Self expanding wall stents in malignant colorectal cancer: is complete obstruction a contraindication to stent placement?

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
G J A StenhouseA Macdonald

Abstract

Technical failures have previously been associated with complete clinical obstruction and complete block to the retrograde flow of gastrograffin is considered by some to be a contraindication to the procedure. We report on the technical and clinical success rates of self-expanding metallic stents (SEMS) in both complete and incomplete obstruction in a prospective series of malignant colorectal obstructions. A prospective study of all patients undergoing attempted palliative and bridge to surgery SEMS placement for malignant colorectal obstruction over a 7-year period (April 1999-October 2006) was undertaken. Seventy-two patients (49 males) with a mean age of 71 years (range 49-98) were included. Technical success was achieved in 27 of 32 patients (84%) with complete obstruction and 33 of 36 patients (92%) with incomplete obstruction, P < 0.46, Fishers exact test. Clinical success was achieved in 17 of 26 patients (65%) with complete obstruction and 24 of 33 patients (73%) with incomplete obstruction, P < 0.58, Fishers exact test. Although placed correctly in 89% cases, relief of symptoms occurred in only 71%, P = 0.002, matched pairs test. There were two colonic perforations in the series with one procedure related death. Place...Continue Reading

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Citations

Mar 22, 2014·Gastrointestinal Endoscopy·Emo E van HalsemaAlessandro Repici
Oct 27, 2015·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Yasoba Nayanapriya AtukoraleGuy J Maddern
Sep 28, 2014·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·G KöhlerK Emmanuel
Mar 10, 2018·Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society·Colette PickardAngus Macdonald
Apr 21, 2011·The American Journal of Hospice & Palliative Care·Elisabeth A Dolan
Nov 26, 2010·Gut and Liver·Jorge E Lopera, Miguel Angel De Gregorio
Oct 15, 2010·Expert Review of Anticancer Therapy·Frank SchwenterPascal Gervaz
Dec 12, 2020·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Joyce V VeldPieter J Tanis

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