Document Detail


Endoscopic placement of self-expanding metal stents for treatment of colorectal obstruction with long-term follow-up.
MedLine Citation:
PMID:  10913989     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: Relief of colorectal obstruction by means of self-expandable metal mesh stents (SEMS) has been suggested for palliation and acute decompression followed by optimization of the patients' general condition prior to definitive surgery. METHODOLOGY: Twelve patients with high operative risk and/or metastatic disease were selected for stenting with a dedicated colorectal partly covered SEMS (Choo Colo-Rectal Stent, Solco Intermed Co., Seoul, Korea). RESULTS: Stent deployment was successful in nine, two of whom had total obstruction. In one a guidewire perforation was treated conservatively. In two patients (one benign stricture, and one rectal cancer) the stents migrated within three weeks. One re-obstructed. In the remaining six patients colonic decompression was achieved, and the stents have been patent until death after median 116 days (33-292 days). CONCLUSION: These results are promising, but data from several centres should be compiled prospectively in a standardized fashion in order to allow for assessment of the method's safety and success rates before randomised trials can be initiated.
Authors:
S Adamsen; J Holm; S Meisner; P Møller; L P Naver; F West; P A Wille-Jørgensen
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Danish medical bulletin     Volume:  47     ISSN:  0907-8916     ISO Abbreviation:  Dan Med Bull     Publication Date:  2000 Jun 
Date Detail:
Created Date:  2000-11-02     Completed Date:  2000-11-30     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0066040     Medline TA:  Dan Med Bull     Country:  DENMARK    
Other Details:
Languages:  eng     Pagination:  225-7     Citation Subset:  IM    
Affiliation:
H:S Bispebjerg Hospital, København. sa07@bbh.hosp.dk
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Coated Materials, Biocompatible*
Colonic Diseases / radiography,  surgery*
Colonoscopy*
Female
Fluoroscopy
Follow-Up Studies
Humans
Intestinal Obstruction / radiography,  surgery*
Male
Metals*
Middle Aged
Prospective Studies
Prosthesis Design
Prosthesis Implantation / instrumentation
Rectal Diseases / radiography,  surgery*
Stents*
Chemical
Reg. No./Substance:
0/Coated Materials, Biocompatible; 0/Metals

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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