TY - JOUR
AR - CRSS-2020-2-105
TI - Colonic Stent as “Bridge to Surgery” and Its Complications: A Case Report
AU - Elena , Pastore
AU - Giovanna , Schiavone
AU - Emanuele , Meroni
AU - Francesco , Salmoiraghi
AU - Marco, De Monti
JO - Case Reports and Series in Surgery
PY - 2020
DA - Fri 11, Dec 2020
SN - 2733-2241
DO - http://dx.doi.org/10.31487/j.CRSS.2020.02.05
UR - https://www.sciencerepository.org/colonic-stent-as-bridge-to-surgery-and-its-complications_CRSS-2020-2-105 
KW -  Colorectal cancer, self-expandable stents, bowel occlusion, operative colonoscopy
AB - Introduction: Endoluminal colonic stents can be used as a palliative solution in case of neoplastic
subocclusions of the bowel and in some cases, they have been proposed as a temporary solution, in place of
the derivative stoma, waiting for radical surgery. The "bridge to surgery" solution however can be
complicated by perforations or dislocations that can make the patient's cancer treatment more complex.
Case Presentation: A seventy-nine-year-old female patient presented a medium sigma adenocarcinoma
that was treated initially with a stent to solve the bowel subocclusion. The procedure was complicated by a
perforation that leaded to a modification of the TNM stage and consequently of the oncological therapeutic
attitude.
Conclusion: Self expandable stents could be used to solve the bowel occlusion to replace the derivative
stoma performed in urgency. These procedures guarantee a better quality of life and generally less
morbidity. However, an accurate assessment of the risks resulting from the positioning of the stents is
necessary, avoiding the implant of the stent in tortuous or angled sections of the bowel with a high risk of
decubitus and consequently of micro or macro perforations.