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Conference Paper: Self-expanding metallic stent in the treatment of colonic obstruction caused by advanced malignancies
Title | Self-expanding metallic stent in the treatment of colonic obstruction caused by advanced malignancies |
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Authors | |
Keywords | Colon and rectal obstruction Metallic stents |
Issue Date | 2000 |
Publisher | Springer New York LLC. The Journal's web site is located at http://www.springerlink.com/content/0012-3706/ |
Citation | The 100th Anniversary and Tripartite Meeting of the American Society of Colon and Rectal Surgeons (ASCRS 2000), Washington, DC., 1-6 May 1999. In Diseases of the Colon and Rectum, 2000, v. 43 n. 11, p. 1522-1527 How to Cite? |
Abstract | INTRODUCTION: The treatment of malignant obstruction of the left colon or rectum usually requires emergency surgery on poor-risk patients, and the creation of a stoma is usually inevitable. With the use of self-expanding metallic stents, the prompt relief of large-bowel obstruction without surgery has become possible. This report describes our results in the use of self-expanding metallic stents in the treatment of left-sided colonic obstruction resulting from advanced malignancies. METHODS: From November 1997 to March 1999, insertion of self-expanding metallic stems was attempted in 24 patients with acute left-sided colonic obstruction caused by primary or recurrent malignancies. All the procedures were performed by colorectal surgeons. The guidewire was inserted through the channel of the endoscope, and its position was confirmed with fluoroscopy. Uncovered Wallstent® esophageal endoprostheses were used in all except the first case. The insertion and deployment of the stents were under both endoscopic and fluoroscopic guidance. RESULTS: There were 24 patients (15 males) with a mean age of 63.6 (range, 36-98) years. Thirteen patients had primary colorectal cancer and 11 had recurrent cancers (colorectal cancer, 5; gastric cancer, 5; other, 1). In the treatment of primary colorectal cancer, seven procedures were palliative, and no subsequent surgery was planned because of extensive liver metastasis or poor medical risk. The other six patients underwent elective resection after mechanical bowel preparation. There was no mortality related to the procedure. Stenting was successful in the relief of obstruction in 23 patients. Perforation of the colon occurred in one patient, and an emergency Hartmann's operation was performed. Migration of the stents occurred in three patients. Only 3 of the 18 patients in the palliation group required the subsequent creation of stomas. CONCLUSION: The use of the self-expanding metallic stents can achieve rapid and effective nonsurgical means to relieve left-sided colonic obstruction. It provides good palliation for unresectable advanced tumors that cause colonic obstruction. It may also have a role in the temporary relief of obstruction so that subsequent colonic resection can be performed under elective conditions. |
Persistent Identifier | http://hdl.handle.net/10722/83275 |
ISSN | 2023 Impact Factor: 3.2 2023 SCImago Journal Rankings: 0.865 |
ISI Accession Number ID | |
References |
DC Field | Value | Language |
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dc.contributor.author | Wai Lun Law | en_HK |
dc.contributor.author | Kin Wah Chu | en_HK |
dc.contributor.author | Ho, JWC | en_HK |
dc.contributor.author | Hiu Ming Tung | en_HK |
dc.contributor.author | Law, SYK | en_HK |
dc.contributor.author | Chu, KM | en_HK |
dc.date.accessioned | 2010-09-06T08:39:05Z | - |
dc.date.available | 2010-09-06T08:39:05Z | - |
dc.date.issued | 2000 | en_HK |
dc.identifier.citation | The 100th Anniversary and Tripartite Meeting of the American Society of Colon and Rectal Surgeons (ASCRS 2000), Washington, DC., 1-6 May 1999. In Diseases of the Colon and Rectum, 2000, v. 43 n. 11, p. 1522-1527 | en_HK |
dc.identifier.issn | 0012-3706 | en_HK |
dc.identifier.uri | http://hdl.handle.net/10722/83275 | - |
