Clinical Outcomes of Colonic Stent in a Tertiary Care Center
Introduction. Colonic obstruction is one of the manifestations of colon cancer for which self-expanding metal stents (SEMS) have been effectively used, to restore the luminal patency either for palliative care or as a bridge to resective surgery. The aim of our study is to evaluate the efficacy and...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Gastroenterology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2014/138724 |
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| author | Mahesh Gajendran Chandraprakash Umapathy John Nasr Andres Gelrud |
| author_facet | Mahesh Gajendran Chandraprakash Umapathy John Nasr Andres Gelrud |
| author_sort | Mahesh Gajendran |
| collection | DOAJ |
| description | Introduction. Colonic obstruction is one of the manifestations of colon cancer for which self-expanding metal stents (SEMS) have been effectively used, to restore the luminal patency either for palliative care or as a bridge to resective surgery. The aim of our study is to evaluate the efficacy and safety of large diameter SEMS in patients with malignant colorectal obstruction. Methods and Results. A four-year retrospective review of the Medical Archival System was performed and identified 16 patients. The average age was 70.8 years, of which 56% were females. The most common cause of obstruction was colon cancer (9/16, 56%). Rectosigmoid was the main site of obstruction (9/16) and complete obstruction occurred in 31% of cases. The overall technical and clinical success rates were 100% and 87%, respectively. There were no immediate complications (<24 hours), but stent stenosis due to kinking occurred within one week of stent placement in 2 patients. Stent migration occurred in 2 patients at 34 and 91 days, respectively. There were no perforations or bleeding complications. Conclusion. Large diameter SEMS provide a safe method for palliation or as a bridge to therapy in patients with malignant colonic obstruction with high technical success and very low complication rates. |
| format | Article |
| id | doaj-art-54571ce33efa4fe79cf05ad52b72cbc7 |
| institution | Kabale University |
| issn | 1687-6121 1687-630X |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Gastroenterology Research and Practice |
| spelling | doaj-art-54571ce33efa4fe79cf05ad52b72cbc72025-02-03T06:11:15ZengWileyGastroenterology Research and Practice1687-61211687-630X2014-01-01201410.1155/2014/138724138724Clinical Outcomes of Colonic Stent in a Tertiary Care CenterMahesh Gajendran0Chandraprakash Umapathy1John Nasr2Andres Gelrud3Department of Internal Medicine, University of Pittsburgh, Pittsburgh, PA 15213, USADepartment of Internal Medicine, University of Pittsburgh, Pittsburgh, PA 15213, USADivision of Gastroenterology, Hepatology and Nutrition, University of Pittsburgh, Pittsburgh, PA 15213, USAThe Center for Endoscopic Research and Therapeutics (CERT), Division of Gastroenterology, Hepatology and Nutrition, University of Chicago, 5700 South Maryland Avenue, MC 8043, Chicago, IL 60637-1470, USAIntroduction. Colonic obstruction is one of the manifestations of colon cancer for which self-expanding metal stents (SEMS) have been effectively used, to restore the luminal patency either for palliative care or as a bridge to resective surgery. The aim of our study is to evaluate the efficacy and safety of large diameter SEMS in patients with malignant colorectal obstruction. Methods and Results. A four-year retrospective review of the Medical Archival System was performed and identified 16 patients. The average age was 70.8 years, of which 56% were females. The most common cause of obstruction was colon cancer (9/16, 56%). Rectosigmoid was the main site of obstruction (9/16) and complete obstruction occurred in 31% of cases. The overall technical and clinical success rates were 100% and 87%, respectively. There were no immediate complications (<24 hours), but stent stenosis due to kinking occurred within one week of stent placement in 2 patients. Stent migration occurred in 2 patients at 34 and 91 days, respectively. There were no perforations or bleeding complications. Conclusion. Large diameter SEMS provide a safe method for palliation or as a bridge to therapy in patients with malignant colonic obstruction with high technical success and very low complication rates.http://dx.doi.org/10.1155/2014/138724 |
| spellingShingle | Mahesh Gajendran Chandraprakash Umapathy John Nasr Andres Gelrud Clinical Outcomes of Colonic Stent in a Tertiary Care Center Gastroenterology Research and Practice |
| title | Clinical Outcomes of Colonic Stent in a Tertiary Care Center |
| title_full | Clinical Outcomes of Colonic Stent in a Tertiary Care Center |
| title_fullStr | Clinical Outcomes of Colonic Stent in a Tertiary Care Center |
| title_full_unstemmed | Clinical Outcomes of Colonic Stent in a Tertiary Care Center |
| title_short | Clinical Outcomes of Colonic Stent in a Tertiary Care Center |
| title_sort | clinical outcomes of colonic stent in a tertiary care center |
| url | http://dx.doi.org/10.1155/2014/138724 |
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