TITLE

Pooled Analysis of the Efficacy and Safety of Self-Expanding Metal Stenting in Malignant Colorectal Obstruction

AUTHOR(S)
Sebastian, Shaji; Johnston, Sean; Geoghegan, Tony; Torreggiani, William; Buckley, Martin
PUB. DATE
October 2004
SOURCE
American Journal of Gastroenterology;Oct2004, Vol. 99 Issue 10, p2051
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
BACKGROUND: Self-expanding metal stents have been used in the management of colorectal obstruction as an alternative to emergency surgery. Our aim was to systematically review the efficacy and safety of these stents in the setting of malignant colorectal obstruction.METHODS: Both English and foreign language reports were identified from Medline, Embase, Cancerlit, Science Citation Index, Cochrane Library, and proceedings of relevant meetings. Data were collected on technical success, clinical success, and safety parameters.RESULTS: Fifty-four studies reported the use of stents in a total of 1,198 patients. The median technical and clinical success rates were 94% (i.q.r. 90–100) and 91% (i.q.r. 84–94), respectively. The clinical success when used as a bridge to surgery was 71.7%. Major complications related to stent placement included perforation (3.76%), stent migration (11.81%), and reobstruction (7.34%). Factors related to an increased complication risk were identified. Stent-related mortality was 0.58%. Limited available data suggest that this approach may be cost effective in the preoperative setting.CONCLUSION: Placement of self-expanding metal stents is an effective and safe definitive procedure in the palliation of malignant colorectal obstruction. In operable patients, it provides a useful option to avoid colostomy, by facilitating safer single-stage surgery.
ACCESSION #
14816496

 

Related Articles

  • Endoskopische Palliation der malignen Magenausgangsstenose durch selbstexpandierbare Metallstents. El-Shabrawi, Azab; Cerwenka, Herwig; Bacher, Heinz; Schweiger, Josef; Kornprat, Peter; Mischinger, Hans-Jörg // Wiener Klinische Wochenschrift;2003, Vol. 115 Issue 23, p840 

    Introduction: Malignant gastric outlet stenosis is caused by tumour obstruction and restricts the oral intake of food, resulting in a seriously reduced quality of life. Endoscopic implantation of self expanding metal stents (SEMS) can clear stenosis in the Gl-tract and reestablish and preserve...

  • Implantation of a colorectal stent as a therapeutic approach in the treatment of esophageal leakage. Scharf, Jens-Gerd; Ramadori, Giuliano; Becker, Heinz; Muller, Annegret // BMC Gastroenterology;2007, Vol. 7, p10 

    Background: While the mortality of esophageal surgery has decreased due to technological advancements, there is still a complication rate of about 30%. One of the main complications is the anastomotic leakage associated with a significant rate of morbidity and mortality. To close the leakage the...

  • An Unusual Complication of a Colonic Wallstent Unusual Complication of Colonic Wallstent. Low, Deborah E.; Panto, Philip N.; Hastings, Andrew G.; Nigam, Keshav // CardioVascular & Interventional Radiology;Jul/Aug2004, Vol. 27 Issue 4, p377 

    We report a case of delayed perforation of normal colonic wall by the wire tips of an enteral Wallstent, which had successfully been used to treat a malignant obstruction of the sigmoid colon. Perforation occurred 5 days following insertion and despite surgery, resulted in fatality. Though...

  • Expandable Metal Stents in Achalasia -- Is There a Role? Mukherjee, Sandeep; Kaplan, David S.; Parasher, Gulshan; Sipple, Michael S. // American Journal of Gastroenterology;Sep2000, Vol. 95 Issue 9, p2185 

    OBJECTIVE: Achalasia is treated with pneumatic dilation or myotomy, and botulinum toxin injections are occasionally used. We review our community's experience with expandable metal stents in six patients who failed medical treatment or were poor surgical candidates. METHODS: Eight stents were...

  • FDA panelist weighs in on DES controversy.  // Medical Device Daily;8/20/2007, Vol. 11 Issue 158, p3 

    The article highlights the views of Judah Weinberg, associate professor of medicine at Columbia University Medical Center, on drug-eluting stent. Weinberg said that the prevalence of meta-analyses and studies concerning stents scared patients and made them reject such treatment option. She...

  • Ä°leri Evre Özofagus Kanserli Hastaların Palyasyonunda Self-expanding Metal Stentlerin EtkinliÄŸi. TOYDEMİR, Toygar; ÇİPE, Gökhan; CELAYİR, Fevzi; YILDIRIM, Sadık; BAYKAN, Adil // Istanbul Medical Journal;2012, Vol. 13 Issue 4, p181 

    Objectives: The aim of this study was to evaluate the efficacy of self-expanding metallic stents (SEMS) in the palliative treatment of patients who have advanced stage esophageal cancer. Methods: Thirteen patients with advanced esophageal cancer treated with SEMS and who met the inclusion...

  • Comparison of stent placement and colostomy as palliative treatment for inoperable malignant colorectal obstruction. Tomiki, Y.; Watanabe, T.; Ishibiki, Y.; Tanaka, M.; Suda, S.; Yamamoto, T.; Sakamoto, K.; Kamano, T. // Surgical Endoscopy;Nov2004, Vol. 18 Issue 11, p1572 

    Background: Stent placement is a useful palliative treatment for inoperable acute malignant colorectal obstruction. However, data comparing stent placement with colostomy are scarce. Methods: We compared the clinical outcome of 18 patients who had stent placement and 17 patients who underwent...

  • Editor's choice.  // Surgical Products;Nov99, Vol. 19 Issue 1, p6 

    Recommends various surgical instruments. Includes profile analyzers from Nova Biomedical and Associated Bag Co.; Hypothermia monitor from Trademark Medical; Cordis Corp.'s CrossFlex LC Coronary Stent.

  • Stent Measurement and Inspection.  // Medical Device Technology;Oct2003, Vol. 14 Issue 8, p39 

    Studies stent measurement and inspection. Features and functions of stents; Advantages provided by microscopes in stent measurement and inspection; Functions of noncontact measuring systems.

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics