Late complications related to palliative stenting in patients with obstructing colorectal cancer

Autor:	Juha Grönroos, Arto Rantala, Jukka Karvonen, Heikki Huhtinen, P. Varpe
Rok vydání:	2013
Předmět:	Adult Male medicine.medical_specialty Databases Factual Palliative treatment Colorectal cancer medicine.medical_treatment Perforation (oil well) Colonoscopy Hospitals University Life Expectancy Postoperative Complications Foreign-Body Migration medicine Humans In patient Aged Retrospective Studies Aged 80 and over medicine.diagnostic_test business.industry General surgery Palliative Care Stent Middle Aged University hospital medicine.disease Surgery Treatment Outcome Feasibility Studies Female Stents Colorectal Neoplasms Complication business Intestinal Obstruction
Zdroj:	Minimally Invasive Therapy & Allied Technologies. 22:352-358
ISSN:	1365-2931 1364-5706
DOI:	10.3109/13645706.2013.797911
Popis:	Self-expanding metal stents (SEMSs) are increasingly used for the palliative treatment of incurable obstructing colorectal cancer. The aim of the current study was to evaluate clinical outcome, including technical and clinical success of stenting, and to identify factors associated with late complications of SEMS in palliation of incurable obstructing colorectal cancer.Between 2003 and 2010 details of 56 patients who underwent an attempt of SEMS insertion for obstructive incurable colorectal cancer at Turku University Hospital were recorded to our database prospectively and analyzed retrospectively.Technical success was achieved in 42 patients (75%) and clinical success in 39 patients (70%). Late complications related to SEMS occurred in 13 patients (31%). Ten patients (24%) needed re-intervention because of a complication: Eight ostomies, one Hartmann´s procedure due to late perforation and one re-stenting because of stent migration. Three patients with stent-related complications were treated conservatively. Chemotherapy and prolonged survival were risk factors for SEMS-related late complications and re-intervention.SEMS insertion is a feasible procedure for the palliative treatment of obstructing colorectal cancer in patients with severe comorbidities and short life expectancy. However, for patients who are candidates for chemotherapy and have a longer life expectancy, other treatment options such as palliative tumor resection should also be considered.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::379aa8fedbba5b85ba00df7a0d176ba6 https://doi.org/10.3109/13645706.2013.797911 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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