Stent Use in Emergency Treatment of Malignant Colonic Obstruction

Yahya CELİK; Ozan Andac ERBİL

doi:https://doi.org/10.5455/umj.20190510021841

Makale detayları

Stent Use in Emergency Treatment of Malignant Colonic Obstruction

Yazarlar:

Yahya CELİK | Ozan Andac ERBİL

Yayıncı:

Kemal Türker ULUTAŞ

Dergi:

The Ulutas Medical Journal 2019 Vol.5 Issue 3, pp.189-193

Belge Tipi:

Makale

Yayın Tarihi:

6/2019

Belge Dili:

İngilizce

Document ID (Org No.):

2000802663

Sıklık:

Üç Aylık

eISSN:

2149-388X

pISSN:

2149-0430

DOI:

https://doi.org/10.5455/umj.20190510021841

Özet:

 

Background: In previous studies, the outcome of stent use in malignant colonic obstruction patients widely varies. We aim to present the outcome of our patients who have undergone colonic stenting in malignant colonic obstruction as a bridge or conservative therapy in line with the literature.  Materials and Method: We have retrospectively reviewed patient records in surgical endoscopy clinic of our hospital. The subjects were patients who had a diagnosis of colon malignancy between 2012-2018 and had undergone a self-expandable stent. Stenting was done as a bridge to surgery in resectable colorectal tumors or for palliation in colonic obstructions due to inoperable colorectal malign disease. Clinical success was defined as resolution of obstructive symptoms and immediate decompression of the bowels proven by the passage of stool and gas in 24 hr.   Results: Twenty patients were included in the study. 14  70%  patients were male, and 6  30%  female, mean age was 61.4±22.6 years. Right colon 1  5% , hepatic flexure 5  25% , splenic flexure 1  5% , sigmoid colon 7 35% , recto-sigmoid 2  10% , upper rectum 4  20%  stenting was performed in terms of location. In 11 of the patients  55% , the tumor was considered resectable. After the emergency condition of the patients was improved by stenting, they were ready for elective curative surgery. In nine  45%  patients, the tumor was unresectable. In these patients, stenting was ensued by oncologic follow-up. Stent migration after the procedure 3  15% , stent remaining at distal during the procedure 2  10% , re-obstruction after the procedure due to tumor invasion 2  10% , inadequate expansion of the stent 1 5%  and perforation 1  5%  were observed in patients.  Conclusion: Stenting as a bridge or conservative therapy in malignant colonic obstruction by skilled surgeon increases success rates of one-stage operation significantly and increases the quality of life by decreasing the rates of a permanent stoma and wound infections.

Makale detayları

Stent Use in Emergency Treatment of Malignant Colonic Obstruction

Yazarlar: Yahya CELİK | Ozan Andac ERBİL

Yayıncı: Kemal Türker ULUTAŞ

Dergi: The Ulutas Medical Journal 2019 Vol.5 Issue 3, pp.189-193

Belge Tipi: Makale

Yayın Tarihi: 6/2019

Belge Dili: İngilizce

Document ID (Org No.): 2000802663

Sıklık: Üç Aylık

eISSN: 2149-388X

pISSN: 2149-0430

DOI: https://doi.org/10.5455/umj.20190510021841

Sayı

Yazarlar:

Yahya CELİK | Ozan Andac ERBİL

Yayıncı:

Kemal Türker ULUTAŞ

Dergi:

The Ulutas Medical Journal 2019 Vol.5 Issue 3, pp.189-193

Belge Tipi:

Makale

Yayın Tarihi:

6/2019

Belge Dili:

İngilizce

Document ID (Org No.):

2000802663

Sıklık:

Üç Aylık

eISSN:

2149-388X

pISSN:

2149-0430

DOI:

https://doi.org/10.5455/umj.20190510021841