Safety and Effectiveness of Colonic Stenting for Ileocecal Valve Obstruction and Usefulness of Two-Step Strategy: Single-Center Retrospective Study.

ABSTRACT: Background: Endoscopic self-expandable metallic stent (SEMS) placement is a widely accepted treatment for malignant left-sided colorectal obstruction (LSO) because of its lower invasiveness and quicker symptomatic relief compared to surgery. However, SEMS placement for ileocecal valve obstruction (ICVO) has not been established due to its technical difficulties. Methods: This single-center retrospective study compared the clinical outcomes of patients who underwent SEMS placement for ICVO (ICVO group, n = 13) and LSO (LSO group, n = 146). Particularly in cases with severe small-intestine dilation, we applied a "Two-Step Strategy", which involved long intestinal tube insertion followed by SEMS placement to ensure safety and overcome technical challenges. Resul

SUBMITTER: Fujisawa G 

PROVIDER: S-EPMC11818438 | biostudies-literature | 2025 Jan

REPOSITORIES: biostudies-literature