ステント挿入がQOL改善に有用であった直腸癌の1例

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  • A Case of Malignant Rectal Stenosis Palliated with Self-Expanding Metallic Stent.

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The use of self-expanding metallic stent (EMS) in rectal strictures has been rarely reported. We experienced a case of malignant rectal stricture treated with EMS. A 84-year-old woman visited our department for evaluation of constipation. Histologic examination of rectal biopsy specimens showed well differentiated adenocartinoma. CT scan revealed markedly thickened rectal wall with pelvic involvement. After insertion of EMS (Ultraf lex, 18-21mm in diameter and 10cm in lengh) into the stenotic lesion, the patient was able to maintain bowel activity and avoid colostomy. It is suggested that EMS will be effective in patients with inoperable rectal stenosis.

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