Australian Government - Department of Health

Medical Services Advisory Committee (MSAC)

1150 - Insertion of Colonic Stents

Assessment No

Application NameInsertion of Colonic Stents
Description Of InterventionColonic stents (tubes that are placed inside the large bowel to hold it open) are an alternative to surgery for patients who present with blockage of the bowel due to colorectal cancer. Self-expanding metal stents are deployed into the bowel through the anus with the aid of a colonoscope and x-ray guidance. The stent holds the narrowed segment open to allow passage of stool (faeces). This relieves the acute bowel blockage and averts the need for urgent abdominal surgery. Stents can be inserted under light general anesthesia without the need for a surgical incision in the abdomen. Patients are usually discharged from hospital within a few days of the procedure.
Description Of DiseaseColorectal cancer is the most common internal malignancy diagnosed in Australia. It is responsible for approximately 5000 cancer deaths per year. Twenty to thirty per cent of colorectal cancers present with obstruction of the bowel. This causes pain and swelling of the abdomen, vomiting, dehydration and constipation. Current treatments include surgery to relieve the obstruction, and may involve creation of a colostomy, where the bowel is opened onto the abdominal wall and drained into a small bag.
Disease GroupLarge Intestine
Disease sub Group-
Intervention CategoryTherapeutic
Intervention TypeSurgical
Intervention Sub Type-
Received28 September 2010
Stage 2 - Eligibility1 October 2010
Stage 3 - 1st PASC 13 - 14 April 2011
Stage 3 - Public CommentRelease for comment : 29 April 2011
PDF Version Consultation Decision Analytic Protocol (DAP) (PDF 427 KB)
Word version Consultation Decision Analytic Protocol (DAP) (Word 872 KB)
Closed for comments 8 June 2011
Stage 3 - 2nd PASC6 - 7 July 2011
PDF version Final Decision Analytic Protocol (DAP) (PDF 237 KB)
Word version Final Decision Analytic Protocol (DAP) (Word 804 KB)
Stage 4 - Submission of EvidenceContracted
PDF version Assessment Report (PDF 3905 KB)
Word version Assessment Report (Word 988 KB)
Stage 5 - ESC evaluationOctober 2012
Stage 6 - MSAC AppraisalNovember 2012
Stage 6 - MSAC advicePDF version Public Summary Document (PDF 633 KB)
Word version Public Summary Document (Word 161 KB)
Stage 7 - Noting by Minister
  • advice is not communicated to the Minister until the Minutes of the relevant meeting have been ratified by MSAC members (which may take several weeks)
  • the Minister needs time to properly consider MSAC's advice (and may choose to seek further policy advice from the department before noting the advice)
  • a Government decision to list a service supported by MSAC is taken in the context of other Government priorities: MSAC's support of an application for public funding does not oblige the Government to list the service on the MBS
Stage 8 - ImplementationImplemented onto the MBS on 1 March 2013.
MBS item 32023 for insertion of colonic stents.