Safety and efficacy of endoscopic self-expandable metal stent implantation for malignant colonic obstruction
10.3969/j.issn.1007-1989.2016.03.020
- VernacularTitle:内镜下肠道金属支架治疗结直肠恶性梗阻的临床疗效
- Author:
Bin ZENG
;
Liang CHEN
;
Yong DAI
;
Guangsheng HU
;
Aijun LIAO
- Keywords:
colorectal cancer;
intestinal obstruction;
endoscopic metallic stent implantation
- From:
China Journal of Endoscopy
2016;22(3):88-91
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the safety and efficacy of endoscopic implantation of self-expandable metallic stent (SEMs) for malignant colorectal obstruction. Methods A total of 108 patients who had undergone endoscopic SEMs implantation for malignant colonic obstruction from January 2011 to May 2014 were enrolled. The clinical suc-cess rates and the complications were reviewed. Results The clinical success rates were 92.59%(100/108). Abdomi-nal pain, perforation and bleeding were the most common post-procedure complications, the rates of which were 16.67% (18/108), 7.41% (8/108), 6.48% (7/108), respectively. The abdominal pain in most patients was self-reliev-ing except for 6 patients with perforation of colon. Patients with perforation were cured by emergency surgery. The 7 patients developing bleeding recovered themselves. Conclusion The success rate of endoscopic SEMs implantation is satisfactory in the study. As a bridge to surgery or a palliative care method, endoscopic SEMs implantation is effec-tive and safe for malignant colorectal obstruction.
