Article

[Role of self-expanding stent in the treatment of obstructing colorectal cancer].

Service de chirurgie viscérale et vasculaire, hôpital d'instruction des armées Begin, 69, avenue de Paris, 94160 Saint-Mandé, France.
Journal de Chirurgie (impact factor: 0.5). 10/2009; 146(5):464-8. DOI:10.1016/j.jchir.2009.08.034 pp.464-8
Source: PubMed

ABSTRACT Obstruction due to colorectal cancer is a common occurrence. It often arises in patients in poor general condition with malnutrition and advanced tumor stage. Prognosis can be improved by prompt resolution of obstruction through a mininimally invasive approach.
To analyze the management of cases of acute colorectal obstruction and evaluate the efficacity and morbidity/mortality associated with the use of endocolic stent prostheses.
This retrospective study at a single center evaluated patients presenting with acute colorectal obstruction between January 2003 and May 2008, assessing the patient sample, cancer characteristics, treatment, and morbidity/mortality.
The mean age of the 26 patients was 75 years; ASA Class was greater than III in 63% of cases, The colorectal cancer was located in the sigmoid in 65% of cases and was a Stage IV tumor in 73% of cases. Placement of an endocolic stent was the primary intervention in 94% of patients. Morbidity was 12% and mortality was 4%.
Colonic stenting is an effective therapeutic option in the elderly with painful symptoms of obstruction and should be the initial approach.

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Keywords

26 patients
 
acute colorectal obstruction
 
ASA Class
 
cancer characteristics
 
Colonic stenting
 
effective therapeutic option
 
efficacity
 
endocolic stent
 
endocolic stent prostheses
 
initial approach
 
mean age
 
mininimally invasive approach
 
morbidity/mortality
 
obstruction
 
painful symptoms
 
poor general condition
 
primary intervention
 
single center
 
Stage IV tumor
 
tumor stage