دورية أكاديمية
Surgery after colonic stenting.
| العنوان: | Surgery after colonic stenting. |
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| المؤلفون: | Gross KN; Department of General Surgery, Rush University Medical Center, Chicago, Illinois, USA. kristingross12@gmail.com, Francescatti AB, Brand MI, Saclarides TJ |
| المصدر: | The American surgeon [Am Surg] 2012 Jun; Vol. 78 (6), pp. 722-7. |
| نوع المنشور: | Comparative Study; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: SAGE Publications in association with Southeastern Surgical Congress Country of Publication: United States NLM ID: 0370522 Publication Model: Print Cited Medium: Internet ISSN: 1555-9823 (Electronic) Linking ISSN: 00031348 NLM ISO Abbreviation: Am Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2020- : [Thousand Oaks, CA] : SAGE Publications in association with Southeastern Surgical Congress Original Publication: Atlanta Ga : Southeastern Surgical Congress |
| مواضيع طبية MeSH: | Stents*, Anastomotic Leak/*surgery , Colon/*surgery , Colonic Diseases/*surgery , Intestinal Obstruction/*surgery , Reoperation/*methods, Adult ; Aged ; Anastomosis, Surgical/instrumentation ; Anastomotic Leak/etiology ; Device Removal/methods ; Female ; Follow-Up Studies ; Humans ; Laparoscopy ; Male ; Middle Aged ; Prosthesis Failure ; Retrospective Studies ; Treatment Outcome |
| مستخلص: | Colonic stenting is an accepted treatment of large bowel obstruction. The literature is sparse regarding surgical difficulties associated with an indwelling stent. We report our experience focusing on outcomes, complications, and whether the stent created intraoperative concerns. In this retrospective review, 6 patients were identified between 2007 and 2010 that had surgery after colonic stents were placed. Their charts were reviewed to compare clinical variables, surgical procedures, outcomes, and complications. One obstruction was due to diverticulitis. The stent reobstructed, leading to emergent transverse loop colostomy, and subsequent sigmoidectomy with stoma reversal. Four patients' obstructing masses were malignant. The final patient's stent was placed through a Hartmann's stump to drain a pelvic abscess. These 5 patients had no stent complications. Surgery occurred an average of 9.8 weeks after stent placement; four had low anterior resections and one underwent Hartmann's reversal. All 6 patients had colorectal anastomoses and five underwent laparoscopic surgery; one had an anastomotic leak requiring reoperation. Colonic stenting allows for the immediate relief of obstruction while permitting diagnosis and treatment of coexisting medical problems. The colon can be prepared for an elective rather than emergency operation, and a colostomy may be avoided. |
| تواريخ الأحداث: | Date Created: 20120531 Date Completed: 20120807 Latest Revision: 20120530 |
| رمز التحديث: | 20221213 |
| PMID: | 22643272 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1555-9823 |
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