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급성 장폐색을 동반한 진행성 직장암 환자에서 금속 스텐트 삽입과 화학-방사선 치료로 초래된결장 천공의 보존적 치료 1예

The Conservative Treatment of Rectal Perforation after Insertion of A Stent and Chemo-Radiotherephy in the Patient with Obstructive Rectal Cancer A case report

대한대장항문학회지 2000년 16권 1호 p.41 ~ 46
정재헌 ( Jung Jae-Hun ) - 조선대학교 의과대학 외과학교실

김석모 ( Kim Seok-Mo ) - 조선대학교 의과대학 외과학교실
김정용 ( Kim Jung-Young ) - 조선대학교 의과대학 외과학교실
고강석 ( Ko Kang-Seok ) - 조선대학교 의과대학 방사선과학교실

Abstract


The use of self-expanding metal stent has been widely reported that its utility can make a palliative decompression treatment and one stage operation without doing colostomy in the patient with unresectable and resectable obstructive colorectal cancer, respectively. It, however, can sometimes cause complications such as intestinal perforation. We report that the conservative treatment could be possible without removing stent or performing laparotomy in case of intestinal perforation during chemoradiotheraphy after insert of stent for relieving colonic obstruction in the 53 years old female patient with stage IV rectal cancer.

키워드

Self-expanding metal stentIntestinal;Obstructive colorectal cancer;Intestinal perforation;Conservative treatment;Chemo-radiotheraphy
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