Management of Recurrent Large Bowel Obstruction Due to Stent Occlusion by ‘Stent-Over-Stent’: A Case Report and Literature Review

D. Yi-Po Tsang, Hester Yui-Shan Cheung, Cliff Chi-Chiu Chung, Michael Ka-Wah Li

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DOI: 10.4236/ss.2011.28091                

Abstract

Endoscopic stenting for malignant large bowel obstruction is common nowadays. However, recurrent obstruction secondary to stent occlusion due to tumour ingrowth or overgrowth might occur. We reported a case of a 70-year-old man with large bowel obstruction initially treated with colonic stenting. It was complicated with recurrent intestinal obstruction, with colonoscopy showing stent blockage by tumour ingrowth over distal part of the stent. Successful endoscopic implantation of additional colonic stent over the old stent was achieved and intestinal obstruction was resolved afterwards.

Keywords

Colon, Intestinal Obstruction and Stenting

Conflicts of Interest

The authors declare no conflicts of interest.

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