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Clinical outcomes and factors related to colonic perforations in patients receiving self-expandable metal stent insertion for malignant colorectal obstruction.

DC FieldValueLanguage
dc.contributor.author김원호-
dc.contributor.author김지현-
dc.contributor.author김태일-
dc.contributor.author박수정-
dc.contributor.author박재준-
dc.contributor.author박효진-
dc.contributor.author윤영훈-
dc.contributor.author천재희-
dc.contributor.author김지현-
dc.contributor.author김태일-
dc.contributor.author박수정-
dc.contributor.author박재준-
dc.contributor.author박효진-
dc.contributor.author윤영훈-
dc.contributor.author천재희-
dc.date.accessioned2019-03-15T02:28:21Z-
dc.date.available2019-03-15T02:28:21Z-
dc.date.issued2018-
dc.identifier.issn0016-5107-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/167503-
dc.description.abstractBACKGROUND AND AIMS: Although colonic perforation is a dreadful adverse event associated with stent placement, data on this topic are sparse. We aimed to investigate the clinical outcomes of colonic perforation and factors related to its occurrence in patients who received self-expandable metal stents (SEMSs) for malignant colorectal obstruction. METHODS: We retrospectively reviewed the data of 474 patients with malignant colorectal obstruction who received endoscopic SEMS insertion from April 2004 to May 2011 in Severance Hospital and Gangnam Severance Hospital. Early perforation, defined as perforation occurring within 2 weeks, was assessed in bridge-to-surgery (n = 164) and palliative stent placement patient groups (n = 310). Delayed perforation was analyzed using data from the palliative stent placement group alone. RESULTS: The technical and clinical success rates were 90.5% and 81.0%, respectively. Early and delayed perforations occurred in 2.7% (13/474) and 2.7% (8/301) of patients, respectively. Among 21 patients with perforation, 14 (66.7%) received emergency surgery and 5 (23.8%) died within 30 days after perforation. Regarding the perforation-related factors, age ≥70 years (odds ratio, 3.276; 95% confidence interval [CI], 1.041-10.309) and sigmoid colonic location (odds ratio, 7.706; 95% CI, 1.681-35.317) were independently associated with occurrence of early perforation. Stent location in the flexure (hazard ratio, 17.573; 95% CI, 2.004-154.093) and absence of peritoneal carcinomatosis (hazard ratio, 6.139; 95% CI, 1.150-32.776) were significantly associated with delayed perforation. CONCLUSIONS: The perforation-related 30-day mortality rate was 23.8%. Older age and sigmoid colonic location were significantly associated with occurrence of early perforation, whereas flexure location and absence of peritoneal carcinomatosis were related to delayed perforation.-
dc.description.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherMosby Yearbook-
dc.relation.isPartOfGASTROINTESTINAL ENDOSCOPY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rightshttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAged-
dc.subject.MESHBile Duct Neoplasms/pathology-
dc.subject.MESHCarcinoma/complications*-
dc.subject.MESHCarcinoma/secondary-
dc.subject.MESHColonic Diseases/epidemiology*-
dc.subject.MESHColonic Diseases/surgery*-
dc.subject.MESHColonoscopy-
dc.subject.MESHColorectal Neoplasms/complications*-
dc.subject.MESHColorectal Neoplasms/secondary-
dc.subject.MESHEmergencies/epidemiology-
dc.subject.MESHFemale-
dc.subject.MESHGenital Neoplasms, Female/pathology-
dc.subject.MESHHumans-
dc.subject.MESHIntestinal Obstruction/etiology-
dc.subject.MESHIntestinal Obstruction/surgery*-
dc.subject.MESHIntestinal Perforation/epidemiology*-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHMultivariate Analysis-
