I arrived at the hospital to take call this AM, and the resident presented a patient, 74 y/o female, who had been scheduled for a CABG, and who developed a sigmoid obstruction before she could have her heart surgery. The cardiologist simultaneously consulted GI and gen surg. By the time I got caught up on the details, the GI man had the patient in the endoscopy suite for the purpose of biopsy and stent insertion. This patient is high risk because of her CAD, and she will be much better after a bypass. Initially, after looking at the BE, I had thought that a transverse loop colostomy, done under local and sedation, would be all that could be offered. I am familiar with stenting in the biliary tract, but I currently have little knowledge and no experience with its use in the intestines.
Is it a good option, in a case like this, assuming the obstruction is malignant?
Does anyone have the experience with stenting in the colon?