Department of Internal Medicine and Gastroenterology, University of Bologna, Bologna, Italy.
Eur J Gastroenterol Hepatol. 2009 May;21(5):585-6. doi: 10.1097/MEG.0b013e328318ed54.
Malignant colon obstruction is a medical emergency and endoscopic decompression, achieved by self-expandable metal stent placement, has been broadly used for both palliation in patients with advanced, nonresectable carcinoma and as a bridge to surgery in those patients with resectable disease. We propose stent insertion assisted by a side-viewing endoscope, in sharply angulated and remarkably stenotic lesions located at the distal sigmoid. Endoscopists should consider, at least for lesions situated in the distal colon, the insertion of a side-viewing endoscope for stenting of technically difficult cases of malignant intestinal obstruction.
恶性结肠梗阻是一种医疗急症，通过自膨式金属支架置入术进行内镜减压已被广泛用于晚期不可切除癌患者的姑息治疗以及可切除疾病患者的手术桥接。我们建议在远端乙状结肠严重成角和狭窄的病变中使用侧视内镜辅助支架置入。对于位于远端结肠的病变，内镜医生应考虑插入侧视内镜，以便对技术上困难的恶性肠梗阻病例进行支架置入。
