Abstract
Self-expanding metallic stents for the treatment of acute colonic obstruction is a recent technique showing promising results. Traditionally metallic stents have used a colonoscope as the portal for stent insertion. Our rectal guiding tube has been devised to enable continuous opacification of the colon without contrast or colonic content leakage and provide a rigid portal through which to insert the metallic stent safely. In many situations concomitant use of a colonoscope is not necessary, especially in left-sided or more distal colonic lesions.