TRANS-ANAL DECOMPRESSION FOR COLORECTAL OBSTRUCTION

DOI 5 Citations 12 References
  • SAIDA Yoshihisa
    Third Department of Surgery, Toho University Ohashi Medical Center
  • NAGAO Jiro
    Third Department of Surgery, Toho University Ohashi Medical Center
  • NAKAMURA Yasushi
    Third Department of Surgery, Toho University Ohashi Medical Center
  • ENOMOTO Toshiyuki
    Third Department of Surgery, Toho University Ohashi Medical Center
  • SUMIYAMA Yoshinobu
    Division of Gastroenterology, Department of Internal Medicine, Toho University Ohashi Medical Center

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  • 経肛門的イレウス減圧術

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Abstract

Trans-anal decompression including Self-expandable Metallic Stent (SEMS) treatment and trans-anal ileus tube insertion have recently seen employed for various disease related to colorectal obstructions. Use of SEMS was delayed compared with that for other organs. Recently, however, there have been many reports on the use of SEMS in colorectal disease, mainly from the West. SEMS is generally used as a palliative treatment for malignantstrictures of the colon and rectum and bridging to a surgery for obstructing colorectal cancers. Trans-anal decompression treatment can eliminate the need for unnecessary palliative and temporary colostomies for patients with colorectal obstructions. SEMS will become the standard treatment for colorectal strictures when exclusive colorectal EMS and delivery kits are developed.

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