Cited 105 times in
Long-term outcome of palliative therapy for malignant colorectal obstruction in patients with unresectable metastatic colorectal cancers: endoscopic stenting versus surgery.
DC Field | Value | Language |
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dc.contributor.author | 김남규 | - |
dc.contributor.author | 김원호 | - |
dc.contributor.author | 김태일 | - |
dc.contributor.author | 민병소 | - |
dc.contributor.author | 이현정 | - |
dc.contributor.author | 천재희 | - |
dc.contributor.author | 홍성필 | - |
dc.date.accessioned | 2014-12-20T16:26:44Z | - |
dc.date.available | 2014-12-20T16:26:44Z | - |
dc.date.issued | 2011 | - |
dc.identifier.issn | 0016-5107 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/92729 | - |
dc.description.abstract | BACKGROUND: Self-expandable metal stents (SEMSs) provide a promising alternative for initial palliation of malignant bowel obstruction. However, data on the long-term outcomes of SEMSs are limited. OBJECTIVE: The aim of this study was to compare the long-term outcomes of endoscopic stenting with those of surgery for palliation in patients with incurable obstructive colorectal cancer. DESIGNS AND SETTING: A retrospective study. PATIENTS: From January 2000 to December 2008, patients with incurable obstructive colorectal cancer who were treated with SEMSs (n = 71) or palliative surgery (n = 73) were reviewed. INTERVENTIONS: SEMS placement by using through-the-endoscope methods or surgery. MAIN OUTCOME MEASUREMENTS: Success rates and complication rates. RESULTS: Early success rates in the SEMS group and those in the surgery group were not different (95.8% vs 100%, P = .12), and the SEMS group had fewer early complications than the surgery group (15.5% vs 32.9%, P = .015). Although the patency duration of the first stent in the SEMS group was shorter than that in the surgery group (P < .001), the median patency duration after a second stenting was comparable to that of the surgery group (P = .239). There were more late complications in the SEMS group than in the surgery group (P = .028), but the rates of major complications did not differ between the 2 groups (P = .074). LIMITATIONS: Retrospective and single-center study. CONCLUSIONS: SEMSs were not only an effective and acceptable therapy for initial palliation of malignant colorectal obstruction, but they also showed long-term efficacy comparable to that with surgery. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 535~542 | - |
dc.relation.isPartOf | GASTROINTESTINAL ENDOSCOPY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Aged, 80 and over | - |
dc.subject.MESH | Colon/pathology | - |
dc.subject.MESH | Colon/surgery | - |
dc.subject.MESH | Colorectal Neoplasms/complications | - |
dc.subject.MESH | Colorectal Neoplasms/mortality | - |
dc.subject.MESH | Colorectal Neoplasms/pathology* | - |
dc.subject.MESH | Disease-Free Survival | - |
dc.subject.MESH | Endoscopy, Gastrointestinal/adverse effects* | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Intestinal Obstruction/etiology | - |
dc.subject.MESH | Intestinal Obstruction/surgery* | - |
dc.subject.MESH | Kaplan-Meier Estimate | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Palliative Care/methods* | - |
dc.subject.MESH | Postoperative Complications* | - |
dc.subject.MESH | Proportional Hazards Models | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Stents/adverse effects* | - |
dc.subject.MESH | Survival Rate | - |
dc.subject.MESH | Time | - |
dc.subject.MESH | Treatment Outcome | - |
dc.title | Long-term outcome of palliative therapy for malignant colorectal obstruction in patients with unresectable metastatic colorectal cancers: endoscopic stenting versus surgery. | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Internal Medicine (내과학) | - |
dc.contributor.googleauthor | Hyun Jung Lee | - |
dc.contributor.googleauthor | Sung Pil Hong | - |
dc.contributor.googleauthor | Jae Hee Cheon | - |
dc.contributor.googleauthor | Tae Il Kim | - |
dc.contributor.googleauthor | Byung So Min | - |
dc.contributor.googleauthor | Nam Kyu Kim | - |
dc.contributor.googleauthor | Won Ho Kim | - |
dc.identifier.doi | 10.1016/j.gie.2010.10.052 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A00353 | - |
dc.contributor.localId | A00774 | - |
dc.contributor.localId | A01079 | - |
dc.contributor.localId | A01402 | - |
dc.contributor.localId | A04404 | - |
dc.contributor.localId | A04030 | - |
dc.contributor.localId | A03295 | - |
dc.relation.journalcode | J00920 | - |
dc.identifier.eissn | 1097-6779 | - |
dc.identifier.pmid | 21257165 | - |
dc.identifier.url | http://www.sciencedirect.com/science/article/pii/S0016510710023023 | - |
dc.contributor.alternativeName | Kim, Nam Kyu | - |
dc.contributor.alternativeName | Kim, Won Ho | - |
dc.contributor.alternativeName | Kim, Tae Il | - |
dc.contributor.alternativeName | Min, Byung Soh | - |
dc.contributor.alternativeName | Lee, Hyun Jung | - |
dc.contributor.alternativeName | Cheon, Jae Hee | - |
dc.contributor.alternativeName | Hong, Sung Pil | - |
dc.contributor.affiliatedAuthor | Kim, Nam Kyu | - |
dc.contributor.affiliatedAuthor | Kim, Won Ho | - |
dc.contributor.affiliatedAuthor | Kim, Tae Il | - |
dc.contributor.affiliatedAuthor | Min, Byung Soh | - |
dc.contributor.affiliatedAuthor | Hong, Sung Pil | - |
dc.contributor.affiliatedAuthor | Cheon, Jae Hee | - |
dc.contributor.affiliatedAuthor | Lee, Hyun Jung | - |
dc.rights.accessRights | not free | - |
dc.citation.volume | 73 | - |
dc.citation.number | 3 | - |
dc.citation.startPage | 535 | - |
dc.citation.endPage | 542 | - |
dc.identifier.bibliographicCitation | GASTROINTESTINAL ENDOSCOPY, Vol.73(3) : 535-542, 2011 | - |
dc.identifier.rimsid | 28723 | - |
dc.type.rims | ART | - |
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