Emergence application of colonoscopic placement of self-expandable metal stent without fluoroscopic monitoring.
- Author:
Zheng LOU
1
;
En-da YU
;
Wei ZHANG
;
Lian-jie LIU
;
Li-qiang HAO
;
Han-tao WANG
;
Rong-gui MENG
;
Chuan-gang FU
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Aged; Aged, 80 and over; Colonoscopy; Colorectal Neoplasms; complications; Female; Humans; Intestinal Obstruction; etiology; therapy; Male; Middle Aged; Retrospective Studies; Stents
- From: Chinese Journal of Gastrointestinal Surgery 2013;16(4):363-366
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo evaluate the efficacy and safety of colonoscopy-guided placement of self-expandable metallic stent without fluoroscopic monitoring in the emergence management for acute malignant colorectal obstruction.
METHODSClinical data of 42 patients (24 males and 18 females with a mean age of 64.3 years) undergoing colonoscopy-guided placement of self-expandable metallic stents without fluoroscopic monitoring for acute malignant colorectal obstruction between January 2010 and June 2012 were reviewed retrospectively.
RESULTSThe obstruction was located in the rectum (n=19), sigmoid (n=9), descending colon (n=8), splenic flexure (n=1), hepatic flexure (n=3), and ascending colon (n=2). Technical success was achieved in all the 42 patients (100%). The mean time of operation was (11.8±10.4) min (range 1.1-51.0 min). No serious procedure-related complication occurred. Minor bleeding occurred in 3 cases (7.1%). One patient died on the second day after surgery because of heart failure.
CONCLUSIONSColonoscopy-guided placement of self-expandable metallic stents without fluoroscopic monitoring in emergence management for acute malignant colorectal obstruction is effective and safe with shorter operative time.
