{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T23:26:15Z","timestamp":1787009175731,"version":"build-2736575974"},"reference-count":12,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2024,9,11]],"date-time":"2024-09-11T00:00:00Z","timestamp":1726012800000},"content-version":"vor","delay-in-days":10,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100016646","name":"HCA Healthcare","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100016646","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,9,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>An ongoing debate exists regarding the feasibility of placing self-expanding metallic stents (SEMS) within 5\u00a0cm of the anal verge. Traditionally, SEMS have been considered contraindicated for patients with a malignant rectal obstruction within this region due to potential impact on the anorectal ring or anal canal, which can cause incontinence, proctalgia, and tenesmus. However, in the case of a 63-year-old female who presented with distention, abdominal pain, and diminishing stool output, the rectal exam identified a bulky fixed mass. Imaging studies revealed large bowel obstruction and high-grade stricture, with a minuscule residual lumen. Endoscopy identified a bulky mass obscuring the lumen at 5\u00a0cm from the anal verge, and biopsy confirmed adenocarcinoma. Despite the traditionally held contraindication, a 2.5\u00a0cm\u2009\u00d7\u20099.0\u00a0cm colonic stent was successfully deployed, leading to brisk colonic decompression. This allowed the patient to promptly undergo chemoradiotherapy.<\/jats:p>","DOI":"10.1093\/jscr\/rjad593","type":"journal-article","created":{"date-parts":[[2023,10,12]],"date-time":"2023-10-12T09:22:43Z","timestamp":1697102563000},"source":"Crossref","is-referenced-by-count":1,"title":["Challenges associated with low rectal malignant obstruction stenting: a case report"],"prefix":"10.1093","volume":"2024","author":[{"given":"Victor","family":"Cabrera-Bou","sequence":"first","affiliation":[{"name":"Surgery Department, University of Central Florida , 4000 Central Florida Blvd, Orlando, FL 32816, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eddy P","family":"Lincango","sequence":"additional","affiliation":[{"name":"Surgery Department, University of Central Florida , 4000 Central Florida Blvd, Orlando, FL 32816, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandra E","family":"Cabrera","sequence":"additional","affiliation":[{"name":"Surgery Department, University of Central Florida , 4000 Central Florida Blvd, Orlando, FL 32816, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriel","family":"Diaz-Pagan","sequence":"additional","affiliation":[{"name":"Surgery Department, University of Central Florida , 4000 Central Florida Blvd, Orlando, FL 32816, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathan","family":"Kostick","sequence":"additional","affiliation":[{"name":"Surgery Department, University of Central Florida , 4000 Central Florida Blvd, Orlando, FL 32816, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noah","family":"Sobel","sequence":"additional","affiliation":[{"name":"Surgery Department, University of Central Florida , 4000 Central Florida Blvd, Orlando, FL 32816, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luis F","family":"Serrano","sequence":"additional","affiliation":[{"name":"Surgery Department, University of Central Florida , 4000 Central Florida Blvd, Orlando, FL 32816, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip","family":"Kondylis","sequence":"additional","affiliation":[{"name":"Surgery Department, University of Central Florida , 4000 Central Florida Blvd, Orlando, FL 32816, United States"},{"name":"Colorectal Surgery, HCA Florida Osceola Hospital , 700 W Oak St, Kissimmee, FL 34741, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,9,10]]},"reference":[{"key":"2024091101083753900_ref1","first-page":"607e14","article-title":"Obstruction and perforation complicating colorectal carcinoma. 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