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Vol. 28, No. 5-6, 2011
Issue release date: January 2012
Section title: Original Paper
Dig Surg 2011;28:367–371
(DOI:10.1159/000331421)

Low Morbidity and Mortality after Stenting for Malignant Bowel Obstruction

Driest J.J. · Zwaving H.H. · Ledeboer M. · Eeftinck Schattenkerk M. · Kuipers E.J. · ter Borg F.
Departments of aGastroenterology and Hepatology and bGastrointestinal Surgery, Deventer Hospital, Deventer, and cDepartment of Gastroenterology and Hepatology, Erasmus Medical Center, Rotterdam, The Netherlands

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Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: 12/23/2011
Accepted: 7/28/2011
Published online: 11/30/2011

Number of Print Pages: 5
Number of Figures: 2
Number of Tables: 3

ISSN: 0253-4886 (Print)
eISSN: 1421-9883 (Online)

For additional information: http://www.karger.com/DSU

Abstract

Background: The difference in mortality between emergency and elective surgery for malignant colonic obstruction is more than 5% in healthy patients below the age of 65 and increases with age to around 20%. Emergency surgery can be avoided by endoscopic placement of a self-expandable metal stent (SEMS). Aim: To evaluate the effectiveness and safety of SEMS as ‘bridge to surgery’. Method: Between January 2001 and July 2008, SEMS were placed for acute malignant colonic obstruction in 45 patients (median age 72 years, range 35–91). Results: The procedure was technically successful in 43 patients (94%) with resolution of obstructive symptoms within 48 h in 87% of the patients. No perforations occurred during the procedure or while awaiting surgery. Two (4%) patients required a second endoscopic procedure. All patients underwent a single-stage surgical procedure. Postoperative mortality was 2.2% (n = 1). Histology showed advanced colorectal cancer (T3–4N1–2M0–1) in 75% of the patients. Conclusion: SEMS placement is a safe and effective procedure as bridge to surgery in patients presenting with colonic obstruction due to colorectal malignancy. This procedure carries a risk of serious complications well below that of the reported difference in mortality between emergency an elective surgery.


Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: 12/23/2011
Accepted: 7/28/2011
Published online: 11/30/2011

Number of Print Pages: 5
Number of Figures: 2
Number of Tables: 3

ISSN: 0253-4886 (Print)
eISSN: 1421-9883 (Online)

For additional information: http://www.karger.com/DSU


Copyright / Drug Dosage

Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher or, in the case of photocopying, direct payment of a specified fee to the Copyright Clearance Center.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in goverment regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.

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