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Article: Palliation for Advanced Malignant Colorectal Obstruction by Self-Expanding Metallic Stents: Prospective Evaluation of Outcomes

TitlePalliation for Advanced Malignant Colorectal Obstruction by Self-Expanding Metallic Stents: Prospective Evaluation of Outcomes
Authors
KeywordsColonic
Metallic stents
Obstruction
Palliation
Issue Date2004
PublisherSpringer New York LLC. The Journal's web site is located at http://www.springerlink.com/content/0012-3706/
Citation
Diseases Of The Colon And Rectum, 2004, v. 47 n. 1, p. 39-43 How to Cite?
AbstractPURPOSE: This study was designed to evaluate the outcomes of self-expanding metallic stents as a palliative treatment for malignant obstruction of the colon and rectum. METHODS: The insertion of self-expanding metallic stents was attempted for palliation in 52 patients (33 males; mean age, 66.5 ± 16.4 years) with colorectal obstruction caused by advanced malignancies. The stents were inserted under endoscopic and fluoroscopic guidance. The data on the success of the procedure, the complications, and the outcomes of the patients were collected prospectively. RESULTS: Thirty patients had locally advanced or disseminated primary colorectal cancers, and 22 had recurrent cancer of colorectal or other primaries. Successful insertion of the stent was achieved in 50 patients. The median survival of the patients was 88 (range, 3-450) days. Complications occurred in 13 patients (25 percent). These included perforation of the colon (n = 1), migration or dislodgement of the stents (n = 8), severe tenesmus (n = 1), colovesical fistula (n = 1), and tumor ingrowth (n = 2). Insertion of a second stent was required in eight patients. Subsequent operations were performed in nine patients, and stoma creation was required in seven patients. CONCLUSIONS: Self-expanding metallic stents are highly effective in relieving malignant colorectal obstruction. The complication rate is acceptable and palliation can be achieved in the majority of the patients without a stoma.
Persistent Identifierhttp://hdl.handle.net/10722/84188
ISSN
2015 Impact Factor: 3.739
2015 SCImago Journal Rankings: 2.077
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLaw, WLen_HK
dc.contributor.authorChoi, HKen_HK
dc.contributor.authorLee, YMen_HK
dc.contributor.authorChu, KWen_HK
dc.date.accessioned2010-09-06T08:50:00Z-
dc.date.available2010-09-06T08:50:00Z-
dc.date.issued2004en_HK
dc.identifier.citationDiseases Of The Colon And Rectum, 2004, v. 47 n. 1, p. 39-43en_HK
dc.identifier.issn0012-3706en_HK
dc.identifier.urihttp://hdl.handle.net/10722/84188-
dc.description.abstractPURPOSE: This study was designed to evaluate the outcomes of self-expanding metallic stents as a palliative treatment for malignant obstruction of the colon and rectum. METHODS: The insertion of self-expanding metallic stents was attempted for palliation in 52 patients (33 males; mean age, 66.5 ± 16.4 years) with colorectal obstruction caused by advanced malignancies. The stents were inserted under endoscopic and fluoroscopic guidance. The data on the success of the procedure, the complications, and the outcomes of the patients were collected prospectively. RESULTS: Thirty patients had locally advanced or disseminated primary colorectal cancers, and 22 had recurrent cancer of colorectal or other primaries. Successful insertion of the stent was achieved in 50 patients. The median survival of the patients was 88 (range, 3-450) days. Complications occurred in 13 patients (25 percent). These included perforation of the colon (n = 1), migration or dislodgement of the stents (n = 8), severe tenesmus (n = 1), colovesical fistula (n = 1), and tumor ingrowth (n = 2). Insertion of a second stent was required in eight patients. Subsequent operations were performed in nine patients, and stoma creation was required in seven patients. CONCLUSIONS: Self-expanding metallic stents are highly effective in relieving malignant colorectal obstruction. The complication rate is acceptable and palliation can be achieved in the majority of the patients without a stoma.en_HK
dc.languageengen_HK
dc.publisherSpringer New York LLC. The Journal's web site is located at http://www.springerlink.com/content/0012-3706/en_HK
dc.relation.ispartofDiseases of the Colon and Rectumen_HK
dc.rightsThe original publication is available at www.springerlink.com-
dc.subjectColonicen_HK
dc.subjectMetallic stentsen_HK
dc.subjectObstructionen_HK
dc.subjectPalliationen_HK
dc.subject.meshColorectal Neoplasms - complications-
dc.subject.meshIntestinal Obstruction - etiology - surgery-
dc.subject.meshPalliative Care-
dc.subject.meshProsthesis Implantation - adverse effects-
dc.subject.meshStents - adverse effects-
dc.titlePalliation for Advanced Malignant Colorectal Obstruction by Self-Expanding Metallic Stents: Prospective Evaluation of Outcomesen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0012-3706&volume=47&issue=1&spage=39&epage=43&date=2004&atitle=Palliation+for+advanced+malignant+colorectal+obstruction+by+self-expanding+metallic+stents:+prospective+evaluation+of+outcomesen_HK
dc.identifier.emailLaw, WL: lawwl@hkucc.hku.hken_HK
dc.identifier.authorityLaw, WL=rp00436en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1007/s10350-003-0005-xen_HK
dc.identifier.pmid14719149-
dc.identifier.scopuseid_2-s2.0-0346100712en_HK
dc.identifier.hkuros92066en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0346100712&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume47en_HK
dc.identifier.issue1en_HK
dc.identifier.spage39en_HK
dc.identifier.epage43en_HK
dc.identifier.isiWOS:000187756700006-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridLaw, WL=7103147867en_HK
dc.identifier.scopusauthoridChoi, HK=7404339913en_HK
dc.identifier.scopusauthoridLee, YM=8521465600en_HK
dc.identifier.scopusauthoridChu, KW=7402453653en_HK

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