Efficacy and safety of colonic stenting for malignant disease in the elderly

被引：35

作者：

Donnellan, Fergal ^{[1
]}

Cullen, Garret ^{[1
]}

Cagney, Daniel ^{[1
]}

O'Halloran, Phil ^{[1
]}

Harewood, Gavin C. ^{[1
]}

Murray, Frank E. ^{[1
]}

Patchett, Stephen E. ^{[1
]}

机构：

[1] Beaumont Hosp, Dept Gastroenterol, Dublin 9, Ireland

来源：

INTERNATIONAL JOURNAL OF COLORECTAL DISEASE | 2010年 / 25卷 / 06期

关键词：

Colon cancer; Endoscopic stenting; Elderly; OBSTRUCTIVE COLORECTAL-CANCER; METALLIC STENT; SURGERY; MANAGEMENT; BRIDGE;

D O I：

10.1007/s00384-010-0917-6

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Self-expandable metal stents (SEMS) are an accepted palliation for malignant colorectal obstruction. Outcomes of stent insertion solely in older patients are unknown. To compare outcomes of SEMS insertion for malignant colorectal disease, in older versus younger patients. Forty-three patients were retrospectively identified as having undergone SEMS insertion for obstructing colorectal cancer. Of these, 24 were a parts per thousand yenaEuro parts per thousand 70 years of age (older patient group) and 19 were < 70 years of age (younger patient group). There was no significant difference in successful SEMS insertion between the groups (88% in older versus 100% in younger patients, p > 0.05). Furthermore, the complication rate was similar in both groups (12.5% versus 26%, p > 0.10). There was no difference in median survival (113 days versus 135 days, p > 0.09). Colorectal stenting for malignant disease in older patients is both safe and effective with comparative success and complication rates to a younger population.

引用

页码：747 / 750

页数：4

共 13 条

[1] Colorectal stenting as an effective therapy for preoperative and palliative treatment of large bowel obstruction: 9 Years' experience [J].

Alcantara M. ;

Serra X. ;

Bombardó J. ;

Falcó J. ;

Perandreu J. ;

Ayguavives I. ;

Mora L. ;

Hernando R. ;

Navarro S. .

Techniques in Coloproctology, 2007, 11 (4) :316-322

[2]

[Anonymous], HLTH IRELAND KEY TRE

[3] Combination endo-radiological colorectal stenting: a prospective 5-year clinical evaluation [J].

Baraza, W. ;

Lee, F. ;

Brown, S. ;

Hurlstone, D. P. .

COLORECTAL DISEASE, 2008, 10 (09) :901-906

[4]

Dohmoto M., 1991, ENDOSCOPICA DIGESTIV, V3, P1507

[5] Systematic review of the efficacy and safety of colorectal stents [J].

Khot, UP ;

Lang, AW ;

Murali, K ;

Parker, MC .

BRITISH JOURNAL OF SURGERY, 2002, 89 (09) :1096-1102

[6] Fluoroscopically Guided Placement of Self-Expandable Metallic Stents and Stent-Grafts in the Treatment of Acute Malignant Colorectal Obstruction [J].

Kim, Honsoul ;

Kim, Seung Hyoung ;

Choi, Sun Young ;

Lee, Kwang-Hun ;

Won, Jong Yoon ;

Lee, Do Yun ;

Lee, Jong Tae .

JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 2008, 19 (12) :1709-1716

[7] Management of acute malignant large-bowel obstruction with self-expanding metal stent [J].

Mucci-Hennekinne, S. ;

Kervegant, A. G. ;

Regenet, N. ;

Beaulieu, A. ;

Barbieux, J. P. ;

Dehni, N. ;

Casa, C. ;

Arnaud, J. P. .

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2007, 21 (07) :1101-1103

[8] Self-expanding metallic stent as a bridge to surgery versus emergency resection for obstructing left-sided colorectal cancer: A case-matched study [J].

Ng, Ka Chun ;

Law, Wai Lun ;

Lee, Yee Man ;

Choi, Hok Kwok ;

Seto, Chi Leung ;

Ho, Judy W. C. .

JOURNAL OF GASTROINTESTINAL SURGERY, 2006, 10 (06) :798-803

[9] Long-term prognosis of preoperative "bridge to surgery" expandable metallic stent insertion for obstructive colorectal cancer - Comparison with emergency operation [J].

Saida, Y ;

Sumiyama, Y ;

Nagao, J ;

Uramatsu, M .

DISEASES OF THE COLON & RECTUM, 2003, 46 (10) :S44-S49

[10] Pooled analysis of the efficacy and safety of self-expanding metal stenting in malignant colorectal obstruction [J].

Sebastian, S ;

Johnston, S ;

Geoghegan, T ;

Torreggiani, W ;

Buckley, M .

AMERICAN JOURNAL OF GASTROENTEROLOGY, 2004, 99 (10) :2051-2057

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