The results of the use of endoscopic colorectal stenting with metal stents as palliative care

The aim of the study. To develop the optimal surgical technique of the endoscopic colorectal stenting. To analyze the results of the endoscopic colorectal stenting in patients with stenosis unresectable colon tumors.Material and methods. In the period from 2016 to 2022, we studied the results of the endoscopic colorectal stenting of various parts of the the colon with metal stents in 86 patients with stenosing unresectable colon tumors.Results. In 14 patients (16,3 %) with difficult-to-reach localization of stenosing tumor and complex anatomy of the colon, we applied the transparent plastic cap at the distal end of the colonoscope. There were no intraoperative complications. Technical and clinical success was achieved in 98,8 % of cases. The pain syndrome persisted in 19 patients (22,1 %) during the period of hospitalization; the chronic pain syndrome was recorded in 3 (3,5 %) patients in the postoperative period. 3 months after surgery, colorectal stent-to-stent restenting was performed in 13 patients (15,1 %) with the repeated tumor obstruction. No cases of the stent migration were recorded 3 months after surgery.Conclusion. Endoscopic colorectal stenting is a highly effective and safe intervention that allows to achieve for rapid relief of clinical symptoms of intestinal obstruction and demonstrates a low incidence of postoperative complications. In presence of the complex intestinal anatomy, as well as a difficult-to-reach localization of a stenosing tumor, we consider it advisable to use a distal transparent plastic cap, which is justified by more adequate visual positioning of the intestinal lumen, which allows better endoscopic intestinal stenting.