| Placement of stents in proximal colonic obstructions using a percutaneous retroperitoneal colostomy. | |
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MedLine Citation:
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PMID: 19851253 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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In cases of proximal colonic obstruction, the long distances and the tortuosity of the distal bowel make it difficult to advance and position the stent in the target lesion. We report 2 cases of stent placement for malignant obstruction of the proximal colon in which access was obtained through percutaneous retroperitoneal colostomy. In these cases, we initially tried to place a stent through the rectum under endoscopic guidance, but it was not possible to reach the lesion. We then decided to cross the lesion through percutaneous puncture of the retroperitoneum. The procedures were completed without complications and the patients' symptoms improved. A percutaneous retroperitoneal approach for the deployment of colonic stents has not been described earlier in the literature. We suggest that our technique provides an alternative means of colonic decompression in cases in which conventional retrograde methods fail to provide acceptable palliation in nonsurgical candidates. |
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Authors:
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Jun Seok Park; Beom Gyu Kim; In Taik Chang; Yoo Shin Choi; Byung Kook Kwak; Hyung Jin Shim; Hyun Ho Kim; Jin Soo Kim |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Surgical laparoscopy, endoscopy & percutaneous techniques Volume: 19 ISSN: 1534-4908 ISO Abbreviation: Surg Laparosc Endosc Percutan Tech Publication Date: 2009 Oct |
Date Detail:
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Created Date: 2009-10-23 Completed Date: 2011-01-13 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100888751 Medline TA: Surg Laparosc Endosc Percutan Tech Country: United States |
Other Details:
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Languages: eng Pagination: e202-5 Citation Subset: IM |
Affiliation:
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Division of Colorectal Surgery, Department of Surgery, Kyungpook National University Hospital, School of Medicine, Daegu, Korea. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged, 80 and over Colonic Diseases / etiology, surgery* Colonic Neoplasms / complications*, pathology, secondary, surgery Colostomy / instrumentation, methods* Fatal Outcome Female Humans Intestinal Obstruction / etiology, surgery* Male Middle Aged Palliative Care / methods Retroperitoneal Space Stents* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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