Case Report
Copyright ©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Oct 28, 2016; 22(40): 9022-9027
Published online Oct 28, 2016. doi: 10.3748/wjg.v22.i40.9022
Safety and efficacy of self-expandable metallic stents in malignant small bowel obstructions
Akiyoshi Tsuboi, Toshio Kuwai, Tomoyuki Nishimura, Sumio Iio, Takeshi Mori, Hiroki Imagawa, Toshiki Yamaguchi, Atsushi Yamaguchi, Hirotaka Kouno, Hiroshi Kohno
Akiyoshi Tsuboi, Toshio Kuwai, Tomoyuki Nishimura, Sumio Iio, Takeshi Mori, Hiroki Imagawa, Toshiki Yamaguchi, Atsushi Yamaguchi, Hirotaka Kouno, Hiroshi Kohno, Department of Gastroenterology, National Hospital Organization Kure Medical Center and Chugoku Cancer Center, Kure 737-0023, Japan
Author contributions: Tsuboi A wrote the manuscript; Kuwai T assessed the patients; Nishimura T, Iio S and Mori T assisted in performing the diagnostic tests; Imagawa H and Yamaguchi T interpreted data; Yamaguchi A, Kouno H and Kohno H critically reviewed the manuscript.
Institutional review board statement: Ethical approval was not needed for this study, given the case series nature of the manuscript.
Informed consent statement: Informed consent was obtained from each of the patients.
Conflict-of-interest statement: There are no conflicts of interest to declare.
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/
Correspondence to: Toshio Kuwai, MD, PhD, Department of Gastroenterology, National Hospital Organization Kure Medical Center and Chugoku Cancer Center, 3-1 Aoyamacho, Kure 737-0023, Japan. kuwait@kure-nh.go.jp
Telephone: +81-823-223111 Fax: +81-823-210478
Received: May 16, 2016
Peer-review started: May 17, 2016
First decision: July 12, 2016
Revised: August 25, 2016
Accepted: September 6, 2016
Article in press: September 6, 2016
Published online: October 28, 2016
Processing time: 163 Days and 1.9 Hours
Core Tip

Core tip: We present 3 cases of malignant small bowel obstruction, treated with palliative care using endoscopic self-expandable metallic stent (SEMS) placement, and have identified that the procedure is safe and effective. Two patients were treated using the through-the-overtube technique, while the remaining case was the first case of SEMS placement in a malignant distal small bowel obstruction.