File Download
There are no files associated with this item.
Links for fulltext
(May Require Subscription)
- Publisher Website: 10.1111/j.1463-1318.2010.02216.x
- Scopus: eid_2-s2.0-79953315183
- PMID: 20082633
- WOS: WOS:000288760500019
- Find via
Supplementary
- Citations:
- Appears in Collections:
Conference Paper: Self-expanding metallic stents for acute left-sided large-bowel obstruction: A review of 130 patients
Title | Self-expanding metallic stents for acute left-sided large-bowel obstruction: A review of 130 patients |
---|---|
Authors | |
Keywords | Large bowel obstruction Metallic stents Review |
Issue Date | 2011 |
Publisher | Blackwell Publishing Ltd. The Journal's web site is located at http://www.blackwellpublishing.com/journals/CDI |
Citation | The 2009 Annual Meeting of the American Society of Cataract and Refractive Surgery (ASCRS), Hollywood, FL., 4-7 May 2009. In Colorectal Disease, 2011, v. 13 n. 5, p. 549-554 How to Cite? |
Abstract | Aim 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 Identifier | http://hdl.handle.net/10722/139751 |
ISSN | 2023 Impact Factor: 2.9 2023 SCImago Journal Rankings: 1.164 |
ISI Accession Number ID | |
References |
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Foo, CC | en_HK |
dc.contributor.author | Poon, JTC | en_HK |
dc.contributor.author | Law, WL | en_HK |
dc.date.accessioned | 2011-09-23T05:55:13Z | - |
dc.date.available | 2011-09-23T05:55:13Z | - |
dc.date.issued | 2011 | en_HK |
dc.identifier.citation | The 2009 Annual Meeting of the American Society of Cataract and Refractive Surgery (ASCRS), Hollywood, FL., 4-7 May 2009. In Colorectal Disease, 2011, v. 13 n. 5, p. 549-554 | en_HK |
dc.identifier.issn | 1462-8910 | en_HK |
dc.identifier.uri | http://hdl.handle.net/10722/139751 | - |
dc.description.abstract | Aim 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.language | eng | en_US |
dc.publisher | Blackwell Publishing Ltd. The Journal's web site is located at http://www.blackwellpublishing.com/journals/CDI | en_HK |
dc.relation.ispartof | Colorectal Disease | en_HK |
dc.rights | The definitive version is available at www.blackwell-synergy.com | - |
dc.subject | Large bowel obstruction | en_HK |
dc.subject | Metallic stents | en_HK |
dc.subject | Review | en_HK |
dc.subject.mesh | Colonic Diseases - etiology - therapy | - |
dc.subject.mesh | Intestinal Obstruction - etiology - therapy | - |
dc.subject.mesh | Neoplasms - complications | - |
dc.subject.mesh | Rectal Diseases - etiology - therapy | - |
dc.subject.mesh | Stents - adverse effects | - |
dc.title | Self-expanding metallic stents for acute left-sided large-bowel obstruction: A review of 130 patients | en_HK |
dc.type | Conference_Paper | en_HK |
dc.identifier.email | Poon, JTC: tcjensen@hkucc.hku.hk | en_HK |
dc.identifier.email | Law, WL: lawwl@hkucc.hku.hk | en_HK |
dc.identifier.authority | Poon, JTC=rp01603 | en_HK |
dc.identifier.authority | Law, WL=rp00436 | en_HK |
dc.description.nature | link_to_subscribed_fulltext | - |
dc.identifier.doi | 10.1111/j.1463-1318.2010.02216.x | en_HK |
dc.identifier.pmid | 20082633 | - |
dc.identifier.scopus | eid_2-s2.0-79953315183 | en_HK |
dc.identifier.hkuros | 169265 | en_US |
dc.identifier.hkuros | 192503 | - |
dc.identifier.hkuros | 162048 | - |
dc.relation.references | http://www.scopus.com/mlt/select.url?eid=2-s2.0-79953315183&selection=ref&src=s&origin=recordpage | en_HK |
dc.identifier.volume | 13 | en_HK |
dc.identifier.issue | 5 | en_HK |
dc.identifier.spage | 549 | en_HK |
dc.identifier.epage | 554 | en_HK |
dc.identifier.isi | WOS:000288760500019 | - |
dc.publisher.place | United Kingdom | en_HK |
dc.identifier.scopusauthorid | Foo, CC=48661943800 | en_HK |
dc.identifier.scopusauthorid | Poon, JTC=7005903722 | en_HK |
dc.identifier.scopusauthorid | Law, WL=7103147867 | en_HK |
dc.customcontrol.immutable | sml 160531 amended | - |
dc.identifier.issnl | 1462-8910 | - |