BACKGROUND: @entity1 who present with @entity1744 often undergo emergency surgical intervention with its attendant risk of morbidity and @entity204 . A colostomy may be inevitable and this detracts from the @entity1 's quality of life, especially when palliation is the only option. METHODS: This review examines the possibility of a more conservative approach using metallic stents to relieve @entity694 , either as the first stage of a curative surgical procedure or for palliation without surgery. The various stents available are examined. RESULTS: Case reports show that relief of obstruction can be achieved in over 80 per cent of @entity1 , allowing subsequent elective surgery or achieving palliation for several months. Complications are rare but include @entity694 , particularly when predilatation of the stricture has to be performed. Such complications are generally recognized early and @entity1 can proceed to surgery and colostomy, as would previously have been conventional treatment; on occasion a small leak may be treated conservatively with success. The advent of newer endoprostheses which do not require active dilatation may improve the rate of successful deployment and lessen the risk of perforation. CONCLUSION: The development of new endoprostheses has allowed their adaptation for use in the colon and, perhaps, the distal small bowel. The technology is evolving rapidly and warrants serious consideration in selected @entity1 with @entity1744 before embarking on surgery. There is an urgent need for a controlled trial to establish whether such intervention for malignant strictures, potentially curable by surgery, leads to an increased risk of @entity3 .

Endoprostheses for XXXX .

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient'] @entity694 :: ('MESH:D003110', 'Disease') :: ['colonic perforation', 'colonic obstruction'] @entity3 :: ('MESH:D009362', 'Disease') :: ['metastatic disease'] @entity204 :: ('MESH:D003643', 'Disease') :: ['death'] @entity1744 :: ('MESH:D043183', 'Disease') :: ['large bowel obstruction']
@entity694 :: (MESH:D003110,Disease) :: ['colonic strictures']