dc.subject.MESHOdds Ratio-
dc.subject.MESHPancreatic Neoplasms/pathology-
dc.subject.MESHPeritoneal Neoplasms/epidemiology*-
dc.subject.MESHPeritoneal Neoplasms/secondary-
dc.subject.MESHPostoperative Complications/epidemiology*-
dc.subject.MESHProportional Hazards Models-
dc.subject.MESHRepublic of Korea/epidemiology-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHRisk Factors-
dc.subject.MESHSelf Expandable Metallic Stents*-
dc.subject.MESHStomach Neoplasms/pathology-
dc.titleClinical outcomes and factors related to colonic perforations in patients receiving self-expandable metal stent insertion for malignant colorectal obstruction.-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Internal Medicine (내과학교실)-
dc.contributor.googleauthorYoo Jin Lee-
dc.contributor.googleauthorJin Young Yoon-
dc.contributor.googleauthorJae Jun Park-
dc.contributor.googleauthorSoo Jung Park-
dc.contributor.googleauthorJie-Hyun Kim-
dc.contributor.googleauthorYoung Hoon Youn-
dc.contributor.googleauthorTae Il Kim-
dc.contributor.googleauthorHyojin Park-
dc.contributor.googleauthorWon Ho Kim-
dc.contributor.googleauthorJae Hee Cheon-
dc.identifier.doi10.1016/j.gie.2018.02.006-
dc.contributor.localIdA00774-
dc.contributor.localIdA00996-
dc.contributor.localIdA00996-
dc.contributor.localIdA01079-
dc.contributor.localIdA01079-
dc.contributor.localIdA01539-
dc.contributor.localIdA01539-
dc.contributor.localIdA01636-
dc.contributor.localIdA01636-
dc.contributor.localIdA01774-
dc.contributor.localIdA01774-
dc.contributor.localIdA02583-
dc.contributor.localIdA02583-
dc.contributor.localIdA04030-
dc.contributor.localIdA04030-
dc.contributor.localIdA00996-
dc.contributor.localIdA00996-
dc.contributor.localIdA01079-
dc.contributor.localIdA01079-
dc.contributor.localIdA01539-
dc.contributor.localIdA01539-
dc.contributor.localIdA01636-
dc.contributor.localIdA01636-
dc.contributor.localIdA01774-
dc.contributor.localIdA01774-
dc.contributor.localIdA02583-
dc.contributor.localIdA02583-
dc.contributor.localIdA04030-
dc.contributor.localIdA04030-
dc.relation.journalcodeJ00920-
dc.identifier.eissn1097-6779-
dc.identifier.pmid29452077-
dc.identifier.urlhttps://www.sciencedirect.com/science/article/pii/S0016510718301093-
dc.contributor.alternativeNameKim, Won Ho-
dc.contributor.affiliatedAuthor김원호-
dc.contributor.affiliatedAuthor김지현-
dc.contributor.affiliatedAuthor김지현-
dc.contributor.affiliatedAuthor김태일-
dc.contributor.affiliatedAuthor김태일-
dc.contributor.affiliatedAuthor박수정-
dc.contributor.affiliatedAuthor박수정-
dc.contributor.affiliatedAuthor박재준-
dc.contributor.affiliatedAuthor박재준-
dc.contributor.affiliatedAuthor박효진-
dc.contributor.affiliatedAuthor박효진-
dc.contributor.affiliatedAuthor윤영훈-
dc.contributor.affiliatedAuthor윤영훈-
dc.contributor.affiliatedAuthor천재희-
dc.contributor.affiliatedAuthor천재희-
dc.contributor.affiliatedAuthor김지현-
dc.contributor.affiliatedAuthor김지현-
dc.contributor.affiliatedAuthor김태일-
dc.contributor.affiliatedAuthor김태일-
dc.contributor.affiliatedAuthor박수정-
dc.contributor.affiliatedAuthor박수정-
dc.contributor.affiliatedAuthor박재준-
dc.contributor.affiliatedAuthor박재준-
dc.contributor.affiliatedAuthor박효진-
dc.contributor.affiliatedAuthor박효진-
dc.contributor.affiliatedAuthor윤영훈-
dc.contributor.affiliatedAuthor윤영훈-
dc.contributor.affiliatedAuthor천재희-
dc.contributor.affiliatedAuthor천재희-
dc.citation.volume87-
dc.citation.number6-
dc.citation.startPage1548-
dc.citation.endPage1557-
dc.identifier.bibliographicCitationGASTROINTESTINAL ENDOSCOPY, Vol.87(6) : 1548-1557, 2018-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers

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