Radiologic Placement of Uncovered Stents for the Treatment of Malignant Colonic Obstruction Proximal to the Descending Colon
| Autor: | Chang Kyun Lee, Joo Hyeong Oh, Ji Young Oh, Sun Jin Park, Se Hwan Kwon, Jehong Yoon |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Decompression Colorectal cancer medicine.medical_treatment Technical success Descending colon 03 medical and health sciences 0302 clinical medicine medicine Humans Radiology Nuclear Medicine and imaging Aged Retrospective Studies Aged 80 and over business.industry Stent Middle Aged equipment and supplies medicine.disease Surgery Colon Descending Colonic obstruction Treatment Outcome medicine.anatomical_structure 030220 oncology & carcinogenesis Palliative intent Feasibility Studies Female Stents 030211 gastroenterology & hepatology Radiology Colorectal Neoplasms Cardiology and Cardiovascular Medicine Complication business Intestinal Obstruction |
| Zdroj: | CardioVascular and Interventional Radiology. 40:99-105 |
| ISSN: | 1432-086X 0174-1551 |
| Popis: | To evaluate the safety, feasibility, and patency rates of radiologic placement of uncovered stents for the treatment of malignant colonic obstruction proximal to the descending colon. This was a retrospective, single-center study. From May 2003 to March 2015, 53 image-guided placements of uncovered stents (44 initial placements, 9 secondary placements) were attempted in 44 patients (male:female = 23:21; mean age, 71.8 years). The technical and clinical success, complication rates, and patency rates of the stents were also evaluated. Technical success was defined as the successful deployment of the stent under fluoroscopic guidance alone and clinical success was defined as the relief of obstructive symptoms or signs within 48 h of stent deployment. In total, 12 (27.3 %) patients underwent preoperative decompression, while 32 (72.7 %) underwent decompression with palliative intent. The technical success rate was 93.2 % (41/44) for initial placement and 88.9 % (8/9) for secondary placement. Secondary stent placement in the palliative group was required in nine patients after successful initial stent placement due to stent obstruction from tumor ingrowth (n = 7) and stent migration (n = 2). The symptoms of obstruction were relieved in all successful cases (100 %). In the palliative group, the patency rates were 94.4 % at 1 month, 84.0 % at 3 months, 64.8 % at 6 months, and 48.6 % at 12 months. The radiologic placement of uncovered stents for the treatment of malignant obstruction proximal to the descending colon is feasible and safe, and provides acceptable clinical results. |
| Databáze: | OpenAIRE |
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