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

Douglas G. Adler, MD

Question 49: How Low In The Rectum Can A Colonic Stent Be Safely Placed? What Happens If The Stent Is Deployed Too Far Distally? (continued)

Vivek Kaul, MD, FACG

Enteral stents are increasingly being used as a non-surgical alternative for the palliation of luminal gastrointestinal neoplasms. During the past decade, endoscopic self-expanding metal stents (SEMS) for obstructing colorectal neoplasms have been widely used for palliation of malignant large bowel obstruction or as a “bridge” to surgery.1 The development of “through the scope” (TTS) stent delivery systems has facilitated successful stent placement not only in the recto-sigmoid but also in the more proximal colon.2,3 An…