[Treatment Using Self-Expandable Metal Stent for Ileus Associated with Colorectal Cancer in Our Hospital].

From September 2013 to February 2015, 14 patients with ileus associated with colorectal cancer underwent surgeryafter applying a self-expandable metal stent in our department. Twelve were left-side colon ileus patients and 2 were right-side colon ileus patients. The technical success rate of the stent insertion was 100%. One patient experienced complications(stent occlusion). All patients were able to eat, and 9 of them were able to leave the hospital temporarilybefore the operation. All patients with left-side colon ileus had their oral-side intestine evaluated before the operation. Ten patients received laparoscopic surgery, while those with unresectable metastases who needed to receive chemotherapy as a first choice underwent emergencysurgerywith stoma formation. In our department, patients with ileus caused bycolorectal cancer are treated according to a new flowchart based on the progress degree and background of each patient. The insertion of a self-expandable metal stent was useful for patients with ileus caused bycolorectal cancer in the immediate treatment period. On the other hand, the long-term outcomes in Japan remain to be analyzed.