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12/13/2018 5:39:22 PM | Browse: 323 | Download: 330
Publication Name World Journal of Gastrointestinal Endoscopy
Manuscript ID 43063
Country/Territory Italy
Category Gastroenterology & Hepatology
Manuscript Type Case Report
Article Title Tertiary stent-in-stent for obstructing colorectal cancer: A case report and literature review
Manuscript Source Unsolicited Manuscript
All Author List Giuseppe Vanella, Chiara Coluccio, Emilio Di Giulio, Daniela Assisi and Rocco Lapenta
Funding Agency and Grant Number
Corresponding Author Emilio Di Giulio, MD, Professor, Department of Digestive Endoscopy, Sant’Andrea Hospital, Sapienza University of Rome, Via di Grottarossa 1035-1039, Rome 00189, Italy. emilio.digiulio@uniroma1.it
Key Words Bevacizumab; Colorectal neoplasms; Intestinal obstruction; Palliative care; Self expandable metallic stents; Case report
Core Tip Endoscopic positioning of Self-expandable metal stents (SEMSs) has an established role in the palliation of obstructing metastatic colorectal cancers (CRCs). More controversial is the management of re-obstruction due to intrastent tumor ingrowth. In our case, a patient with obstructing, metastatic, carcinomatous CRC, primary palliated with SEMS placement, experienced two different episodes of intrastent tumor in growth during a long-lasting history of partial efficacy of chemotherapy including bevacizumab. Both these episodes were successfully treated through subsequent stent-in-stent placement, with immediate symptoms relief, no procedure-related complications (notwithstanding different negative prognostic factors), no need for chemotherapy discontinuation and, ultimately, a good quality of life.
Citation Vanella G, Coluccio C, Giulio ED, Assisi D, Lapenta R. Tertiary stent-in-stent for obstructing colorectal cancer: A case report and literature review. World J Gastrointest Endosc 2019; 11(1): 61-67
Received
2018-10-29 06:43
Peer-Review Started
2018-10-30 01:45
To Make the First Decision
2018-11-22 05:58
Return for Revision
2018-11-29 08:19
Revised
2018-12-05 19:52
Second Decision
2018-12-13 09:03
Accepted by Journal Editor-in-Chief
Accepted by Company Editor-in-Chief
2018-12-13 17:39
Articles in Press
2018-12-13 17:39
Publication Fee Transferred
Edit the Manuscript by Language Editor
2019-01-01 21:40
Typeset the Manuscript
2019-01-10 07:56
ISSN 1948-5190 (online)
Open Access This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
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