Curbside Consultation in GI Cancer for the Gastroenterologist: 49 Clinical Questions

Douglas G. Adler, MD

Question 41: Which Patients With Colorectal Cancer Should Be Considered For A Colonic Stent? (continued)

Jeffrey Laczek, MD; Peter Darwin, MD

Of the 148,000 patients in the United States who develop colorectal cancer annually, a substantial number will present with or develop colonic obstruction. Colonic obstruction had historically been addressed via surgical approaches, with acute colonic obstruction requiring emergency intervention and patients with chronic obstructive symptoms requiring elective surgical procedures. The introduction into clinical practice of colonic stents in the 1990s opened the door for the endoscopic treatment of colonic obstruction. In patients with colonic obstruction, the stent may either serve as a…