Expandable metal stent placement for benign colorectal obstruction: outcomes for 23 cases

Small, Aaron J.; Young‐Fadok, Tonia M.; Baron, Todd H.

doi:10.1007/s00464-007-9453-z

Cited by 145 publications

(95 citation statements)

References 29 publications

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“…Areview of literature (12) indicates that stenting should not be used for long-term treatment of benign stenosis. Supporting that fact, a study includ- (20). The mortality rate of 28.6% alone in the present study suggests that this procedure is less safe than emergency surgery, however the patient material of only seven cases is to small to draw firm conclusions.…”

Section: Discussionsupporting

confidence: 62%

A Clinical Evaluation of Endoscopicallyplaced Self-Expanding Metallic Stents in Patients with Acute Large Bowel Obstruction

et al. 2009

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Background and Aims: self-expanding metallic stents (sems) have since 1991 established themselves as an option in the treatment of large bowel obstruction. the aim of this study was to evaluate the use of sems in management of acute colorectal obstructions at a danish surgical gastroenterology center. Material and Methods: retrospective review of charts from all patients who, in the period marts 2002 to december 2007 underwent insertion of as ems for an acute large bowel obstruction.Results: of 45 patients included, sems was intended as a bridge to surgery in 20 patients and as palliation in 25 patients. for malignant etiology,the sems procedure was at echnical and clinical success in 97.4% of the cases. complications occurred in 21%, mortality rate 2,6%. for benign etiology,the sems procedure was atechnical success in 85.7%, and a clinical success in 71.4%. complications occurred in 71.4% of the benign cases with amortality rate of 28,6%.Conclusions: placement of sems for acute large bowel obstruction with malignant etiology is an effective and safe procedure with low mortality and morbidity. however results for benign obstructions are questionable and more research is needed to determine the role of sems.

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Section: Discussionsupporting

confidence: 62%

A Clinical Evaluation of Endoscopicallyplaced Self-Expanding Metallic Stents in Patients with Acute Large Bowel Obstruction

et al. 2009

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“…Bleeding, perforation, stent fall off or re-obstruction, etc have been reported as complications of stent implantation [20][21][22][23]. However, stent implantation is safe in general.…”

Section: Discussionmentioning

confidence: 99%

A Case Report of Elective Surgery after Intestinal Stent Implantation in Left Colorectal Cancer

Wang¹,

Tao²,

Wang³

et al. 2017

GHOA

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Submit Manuscript | http://medcraveonline.com cells 14.05 * 10 9 / L, neutrophils 87.2%, amylase 573IU / L. ECG showed: 1, sinus rhythm 2, T wave abnormality 3, incomplete right bundle branch block. Abdominal X-ray showed dilation of the small intestine with multiple ladder-like fluid levels ( Figure 1), supporting the diagnosis of colon obstruction. Abdominal CT showed: 1, local thickening of the sigmoid colon with mild exudative changes and multiple small surrounding lymph nodes. The patient has been hypertensive for many years with a history of cerebral infarction. After admission, the patient suffered from repeated episodes of vomiting, and increasing abdominal pain. On physical examination active bowel sounds were not present and there was no significant tenderness or rebound tenderness.Colonoscopy was performed. The colon became too narrow to pass the scope at 30 cms from the anus. Erosive haemorrhagic mucosa was seen and colon cancer was diagnosed. To relieve its obstruction, a stent (80x25mm) was implanted into the narrow lumen. Liquids were then passed through the stent, indicating the obstruction was resolved (Figure 2). One week late, the patient's general condition became much better and colectomy was performed (Figure 3). The segment with cancer was removed and the patient gained full recovery without complication (Figure 4) and was discharged within one week after colectomy.

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“…SEMS may also provide long-term symptom relief for benign colorectal strictures secondary to diverticular disease, radiotherapy, inflammation, or Crohn's disease, should these patients be deemed medically unfit to undergo a major abdominal operation. [21][22][23] Benign stricture was not evaluated in the present study.…”

Section: Discussionmentioning

confidence: 99%

The role of colorectal stent placement in the management of acute malignant obstruction

Yanar¹,

Özçınar²,

Yanar³

et al. 2014

Ulus Travma Acil Cerrahi Derg

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Expandable metal stent placement for benign colorectal obstruction: outcomes for 23 cases

Cited by 145 publications

References 29 publications

A Clinical Evaluation of Endoscopicallyplaced Self-Expanding Metallic Stents in Patients with Acute Large Bowel Obstruction

A Clinical Evaluation of Endoscopicallyplaced Self-Expanding Metallic Stents in Patients with Acute Large Bowel Obstruction

A Case Report of Elective Surgery after Intestinal Stent Implantation in Left Colorectal Cancer

The role of colorectal stent placement in the management of acute malignant obstruction

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