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Clinical outcomes following secondary self-expandable metal stent (SEMS) insertion due to previous stent migration in malignant colorectal obstruction

DC FieldValueLanguage
dc.contributor.author김태일-
dc.contributor.author박수정-
dc.contributor.author이현정-
dc.contributor.author장희원-
dc.contributor.author천재희-
dc.contributor.author최아라-
dc.contributor.author홍성필-
dc.contributor.author김원호-
dc.date.accessioned2014-12-18T09:06:29Z-
dc.date.available2014-12-18T09:06:29Z-
dc.date.issued2013-
dc.identifier.issn0930-2794-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/87548-
dc.description.abstractBACKGROUND: There has been no research on the clinical outcomes of secondary self-expandable metal stent (SEMS) placement after initial stent migration. Therefore, this study aimed to assess the clinical outcomes of secondary SEMS placement after initial stent migration compared to the outcomes of secondary SEMS placement done for reasons other than migration and identify factors predictive of long-term outcomes. METHODS: Between January 2005 and February 2011, a total of 422 patients underwent SEMS insertion for malignant colorectal obstruction at Severance Hospital. Of these, there were 98 cases of secondary SEMS placement, 38 of which were due to previous stent migration. We compared the clinical outcomes of secondary SEMS between stent migration and nonmigration groups. We also sought to identify risk factors for long-term outcomes of secondary SEMS after initial stent migration. RESULTS: The baseline clinical characteristics were similar between the two groups. The technical and clinical success rates of secondary SEMS insertion in the migration and nonmigration groups were 94.7% and 83.3% (p = 0.09) and 73.7% and 53.3% (p = 0.122), respectively. In the migration group, sustained clinical success after secondary SEMS was associated with the absence of complications after insertion of the first stent (p < 0.001) and a longer time interval (more than 100 days) between the first and second stent insertion (p = 0.011). CONCLUSIONS: Our data showed that secondary colorectal SEMS after stent migration is safe and effective. Moreover, the sustained clinical success of the secondary stent following migration was dependent on the outcomes of the first stent.-
dc.description.statementOfResponsibilityopen-
dc.relation.isPartOfSurgical Endoscopy -
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHAged, 80 and over-
dc.subject.MESHColorectal Neoplasms/complications*-
dc.subject.MESHFemale-
dc.subject.MESHForeign-Body Migration/therapy*-
dc.subject.MESHHumans-
dc.subject.MESHIntestinal Obstruction/etiology*-
dc.subject.MESHIntestinal Obstruction/therapy*-
dc.subject.MESHMale-
dc.subject.MESHMetals-
dc.subject.MESHMiddle Aged-
dc.subject.MESHRetreatment-
dc.subject.MESHStents*-
dc.subject.MESHTreatment Outcome-
dc.titleClinical outcomes following secondary self-expandable metal stent (SEMS) insertion due to previous stent migration in malignant colorectal obstruction-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Internal Medicine (내과학)-
dc.contributor.googleauthorA. Ra Choi-
dc.contributor.googleauthorJin Young Yoon-
dc.contributor.googleauthorHyun Jung Lee-
dc.contributor.googleauthorHui Won Jang-
dc.contributor.googleauthorSoo Jung Park-
dc.contributor.googleauthorSung Pil Hong-
dc.contributor.googleauthorTae Il Kim-
dc.contributor.googleauthorWon Ho Kim-
dc.contributor.googleauthorJae Hee Cheon-
dc.identifier.doi10.1007/s00464-013-2907-6-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA01079-
dc.contributor.localIdA03499-
dc.contributor.localIdA04104-
dc.contributor.localIdA04404-
dc.contributor.localIdA00774-
dc.contributor.localIdA03295-
dc.contributor.localIdA01539-
dc.contributor.localIdA04030-
dc.relation.journalcodeJ02703-
dc.identifier.pmid23519493-
dc.identifier.urlhttp://link.springer.com/article/10.1007%2Fs00464-013-2907-6-
dc.subject.keywordAdult-
dc.subject.keywordAged-
dc.subject.keywordAged, 80 and over-
dc.subject.keywordColorectal Neoplasms/complications*-
dc.subject.keywordFemale-
dc.subject.keywordForeign-Body Migration/therapy*-
dc.subject.keywordHumans-
dc.subject.keywordIntestinal Obstruction/etiology*-
dc.subject.keywordIntestinal Obstruction/therapy*-
dc.subject.keywordMale-
dc.subject.keywordMetals-
dc.subject.keywordMiddle Aged-
dc.subject.keywordRetreatment-
dc.subject.keywordStents*-
dc.subject.keywordTreatment Outcome-
dc.contributor.alternativeNameKim, Tae Il-
dc.contributor.alternativeNamePark, Soo Jung-
dc.contributor.alternativeNameLee, Hyun Jung-
dc.contributor.alternativeNameJang, Hui Won-
dc.contributor.alternativeNameCheon, Jae Hee-
dc.contributor.alternativeNameChoi, A Ra-
dc.contributor.alternativeNameHong, Sung Pil-
dc.contributor.alternativeNameKim, Won Ho-
dc.contributor.affiliatedAuthorKim, Tae Il-
dc.contributor.affiliatedAuthorJang, Hui Won-
dc.contributor.affiliatedAuthorChoi, A Ra-
dc.contributor.affiliatedAuthorHong, Sung Pil-
dc.contributor.affiliatedAuthorKim, Won Ho-
dc.contributor.affiliatedAuthorLee, Hyun Jung-
dc.contributor.affiliatedAuthorPark, Soo Jung-
dc.contributor.affiliatedAuthorCheon, Jae Hee-
dc.rights.accessRightsnot free-
dc.citation.volume27-
dc.citation.number9-
dc.citation.startPage3288-
dc.citation.endPage3296-
dc.identifier.bibliographicCitationSurgical Endoscopy , Vol.27(9) : 3288-3296, 2013-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
7. Others (기타) > Dept. of Health Promotion (건강의학과) > 1. Journal Papers

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