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Self-expanding metallic stents drainage for acute proximal colon obstruction.
- Source :
-
World journal of gastroenterology [World J Gastroenterol] 2011 Jul 28; Vol. 17 (28), pp. 3342-6. - Publication Year :
- 2011
-
Abstract
- Aim: To clarify the usefulness of the self-expanding metallic stents (SEMS) in the management of acute proximal colon obstruction due to colon carcinoma before curative surgery.<br />Methods: Eighty-one colon (proximal to spleen flex) carcinoma patients (47 males and 34 females, aged 18-94 years, mean = 66.2 years) treated between September 2004 and June 2010 for acute colon obstruction were enrolled to this study, and their clinical and radiological features were reviewed. After a cleaning enema was administered, urgent colonoscopy was performed. Subsequently, endoscopic decompression using SEMS placement was attempted.<br />Results: Endoscopic decompression using SEMS placement was technically successful in 78 (96.3%) of 81 patients. Three patients' symptoms could not be relieved after SEMS placement and emergent operation was performed 1 d later. The site of obstruction was transverse colon in 18 patients, the hepatic flex in 42, and the ascending colon in 21. Following adequate cleansing of the colon, patients' abdominal girth was decreased from 88 ± 3 cm before drainage to 72 ± 6 cm 7 d later, and one-stage surgery after 8 ± 1 d (range, 7-10 d) was performed. No anastomotic leakage or postoperative stenosis occurred after operation.<br />Conclusion: SEMS placement is effective and safe in the management of acute proximal colon obstruction due to colon carcinoma, and is considered as a bridged method before curative surgery.
- Subjects :
- Adolescent
Adult
Aged
Aged, 80 and over
Colonic Neoplasms complications
Colonic Neoplasms pathology
Colonic Neoplasms surgery
Colonoscopy
Female
Humans
Intestinal Obstruction etiology
Intestinal Obstruction pathology
Male
Middle Aged
Retrospective Studies
Young Adult
Colon pathology
Colon surgery
Drainage methods
Intestinal Obstruction surgery
Stents
Subjects
Details
- Language :
- English
- ISSN :
- 2219-2840
- Volume :
- 17
- Issue :
- 28
- Database :
- MEDLINE
- Journal :
- World journal of gastroenterology
- Publication Type :
- Academic Journal
- Accession number :
- 21876623
- Full Text :
- https://doi.org/10.3748/wjg.v17.i28.3342