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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 -
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 김원호 | - |
dc.contributor.author | 김태일 | - |
dc.contributor.author | 박영수 | - |
dc.contributor.author | 신성재 | - |
dc.contributor.author | 이기명 | - |
dc.date.accessioned | 2015-05-19T16:24:33Z | - |
dc.date.available | 2015-05-19T16:24:33Z | - |
dc.date.issued | 2008 | - |
dc.identifier.issn | 1225-7001 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/106252 | - |
dc.description.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. | - |
dc.description.statementOfResponsibility | open | - |
dc.format | application/pdf | - |
dc.relation.isPartOf | Korean Journal of Gastrointestinal Endoscopy (대한소화기내시경학회지) | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.title | 대장암에 의한 장 폐쇄 환자에서 자가팽창형 금속제 스텐트 삽입술의 효과에 대한 다기관 연구 - 응급수술군과의 비교를 통한 임상 효과 및 의료 경제학적 분석을 중심으로 - | - |
dc.title.alternative | The Effect of Self-Expanding Metallic Stent Insertion for the Treatment ofMalignant Colorectal Obstruction | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Internal Medicine (내과학) | - |
dc.contributor.googleauthor | 이기명 | - |
dc.contributor.googleauthor | 김태일 | - |
dc.contributor.googleauthor | 고봉민 | - |
dc.contributor.googleauthor | 신성재 | - |
dc.contributor.googleauthor | 김원호 | - |
dc.contributor.googleauthor | 김진홍 | - |
dc.contributor.googleauthor | 이문성 | - |
dc.contributor.googleauthor | 김현수 | - |
dc.contributor.googleauthor | 박영수 | - |
dc.contributor.googleauthor | 이강문 | - |
dc.contributor.googleauthor | 박종재 | - |
dc.contributor.googleauthor | 진윤태 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A00774 | - |
dc.contributor.localId | A01079 | - |
dc.contributor.localId | A01569 | - |
dc.contributor.localId | A02693 | - |
dc.contributor.localId | A01113 | - |
dc.contributor.localId | A02113 | - |
dc.relation.journalcode | J02016 | - |
dc.identifier.pmid | Stent insertion ; Malignant obstruction ; Colon cancer | - |
dc.subject.keyword | Stent insertion | - |
dc.subject.keyword | Malignant obstruction | - |
dc.subject.keyword | Colon cancer | - |
dc.contributor.alternativeName | Kim, Won Ho | - |
dc.contributor.alternativeName | Kim, Tae Il | - |
dc.contributor.alternativeName | Kim, Hyun Soo | - |
dc.contributor.alternativeName | Park, Young Soo | - |
dc.contributor.alternativeName | Shin, Sung Jae | - |
dc.contributor.alternativeName | Lee, Kee Myung | - |
dc.contributor.affiliatedAuthor | Kim, Won Ho | - |
dc.contributor.affiliatedAuthor | Kim, Tae Il | - |
dc.contributor.affiliatedAuthor | Park, Young Soo | - |
dc.contributor.affiliatedAuthor | Lee, Kee Myung | - |
dc.contributor.affiliatedAuthor | Kim, Hyun Soo | - |
dc.contributor.affiliatedAuthor | Shin, Sung Jae | - |
dc.rights.accessRights | free | - |
dc.citation.volume | 36 | - |
dc.citation.number | 5 | - |
dc.citation.startPage | 274 | - |
dc.citation.endPage | 281 | - |
dc.identifier.bibliographicCitation | Korean Journal of Gastrointestinal Endoscopy (대한소화기내시경학회지), Vol.36(5) : 274-281, 2008 | - |
dc.identifier.rimsid | 56310 | - |
dc.type.rims | ART | - |
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