Wu Y, Li X, Xiong F, Bao WD, Dai YZ, Yue LJ, Liu Y. Malignant obstruction in the ileocecal region treated by self-expandable stent placement under the fluoroscopic guidance: A case report. World J Clin Cases 2022; 10(31): 11529-11535 [PMID: 36387795 DOI: 10.12998/wjcc.v10.i31.11529]
Corresponding Author of This Article
Yuan Liu, MD, Doctor, Surgical Oncologist, Teacher, Department of Interventional Oncology, Hospital of Chengdu University of Traditional Chinese Medicine, No. 39 Shierqiao Road, Chengdu 610072, Sichuan Province, China. liu_yuan2000@sina.com
Research Domain of This Article
Oncology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Nov 6, 2022; 10(31): 11529-11535 Published online Nov 6, 2022. doi: 10.12998/wjcc.v10.i31.11529
Malignant obstruction in the ileocecal region treated by self-expandable stent placement under the fluoroscopic guidance: A case report
Yu Wu, Xi Li, Fei Xiong, Wei-Dong Bao, Yong-Zhou Dai, Lin-Jun Yue, Yuan Liu
Yu Wu, Xi Li, Fei Xiong, Wei-Dong Bao, Yong-Zhou Dai, Lin-Jun Yue, Yuan Liu, Department of Interventional Oncology, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu 610072, Sichuan Province, China
Author contributions: Wu Y conceived the article; Wu Y and Li X collected the data; Xiong F, Bao WD, Dai YZ, and Yue LJ assembled the data; Wu Y and Liu Y provided the study materials, wrote the manuscript and approved the manuscript.
Informed consent statement: The participant consented to the submission of the case report to the journal. No information about the patient's privacy was revealed in this case or at any time.
Conflict-of-interest statement: All authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yuan Liu, MD, Doctor, Surgical Oncologist, Teacher, Department of Interventional Oncology, Hospital of Chengdu University of Traditional Chinese Medicine, No. 39 Shierqiao Road, Chengdu 610072, Sichuan Province, China. liu_yuan2000@sina.com
Received: June 26, 2022 Peer-review started: June 28, 2022 First decision: August 1, 2022 Revised: August 26, 2022 Accepted: September 29, 2022 Article in press: September 29, 2022 Published online: November 6, 2022
Abstract
BACKGROUND
Malignant tumors of the ileocecal region often cause intestinal obstruction. Emergency surgery is the main treatment for patients presenting with an obstruction. However, this procedure is associated with a high mortality rate and frequent complications. The placement of colon stents is commonly performed for obstructions in the distal colon and is a less invasive and safer procedure. However, obstructions in the proximal colon are more challenging to treat by stent placement due to the increased distance from the anus.
CASE SUMMARY
This case report concerns an 88-year-old man with malignant intestinal obstruction in the ileocecal region. He was contraindicated for general anesthesia and surgical enterostomy. The placement of a self-expandable metallic stent seems an alternative to surgery, although stenting in this area is thought to be difficult and few studies have been reported so far. After three attempts at different interventional approaches, a stent was successfully placed in the obstructed segment under fluoroscopic guidance. After the procedure, the patient's abdominal distension and abdominal pain were significantly better than before.
CONCLUSION
For patients with proximal colonic obstruction, self-expandable metallic stent placement under fluoroscopic guidance could be considered as a feasible treatment to relieve abdominal distension and pain in patients with acute bowel obstruction. It has the characteristics of high safety and high patient tolerance. However, further study is still needed.
Core Tip: This report concerns the case of an 88-year-old man with malignant intestinal obstruction in the ileocecal region whose condition improved after successful the placement of the self-expandable metallic stent under fluoroscopic guidance.
