Short-term outcomes after self-expandable metal stent insertion for obstructing colon cancer: a retrospective cohort study
| Autor: | Ahmed Mohammed Al-Mazrou, Omar Al-Obeed, Thamer Abdullah Bin Traiki, Ahmad Mohammed Zubaidi, Majid A Almadi, Noura Alhassan, Sulaiman A. Al-Shammari, Khayal Al-Khayal |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Stent insertion Colorectal cancer MEDLINE lcsh:Medicine 03 medical and health sciences 0302 clinical medicine Emergency surgery medicine Humans Intestinal obstruction surgery Bridge to surgery Retrospective Studies Self expandable business.industry lcsh:R Retrospective cohort study General Medicine medicine.disease Surgery Treatment Outcome 030220 oncology & carcinogenesis Colonic Neoplasms 030211 gastroenterology & hepatology Original Article Stents business Colorectal Neoplasms Intestinal Obstruction |
| Zdroj: | Annals of Saudi Medicine Annals of Saudi Medicine, Vol 40, Iss 5, Pp 403-407 (2020) |
| ISSN: | 0975-4466 0256-4947 |
| Popis: | BACKGROUND: Self-expanding metal stents (SEMS) are used as a bridge to surgery for colon cancer patients as an alternative to emergency surgery. Currently, there is a paucity of literature from Saudi Arabia on the preoperative usage of SEMS. OBJECTIVE: Determine whether SEMS are associated with a higher rate of complications. DESIGN: Retrospective cohort study SETTINGS: Tertiary care hospital in Saudi Arabia. PATIENTS AND METHODS: In patients diagnosed with obstructing colon cancer, up-front surgical resection was compared with insertion of SEMS followed by surgical resection between the years 2009 and 2013. MAIN OUTCOME MEASURES: Rate of stent-related short-term complications. Secondary endpoint, postoperative complications. SAMPLE SIZE: 65. RESULTS: Twenty-four (36.9%) patients underwent SEMS placement; 41 (63.1%) underwent primary surgery. The median (interquartile range) hospital stay was significantly higher among the SEMS group (13 [8.5] days versus 7 [3] days in the primary surgery group, P CONCLUSION: SEMS is associated with longer hospital stays and short-term serious complications. Further research should be conducted, preferably with a larger sample size. LIMITATIONS: Retrospective design, small sample size. CONFLICT OF INTEREST: None. |
| Databáze: | OpenAIRE |
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