File Download

There are no files associated with this item.

  Links for fulltext
     (May Require Subscription)
Supplementary

Conference Paper: Self-expanding metallic stents for acute left-sided large-bowel obstruction: A review of 130 patients

TitleSelf-expanding metallic stents for acute left-sided large-bowel obstruction: A review of 130 patients
Authors
KeywordsLarge bowel obstruction
Metallic stents
Review
Issue Date2011
PublisherBlackwell Publishing Ltd. The Journal's web site is located at http://www.blackwellpublishing.com/journals/CDI
Citation
The 2009 ASCRS Annual Meeting, Hollywood, FL., 4-7 May 2009. In Colorectal Disease, 2011, v. 13 n. 5, p. 549-554 How to Cite?
AbstractAim The aim of this study was to evaluate the outcomes of self-expanding metallic stent (SEMS) placement in acute left-sided large-bowel obstruction. Method From 1997 to 2008, 130 patients [mean 67 (SD 14.7)] underwent SEMS insertion for acute left-sided large-bowel obstruction. One-hundred and one procedures were palliative, and 29 patients underwent stent insertion as a bridge for surgery. The success rate and the outcome were analysed. Results The chief causes of obstruction were primary (67%) and recurrent (16%) colorectal carcinoma. The success rate was 88% after insertion of the first stent. In nine patients, insertion of a second stent was required. Complications occurred in 20% of the insertions, with migration (10.8%) being the most common. Perforation occurred in two patients and one developed a colovesical fistula. In patients with palliative stenting, 14 (13.9%) required subsequent surgery, with a stoma placed in all except three. Among the 29 patients who underwent SEMS insertion as a bridge to surgery, subsequent surgical resection was performed in 26 patients at a mean interval of 12 days (SD 18.0). Primary anastomosis was performed in 24 patients. The mean survival for those who underwent SEMS insertion as a bridge to surgery was 40 (95% confidence interval: 24-55) months. Conclusion SEMS placement is safe and effective in relieving acute left-sided colonic obstruction. It allows subsequent definitive surgery on an elective setting and also serves as good palliation for advanced or disseminated disease. © 2011 The Authors. Colorectal Disease © 2011 The Association of Coloproctology of Great Britain and Ireland.
Persistent Identifierhttp://hdl.handle.net/10722/139751
ISSN
2015 Impact Factor: 2.452
2015 SCImago Journal Rankings: 1.319
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorFoo, CCen_HK
dc.contributor.authorPoon, JTCen_HK
dc.contributor.authorLaw, WLen_HK
dc.date.accessioned2011-09-23T05:55:13Z-
dc.date.available2011-09-23T05:55:13Z-
dc.date.issued2011en_HK
dc.identifier.citationThe 2009 ASCRS Annual Meeting, Hollywood, FL., 4-7 May 2009. In Colorectal Disease, 2011, v. 13 n. 5, p. 549-554en_HK
dc.identifier.issn1462-8910en_HK
dc.identifier.urihttp://hdl.handle.net/10722/139751-
dc.description.abstractAim The aim of this study was to evaluate the outcomes of self-expanding metallic stent (SEMS) placement in acute left-sided large-bowel obstruction. Method From 1997 to 2008, 130 patients [mean 67 (SD 14.7)] underwent SEMS insertion for acute left-sided large-bowel obstruction. One-hundred and one procedures were palliative, and 29 patients underwent stent insertion as a bridge for surgery. The success rate and the outcome were analysed. Results The chief causes of obstruction were primary (67%) and recurrent (16%) colorectal carcinoma. The success rate was 88% after insertion of the first stent. In nine patients, insertion of a second stent was required. Complications occurred in 20% of the insertions, with migration (10.8%) being the most common. Perforation occurred in two patients and one developed a colovesical fistula. In patients with palliative stenting, 14 (13.9%) required subsequent surgery, with a stoma placed in all except three. Among the 29 patients who underwent SEMS insertion as a bridge to surgery, subsequent surgical resection was performed in 26 patients at a mean interval of 12 days (SD 18.0). Primary anastomosis was performed in 24 patients. The mean survival for those who underwent SEMS insertion as a bridge to surgery was 40 (95% confidence interval: 24-55) months. Conclusion SEMS placement is safe and effective in relieving acute left-sided colonic obstruction. It allows subsequent definitive surgery on an elective setting and also serves as good palliation for advanced or disseminated disease. © 2011 The Authors. Colorectal Disease © 2011 The Association of Coloproctology of Great Britain and Ireland.en_HK
dc.languageengen_US
dc.publisherBlackwell Publishing Ltd. The Journal's web site is located at http://www.blackwellpublishing.com/journals/CDIen_HK
dc.relation.ispartofColorectal Diseaseen_HK
dc.rightsThe definitive version is available at www.blackwell-synergy.com-
dc.subjectLarge bowel obstructionen_HK
dc.subjectMetallic stentsen_HK
dc.subjectReviewen_HK
dc.subject.meshColonic Diseases - etiology - therapy-
dc.subject.meshIntestinal Obstruction - etiology - therapy-
dc.subject.meshNeoplasms - complications-
dc.subject.meshRectal Diseases - etiology - therapy-
dc.subject.meshStents - adverse effects-
dc.titleSelf-expanding metallic stents for acute left-sided large-bowel obstruction: A review of 130 patientsen_HK
dc.typeConference_Paperen_HK
dc.identifier.emailPoon, JTC: tcjensen@hkucc.hku.hken_HK
dc.identifier.emailLaw, WL: lawwl@hkucc.hku.hken_HK
dc.identifier.authorityPoon, JTC=rp01603en_HK
dc.identifier.authorityLaw, WL=rp00436en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1111/j.1463-1318.2010.02216.xen_HK
dc.identifier.pmid20082633-
dc.identifier.scopuseid_2-s2.0-79953315183en_HK
dc.identifier.hkuros169265en_US
dc.identifier.hkuros192503-
dc.identifier.hkuros162048-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-79953315183&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume13en_HK
dc.identifier.issue5en_HK
dc.identifier.spage549en_HK
dc.identifier.epage554en_HK
dc.identifier.isiWOS:000288760500019-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridFoo, CC=48661943800en_HK
dc.identifier.scopusauthoridPoon, JTC=7005903722en_HK
dc.identifier.scopusauthoridLaw, WL=7103147867en_HK
dc.customcontrol.immutablesml 160531 amended-

Export via OAI-PMH Interface in XML Formats


OR


Export to Other Non-XML Formats