Leitlinie der Europäischen Gesellschaft für Gastrointestinale Endoskopie (ESGE) zum Einsatz von selbstexpandierenden Metallstents bei Obstruktionen durch Kolonkarzinome und extrakolische Karzinome
| العنوان: | Leitlinie der Europäischen Gesellschaft für Gastrointestinale Endoskopie (ESGE) zum Einsatz von selbstexpandierenden Metallstents bei Obstruktionen durch Kolonkarzinome und extrakolische Karzinome |
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| المؤلفون: | John M. DeWitt, George Webster, Jean-Marc Dumonceau, E. E. van Halsema, J. E. van Hooft, Michael C. Parker, Cesare Hassan, Pieter J. Tanis, Fergal Donnellan, Regina G. H. Beets-Tan, Rob Glynne-Jones, Charles Sabbagh, Søren Meisner, Javier Jiménez-Pérez, Jayesh Sagar, JM Regimbeau, A. Repici, Geoffroy Vanbiervliet, Jo G. Vandervoort, V. Raman Muthusamy, Marc Barthet, Gianpiero Manes |
| المصدر: | Endoskopie heute. 27:246-255 |
| بيانات النشر: | Georg Thieme Verlag KG, 2015. |
| سنة النشر: | 2015 |
| مصطلحات موضوعية: | medicine.medical_specialty, Bevacizumab, business.industry, General surgery, Standard treatment, medicine.medical_treatment, Gastroenterology, Stent, Guideline, Colonic obstruction, Colonic cancer, medicine, Radiology, Nuclear Medicine and imaging, Surgery, Elective surgery, business, medicine.drug, Gastrointestinal endoscopy |
| الوصف: | This Guideline is an official statement of the European Society of Gastrointestinal Endoscopy (ESGE). This Guideline was also reviewed and endorsed by the Governing Board of the American Society for Gastrointestinal Endoscopy (ASGE). The Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system was adopted to define the strength of recommendations and the quality of evidence. Main recommendations The following recommendations should only be applied after a thorough diagnostic evaluation including a contrast-enhanced computed tomography (CT) scan. Prophylactic colonic stent placement is not recommended. Colonic stenting should be reserved for patients with clinical symptoms and imaging evidence of malignant large-bowel obstruction, without signs of perforation (strong recommendation, low quality evidence). Colonic self-expandable metal stent (SEMS) placement as a bridge to elective surgery is not recommended as a standard treatment of symptomatic left-sided malignant colonic obstruction (strong recommendation, high quality evidence). For patients with potentially curable but obstructing left-sided colonic cancer, stent placement may be considered as an alternative to emergency surgery in those who have an increased risk of postoperative mortality, i.e. American Society of Anesthesiologists (ASA) Physical Status III and/or age >70 years (weak recommendation, low quality evidence). SEMS placement is recommended as the preferred treatment for palliation of malignant colonic obstruction (strong recommendation, high quality evidence), except in patients treated or considered for treatment with antiangiogenic drugs (e.g. bevacizumab) (strong recommendation, low quality evidence) |
| تدمد: | 1439-2577 0933-811X |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::9f49187963a4a78e875d1b25bf8b8cd1 https://doi.org/10.1055/s-0034-1398787 |
| رقم الأكسشن: | edsair.doi...........9f49187963a4a78e875d1b25bf8b8cd1 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14392577 0933811X |
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