Video Tip: Stenting for Extracolonic Malignancy | January 2022-Stenting for Extracolonic Malignancy

Video Transcription

And here is an example of the patient with extracolonic malignancy. So you appreciate in the video, the long stricture, you see the mucosa is normal here, normal.  It's edemaciated, there is a perineum, but there is no intraluminal cancer and only a long extrinsic compression. So we have negotiated the stricture with the hydrophilic guidewire  and now we are introducing the stent over the guidewire, always under fluoroscopic control. And now we are deploying the stent, as you may see here,  an uncovered stent measuring nine centimeter in length. And here is the final aspect. And you notice the distal border of the stent is here  and there is still some degree of obstruction.  So this is not okay. We decide to introduce again the guidewire and introduce a second stent to overlap the first one. So once again, under fluoroscopic and endoscopic control,  we introduced the stent and you may appreciate the deployment of the stent under endoscopic control.  And you see after the release, complete release of the stent you see this gush of fecal material. This is a good sign. And the final aspect of the stented segment  with good endoscopic result.

Video Summary

In this video, a patient with extracolonic malignancy is shown. The video demonstrates a long stricture with normal mucosa and no intraluminal cancer. There is only a long extrinsic compression. The stricture is negotiated with a hydrophilic guidewire, and a nine-centimeter uncovered stent is deployed under fluoroscopic control. However, there is still some degree of obstruction, so a second stent is introduced to overlap the first one. After the release of the second stent, there is a gush of fecal material, indicating a positive outcome. The video ends with a good endoscopic result of the stented segment. (No credits granted)

Keywords

extracolonic malignancy

stricture

stent

obstruction

endoscopic result