| Autor: |
Jesús, García-Cano, Natividad, Sánchez-Manjavacas, Carmen Julia, Gómez Ruiz, José Ignacio, Pérez García, Eduardo, Redondo Cerezo, Miriam, Viñuelas, María Julia, Morillas Ariño, María Gracia, Pérez Vigara, Angel, Pérez Sola |
| Rok vydání: |
2007 |
| Předmět: |
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| Zdroj: |
Gastroenterologia y hepatologia. 29(10) |
| ISSN: |
0210-5705 |
| Popis: |
Self-expanding metal stents are being increasingly used to resolve malignant colonic obstruction. Subsequently, patients can either undergo elective surgery, or the stent can serve as a definitive palliative treatment in patients unfit for surgery. We present our experience with this technique in our hospital, a level II center within the Spanish National Health Service, which can be considered a community hospital.A retrospective study was performed of a 42-month period (May 2002 to October 2005), during which malignant colonic obstruction was treated by means of endoscopically inserted stents on 43 occasions in 40 patients.Stent insertion was successfully performed in 41 attempts (95%) and good clinical results were obtained on 37 occasions (86%). Endoscopic means alone were used on 23 occasions (53.5%) and in the remaining 20 (46.5%), both endoscopy and fluoroscopy were employed. Of 38 patients with successfully inserted stents, clinical success was achieved, as a whole, in 34. Twenty-four of these patients (63%) subsequently underwent elective surgery while the stent served as a definitive palliative treatment in the remaining 14 (37%). One of these patients had to undergo further surgery due to a fistula between the colon and the bladder. There were eight other complications: three stent migrations and one stent obstruction occurred, two patients had tenesmus, one patient developed bacteremia after stent insertion, and a silent bowel perforation by the stent was found in an elective surgical procedure. There was no mortality.In our experience, endoscopically inserted stents seem to be a safe and effective method for the initial treatment of malignant colonic obstruction. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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