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대장암에 의한 장 폐쇄 환자에서 자가팽창형 금속제 스텐트 삽입술의 효과에 대한 다기관 연구 - 응급수술군과의 비교를 통한 임상 효과 및 의료 경제학적 분석을 중심으로 -

Other Titles
 The Effect of Self-Expanding Metallic Stent Insertion for the Treatment ofMalignant Colorectal Obstruction 
Authors
 이기명  ;  김태일  ;  고봉민  ;  신성재  ;  김원호  ;  김진홍  ;  이문성  ;  김현수  ;  박영수  ;  이강문  ;  박종재  ;  진윤태 
Citation
 Korean Journal of Gastrointestinal Endoscopy (대한소화기내시경학회지), Vol.36(5) : 274-281, 2008 
Journal Title
 Korean Journal of Gastrointestinal Endoscopy (대한소화기내시경학회지) 
ISSN
 1225-7001 
Issue Date
2008
Keywords
Stent insertion ; Malignant obstruction ; Colon cancer
Abstract
BACKGROUND/AIMS: The aim of this study was to evaluate the clinical and cost effectiveness of the use of stent insertion for malignant colorectal obstruction as compared with performing emergency surgery. METHODS: We retrospectively reviewed the medical records of 201 patients. Malignant colorectal obstructions caused by a resectable tumor were treated with preoperative stenting followed by surgery (group A, n=55) or emergency surgery (group B, n=59). Malignant obstructions caused by an unresectable cancer were treated with palliative stenting (group C, n=58) or palliative emergency surgery (group D, n=29). RESULTS: The one-staged radical resection rate was significantly higher in group A patients than in group B patients (87.3% vs. 52.5%, p<0.05). Post-operative complications were more frequent in group A patients than in group B patients (9.1% vs. 32.2%, p<0.05). The admission period was significantly shorter for group A patients than for group B patients (25.0 days vs. 33.7 days, p<0.05). The medical cost was not different for group A and group B patients. Life-long stoma formation was necessary for 15.5% of group C patients and 69% of group D patients, respectively. The admission period was significantly shorter for group C patients than group D patients (10.5 days vs. 22.7 days, p<0.05). The medical cost was not different for group C and D patients. CONCLUSIONS: Stent insertion was an effective treatment modality for malignant colorectal obstruction.
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Won Ho(김원호) ORCID logo https://orcid.org/0000-0002-5682-9972
Kim, Tae Il(김태일) ORCID logo https://orcid.org/0000-0003-4807-890X
Kim, Hyun Soo(김현수)
Park, Young Soo(박영수)
Shin, Sung Jae(신성재)
Lee, Kee Myung(이기명)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/106252
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