dc.description.abstract | INTRODUCTION: The treatment of malignant obstruction of the left colon or rectum usually requires emergency surgery on poor-risk patients, and the creation of a stoma is usually inevitable. With the use of self-expanding metallic stents, the prompt relief of large-bowel obstruction without surgery has become possible. This report describes our results in the use of self-expanding metallic stents in the treatment of left-sided colonic obstruction resulting from advanced malignancies. METHODS: From November 1997 to March 1999, insertion of self-expanding metallic stems was attempted in 24 patients with acute left-sided colonic obstruction caused by primary or recurrent malignancies. All the procedures were performed by colorectal surgeons. The guidewire was inserted through the channel of the endoscope, and its position was confirmed with fluoroscopy. Uncovered Wallstent® esophageal endoprostheses were used in all except the first case. The insertion and deployment of the stents were under both endoscopic and fluoroscopic guidance. RESULTS: There were 24 patients (15 males) with a mean age of 63.6 (range, 36-98) years. Thirteen patients had primary colorectal cancer and 11 had recurrent cancers (colorectal cancer, 5; gastric cancer, 5; other, 1). In the treatment of primary colorectal cancer, seven procedures were palliative, and no subsequent surgery was planned because of extensive liver metastasis or poor medical risk. The other six patients underwent elective resection after mechanical bowel preparation. There was no mortality related to the procedure. Stenting was successful in the relief of obstruction in 23 patients. Perforation of the colon occurred in one patient, and an emergency Hartmann's operation was performed. Migration of the stents occurred in three patients. Only 3 of the 18 patients in the palliation group required the subsequent creation of stomas. CONCLUSION: The use of the self-expanding metallic stents can achieve rapid and effective nonsurgical means to relieve left-sided colonic obstruction. It provides good palliation for unresectable advanced tumors that cause colonic obstruction. It may also have a role in the temporary relief of obstruction so that subsequent colonic resection can be performed under elective conditions. | en_HK |
dc.language | eng | en_HK |
dc.publisher | Springer New York LLC. The Journal's web site is located at http://www.springerlink.com/content/0012-3706/ | en_HK |
dc.relation.ispartof | Diseases of the Colon and Rectum | en_HK |
dc.rights | The original publication is available at www.springerlink.com | - |
dc.subject | Colon and rectal obstruction | en_HK |
dc.subject | Metallic stents | en_HK |
dc.subject.mesh | Biocompatible Materials | - |
dc.subject.mesh | Colorectal Neoplasms - complications - mortality - radiography - surgery | - |
dc.subject.mesh | Colostomy - instrumentation | - |
dc.subject.mesh | Intestinal Obstruction - etiology - mortality - radiography - surgery | - |
dc.subject.mesh | Prosthesis Implantation - instrumentation | - |
dc.title | Self-expanding metallic stent in the treatment of colonic obstruction caused by advanced malignancies | en_HK |
dc.type | Conference_Paper | en_HK |
dc.identifier.openurl | http://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0012-3706&volume=43&issue=11&spage=1522&epage=1527&date=2000&atitle=Self-expanding+metallic+stent+in+the+treatment+of+colonic+obstruction+due+to+advanced+malignancies | en_HK |
dc.identifier.email | Law, SYK: slaw@hku.hk | en_HK |
dc.identifier.email | Chu, KM: chukm@hkucc.hku.hk | en_HK |
dc.identifier.authority | Law, SYK=rp00437 | en_HK |
dc.identifier.authority | Chu, KM=rp00435 | en_HK |
dc.description.nature | link_to_subscribed_fulltext | - |
dc.identifier.doi | 10.1007/BF02236731 | - |
dc.identifier.pmid | 11089586 | - |
dc.identifier.scopus | eid_2-s2.0-0033692677 | en_HK |
dc.identifier.hkuros | 56233 | en_HK |
dc.relation.references | http://www.scopus.com/mlt/select.url?eid=2-s2.0-0033692677&selection=ref&src=s&origin=recordpage | en_HK |
dc.identifier.volume | 43 | en_HK |
dc.identifier.issue | 11 | en_HK |
dc.identifier.spage | 1522 | en_HK |
dc.identifier.epage | 1527 | en_HK |
dc.identifier.isi | WOS:000165209800007 | - |
dc.publisher.place | United States | en_HK |
dc.identifier.scopusauthorid | Wai Lun Law=7409517079 | en_HK |
dc.identifier.scopusauthorid | Kin Wah Chu=7409811015 | en_HK |
dc.identifier.scopusauthorid | Ho, JWC=7402649983 | en_HK |
dc.identifier.scopusauthorid | Hiu Ming Tung=7409696355 | en_HK |
dc.identifier.scopusauthorid | Law, SYK=7202241293 | en_HK |
dc.identifier.scopusauthorid | Chu, KM=7402453538 | en_HK |
dc.customcontrol.immutable | sml 170420 amended | - |
dc.identifier.issnl | 0012-3706 | - |