دورية أكاديمية
Self-expanding metal stenting for obstructing left colon cancer: A district hospital experience.
| العنوان: | Self-expanding metal stenting for obstructing left colon cancer: A district hospital experience. |
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| المؤلفون: | Harilingam MR; Department of General and Colorectal Surgery, Queen Elizabath The Queen Mother Hospital, Margate, CT9 4AN, UK. kphmohan@yahoo.co.uk., Khushal A; Department of General and Vascular Surgery, Kent and Canterbury Hospital, Ethelbert Road, Canterbury, CT1 3NG, UK., Aikoye A; Department of General and Vascular Surgery, Kent and Canterbury Hospital, Ethelbert Road, Canterbury, CT1 3NG, UK. |
| المصدر: | Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology [Indian J Gastroenterol] 2016 Jul; Vol. 35 (4), pp. 305-9. Date of Electronic Publication: 2016 Jul 23. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Springer India Country of Publication: India NLM ID: 8409436 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 0975-0711 (Electronic) Linking ISSN: 02548860 NLM ISO Abbreviation: Indian J Gastroenterol Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: India : Springer India Original Publication: Bombay : Indian Society of Gastroenterology, |
| مواضيع طبية MeSH: | Metals* , Stents*, Colonic Diseases/*etiology , Colonic Diseases/*therapy , Colonic Neoplasms/*complications , Intestinal Obstruction/*etiology , Intestinal Obstruction/*therapy, Adult ; Aged ; Aged, 80 and over ; Female ; Hospitals, General ; Humans ; Male ; Middle Aged ; Palliative Care ; Retrospective Studies ; Treatment Outcome |
| مستخلص: | Stenting of malignant colonic obstructions using self-expanding metal stents (SEMS) is commonly used for palliation and can be used as an interim procedure prior to definitive surgery. We retrospectively reviewed prospectively collected data from all consecutive colonic stenting procedures undertaken between September 2007 and December 2014 at a district general hospital. Technical and clinical success rates, mortality, colonic perforation, and other complications were documented and analyzed. Sixty-four colonic stenting procedures were undertaken. Fifty-three (83 %) were for palliation and eleven (17 %) were performed as a bridge to definitive surgery. Technical (98.4 %) and clinical (89.9 %) success rates were excellent. The single documented failure was secondary to complete luminal obstruction. Three stent occlusions (4.6 %), one colonic perforation (1.5 %), and one migration were encountered. There were no procedure-related deaths. Colonic stenting for obstructing left-sided colon cancer is a safe and effective procedure, even in the district general hospital setting. The use of SEMS as a bridge to elective surgery balances surgical and oncological considerations and, therefore, is most appropriate for high surgical risk patients in this setting. |
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| فهرسة مساهمة: | Keywords: Colorectal cancer; Obstruction; Self-expanding metal stent |
| المشرفين على المادة: | 0 (Metals) |
| تواريخ الأحداث: | Date Created: 20160725 Date Completed: 20170728 Latest Revision: 20191126 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1007/s12664-016-0671-y |
| PMID: | 27448435 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 0975-0711 |
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| DOI: | 10.1007/s12664-016-0671-y |