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Clinical outcomes of metallic stent insertion for obstructive colorectal cancer

 Seung Hyuk Baik  ;  Nam Kyu Kim  ;  Hyung Won Cho  ;  Kang Young Lee  ;  Seung Kook Sohn  ;  Chang Hwan Cho  ;  Tae Il Kim  ;  Won Ho Kim 
 HEPATO-GASTROENTEROLOGY, Vol.53(68) : 183-187, 2006 
Journal Title
Issue Date
Adult ; Aged ; Alloys ; Colorectal Neoplasms/complications* ; Colorectal Neoplasms/surgery ; Colostomy* ; Emergency Service, Hospital ; Female ; Humans ; Intestinal Obstruction/etiology ; Intestinal Obstruction/surgery* ; Male ; Middle Aged ; Prosthesis Implantation* ; Retrospective Studies ; Stainless Steel ; Stents* ; Treatment Outcome
BACKGROUND/AIMS: As the treatment of acute malignant obstruction of the left colon, self-expandable metallic stent insertion has been clinically used with good results. The aim of this study is to analyze the outcome of planned operation after stent insertion for obstructive colorectal cancer. METHODOLOGY: From 2000 to 2003, among 37 patients treated for obstructive colorectal cancer, we compared hospital days and complications between Group A (n=18) and Group B (n=19). Group A included the patients who underwent planned operation after stent insertion and Group B included the patients who underwent planned operation after emergency temporary colostomy formation. RESULTS: In Group A, complications after stent insertion were perforation with abscess formation (n=1) and stent migration (n=2). Complications after definitive operation were not observed. In Group B, complications after temporary colostomy involed stoma site wound infection (n=2). Complications after definitive surgery were as follows: anastomotic leakage (n=1), pneumonia with acute renal failure (n= 1), wound infection (n=2). In group A and group B, hospital day after decompressive procedure was 5+/-4.0 days (range, 1-16 days) vs. 14+/-4.7 days (range, 7-27 days) (P=0.000). Hospital day after definitive operation was 11+/-4.0 days (range 8-22 days) vs. 16+/-9.2 days (range 10-41 days) (P=0.002). CONCLUSIONS: Because preoperative self-expandable metallic stent insertion for obstructive colorectal cancer had better postoperative results and shorter hospital days than emergent diverting colostomy, this procedure is a good "bridge to surgery".
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Nam Kyu(김남규) ORCID logo https://orcid.org/0000-0003-0639-5632
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
Baik, Seung Hyuk(백승혁) ORCID logo https://orcid.org/0000-0003-4183-2332
Sohn, Seung Kook(손승국)
Lee, Kang Young(이강영)
Cho, Chang Hwan(조장환)
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