Acute colonic obstruction: clinical aspects and cost-effectiveness of preoperative and palliative treatment with self-expanding metallic stents--a preliminary report

Radiology
C A BinkertC L Zollikofer

Abstract

Evaluation of clinical aspects and cost-effectiveness of use of self-expanding metallic stents in the treatment of acute colonic obstruction as either a preoperative procedure or palliation. Thirteen consecutive patients, aged 49-83 years (mean, 67 years), with clinical and radiologic signs of colonic obstruction were treated as a preoperative procedure in 10 patients and as a palliative treatment in three. A total of 16 self-expanding metallic stents (diameter, 16 mm; length fully expanded, 56 mm) were implanted with combined fluoroscopic and endoscopic guidance. The costs (hospitalization, intensive care unit, stent placement, and surgery) were compared with costs for 13 surgically treated patients at the same hospital. Stent placement was successful in 12 of the 13 patients; all recovered from mechanical obstruction, and single-stage surgery was possible in eight of nine patients treated preoperatively. One very narrow stenosis could not be passed. Dysfunction occurred in two long stenoses after 5 days with reocclusion 2 and 6 weeks, respectively, after stent placement. A cost reduction of 19.7% was observed as a result of shorter hospitalization and a lower complication rate. In patients with colon cancer in the preoperativ...Continue Reading

Citations

Sep 1, 2004·Seminars in Interventional Radiology·Miguel Angel de GregorioHoracio D'Agostino
Jun 9, 2009·Clinical Interventions in Aging·Konstantinos KatsanosAndreas Adam
Mar 16, 2013·World Journal of Gastrointestinal Surgery·Pierfrancesco BonfanteRomolo Briglia
Aug 9, 2013·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Henry J LujanRoberto Fogel
Dec 12, 2013·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·Roberto Di MitriAntonino Marino
May 30, 2014·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Kohei ShigetaKiyoshi Kubochi
Feb 5, 2011·American Journal of Clinical Oncology·Yoshitaka InabaUNKNOWN Japan Interventional Radiology in Oncology Study Group
Sep 22, 2000·Current Gastroenterology Reports·D G Adler, T H Baron
Sep 14, 2002·Current Gastroenterology Reports·Patrick H D Colquhoun, Steven D Wexner
Jul 6, 2000·AJR. American Journal of Roentgenology·T E VellingF J Brennan
Sep 1, 2007·Current Opinion in Gastroenterology·James J Farrell
Jan 6, 2009·Current Opinion in Gastroenterology·Alexander A Dekovich
May 26, 2005·Current Treatment Options in Gastroenterology·Douglas G Adler
Aug 21, 2009·Digestive Diseases and Sciences·Roopa VemulapalliAli A Siddiqui
Mar 3, 2004·Diseases of the Colon and Rectum·Søren MeisnerPeer Wille-Jørgensen
Jul 18, 2002·ANZ Journal of Surgery·John I VrazasIan Faragher
May 17, 2007·Abdominal Imaging·Rahul Dharmadhikari, Colin Nice
Jan 27, 2005·Gastrointestinal Endoscopy·Raquel E DavilaUNKNOWN ASGE
Aug 22, 2001·American Journal of Surgery·G J HarrisV W Fazio
Sep 15, 2000·The Surgical Clinics of North America·D N Reed, G C Vitale
Feb 15, 2001·Cardiovascular and Interventional Radiology·H Gómez HerreroR Lobato Fernández
May 24, 2006·Cardiovascular and Interventional Radiology·Zaheer SheraziMiran Patel
Jan 18, 2007·Cardiovascular and Interventional Radiology·Rahel S JostChristoph L Zollikofer
Dec 4, 2010·Cardiovascular and Interventional Radiology·Konstantinos KatsanosAndreas Adam
Oct 12, 2010·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Arundhati Datye, Jeff Hersh
Dec 28, 2006·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Alessandro RepiciAlberto Malesci
Jul 19, 2011·Gastrointestinal Endoscopy·Shyam VaradarajuluSarah Rodriguez
Jun 21, 2011·Gastrointestinal Endoscopy Clinics of North America·Alessandro Repici, Daniel de Paula Pessoa Ferreira

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