Elena  Pastore,Giovanna  Schiavone,Emanuele  Meroni,Francesco  Salmoiraghi,Marco De Monti,
Colonic Stent as “Bridge to Surgery” and Its Complications: A Case Report
Case Reports and Series in Surgery
2020
2733-2241
http://dx.doi.org/10.31487/j.CRSS.2020.02.05
https://www.sciencerepository.org/colonic-stent-as-bridge-to-surgery-and-its-complications_CRSS-2020-2-105 
Abstract: 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.Keywords:  Colorectal cancer, self-expandable stents, bowel occlusion, operative colonoscopy