BACKGROUND AND AIM: Self-expandable metallic stents are being used increasingly to treat the obstruction of different segments of the digestive tract and biliary tree. We present our centre experience on the initial resolution of malignant @entity14 by means of this type of stents. @entity1 AND METHODS: During a 18-month period, 13 @entity1 @entity1 suffering from @entity5 at the level of rectum, sigmoid or descending colon tried to be initially treated by means of endoscopic insertion of stents (non covered enteral Wallstents). Ten procedures were performed with both endoscopy and fluroscopy and three with only endoscopy. RESULTS: In 12 of the 13 @entity1 (92,3%) the obstruction was solved by means of correct stent insertion. All the exclusively endoscopic procedures (without fluoroscopy) were successful. Six (50 %) @entity1 with @entity5 at the rectosigmoid underwent later scheduled surgery. In the remaining six ones (a @entity1 with an @entity43 and five with @entity694 ) the stents were considered to be a palliative definitive treatment. Stent migration was observed in two of these @entity1 and both were extracted endoscopically. Only one @entity1 needed to have another stent inserted. A tumoural @entity36029 developed in another @entity1 in the palliative group, inside the previous inserted stent, and was treated by coaxial insertion of an esophageal Ultraflex. There were no other complications or mortality related to the endoscopic procedures. CONCLUSIONS: Self-expandable metallic stents might be considered, in general, as the initial treatment for the @entity5 at the level of rectum, sigmoid and descending colon

[Treatment of malignant XXXX by means of endoscopic insertion of self-expandable metallic stents].

@entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'PATIENTS'] @entity43 :: ('MESH:D010051', 'Disease') :: ['ovarian carcinoma'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumours', 'malignant obstruction'] @entity14 :: ('MESH:D015179', 'Disease') :: ['colorectal obstruction'] @entity36029 :: ('MESH:D001747', 'Disease') :: ['colo-vesical fistula'] @entity694 :: ('MESH:D003110', 'Disease') :: ['colonic adenocarcinoma']
@entity14 :: (MESH:D015179,Disease) :: ['colorectal obstruction']
