME MEASUREMENTS: Complications including pain were evaluated and compared between 2 groups with the Fisher exact test. RESULTS: The overall technical success rate was 100%. Colon perforation occurred in 2 patients, who underwent emergency surgery. Ten (62.5%

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Placement of expandable metallic stents (EMS) has been considered contraindicated for patients with malignant rectal obstruction within 5 cm of the anal verge because of the potential problems of anal pain.