Colonic acute malignant obstructions: effectiveness of self-expanding metallic stent as bridge to surgery
Bowel obstruction is a frequent event in patients with adenocarcinoma, affecting, in some series, almost one-third of the patients. In the last decades, in addition to surgery, self-expanding metallic stents (SEMSs) are available both as a bridge to surgery (BTS) or palliation. The aim of our study...
Gespeichert in:
| Veröffentlicht in: | The Turkish journal of gastroenterology 2017-01, Vol.28 (1), p.40-45 |
|---|---|
| Hauptverfasser: | , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 45 |
|---|---|
| container_issue | 1 |
| container_start_page | 40 |
| container_title | The Turkish journal of gastroenterology |
| container_volume | 28 |
| creator | Consolo, Pierluigi Giacobbe, Giuseppa Cintolo, Marcello Tortora, Andrea Famà, Fausto Gioffrè Florio, Maria Pallio, Socrate |
| description | Bowel obstruction is a frequent event in patients with adenocarcinoma, affecting, in some series, almost one-third of the patients. In the last decades, in addition to surgery, self-expanding metallic stents (SEMSs) are available both as a bridge to surgery (BTS) or palliation. The aim of our study was to demonstrate the safety and efficacy of the use of SEMSs as BTS in selected patients with acute colonic malignant obstructions.
In total, 125 patients with malignant colonic obstruction who underwent emergency surgery or stent insertion were retrospectively enrolled in our study; 62 patients underwent surgery initially, whereas 62 were subjected to stenting as BTS. The 6-month and 1-year survival rates after the procedure (stenting or surgery) and short-term and long-term complication rates were considered as primary endpoints; the recanalization rate after Hartmann's procedure and the length of hospitalization were considered as secondary endpoints.
On comparing the surgery group (SG) and the BTS group (BG), we observed a lower short-term complication rate (p |
| doi_str_mv | 10.5152/tjg.2016.0249 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_1852781805</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A508361846</galeid><sourcerecordid>A508361846</sourcerecordid><originalsourceid>FETCH-LOGICAL-c426t-5cac87c73c07ed2b616f01673039a6ead71adff6d88cd0d4600c828ae37504003</originalsourceid><addsrcrecordid>eNptkU2LHCEQhiVkyU52c8w1CLnk0pPS7lYnt2XIFyzksnsWR8vGpVsnaofsv1-H2QQCwUNJ8bxFFQ8hbxlsRzbyj_Vh2nJgYgt82L0gG84G1Y0C5EuyYT1AN-wGdUlel_IA0Csm-CtyyRWAFFJuSNinOcVgqbFrRbqYOUzRxErTodS82hpSLJ8oeo_t_wsjlkKTpwVn3-Hvo4kuxIkuWM08tzGlYgubQg85uAlpTbSsecL8eE0uvJkLvnmuV-T-y-e7_bfu9sfX7_ub284OXNRutMYqaWVvQaLjB8GEb-fJHvqdEWicZMZ5L5xS1oEbBIBVXBns5QhDO_GKfDjPPeb0c8VS9RKKxXk2EdNaNFMjl4opGBv6_oxOZkYdok81G3vC9c0IqhdMDaJR2_9Q7Tlcgk0RfWj9fwLdOWBzKiWj18ccFpMfNQN9kqabNH2Spk_SGv_ueeP1sKD7S_-x1D8BdSeSnA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1852781805</pqid></control><display><type>article</type><title>Colonic acute malignant obstructions: effectiveness of self-expanding metallic stent as bridge to surgery</title><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><creator>Consolo, Pierluigi ; Giacobbe, Giuseppa ; Cintolo, Marcello ; Tortora, Andrea ; Famà, Fausto ; Gioffrè Florio, Maria ; Pallio, Socrate</creator><creatorcontrib>Consolo, Pierluigi ; Giacobbe, Giuseppa ; Cintolo, Marcello ; Tortora, Andrea ; Famà, Fausto ; Gioffrè Florio, Maria ; Pallio, Socrate</creatorcontrib><description>Bowel obstruction is a frequent event in patients with adenocarcinoma, affecting, in some series, almost one-third of the patients. In the last decades, in addition to surgery, self-expanding metallic stents (SEMSs) are available both as a bridge to surgery (BTS) or palliation. The aim of our study was to demonstrate the safety and efficacy of the use of SEMSs as BTS in selected patients with acute colonic malignant obstructions.
In total, 125 patients with malignant colonic obstruction who underwent emergency surgery or stent insertion were retrospectively enrolled in our study; 62 patients underwent surgery initially, whereas 62 were subjected to stenting as BTS. The 6-month and 1-year survival rates after the procedure (stenting or surgery) and short-term and long-term complication rates were considered as primary endpoints; the recanalization rate after Hartmann's procedure and the length of hospitalization were considered as secondary endpoints.
On comparing the surgery group (SG) and the BTS group (BG), we observed a lower short-term complication rate (p<0.05) and a reduction in the mean hospital stay (16.1±7.7 vs. 13.5±3.0, p<0.05) in the latter. No differences in long-term complications were found. The recanalization rate after Hartmann's procedure was higher in BG than in SG, although this was not statistically significant.
Our experience shows that SEMS insertion is a safe and effective technique in selected patients with colonic malignant obstruction; the reduction in hospital stay and short-term complications in BG is an important cost-saving aim.</description><identifier>ISSN: 1300-4948</identifier><identifier>EISSN: 2148-5607</identifier><identifier>DOI: 10.5152/tjg.2016.0249</identifier><identifier>PMID: 28007677</identifier><language>eng</language><publisher>Turkey: AVES</publisher><subject>Adenocarcinoma - complications ; Adenocarcinoma - surgery ; Aged ; Aged, 80 and over ; Colectomy - adverse effects ; Colonic Neoplasms - complications ; Colonic Neoplasms - surgery ; Humans ; Intestinal Obstruction - etiology ; Intestinal Obstruction - therapy ; Intestines ; Length of Stay ; Middle Aged ; Obstructions ; Postoperative Complications ; Retrospective Studies ; Safety and security measures ; Self Expandable Metallic Stents - adverse effects ; Stent (Surgery) ; Survival Rate</subject><ispartof>The Turkish journal of gastroenterology, 2017-01, Vol.28 (1), p.40-45</ispartof><rights>COPYRIGHT 2017 AVES</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c426t-5cac87c73c07ed2b616f01673039a6ead71adff6d88cd0d4600c828ae37504003</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28007677$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Consolo, Pierluigi</creatorcontrib><creatorcontrib>Giacobbe, Giuseppa</creatorcontrib><creatorcontrib>Cintolo, Marcello</creatorcontrib><creatorcontrib>Tortora, Andrea</creatorcontrib><creatorcontrib>Famà, Fausto</creatorcontrib><creatorcontrib>Gioffrè Florio, Maria</creatorcontrib><creatorcontrib>Pallio, Socrate</creatorcontrib><title>Colonic acute malignant obstructions: effectiveness of self-expanding metallic stent as bridge to surgery</title><title>The Turkish journal of gastroenterology</title><addtitle>Turk J Gastroenterol</addtitle><description>Bowel obstruction is a frequent event in patients with adenocarcinoma, affecting, in some series, almost one-third of the patients. In the last decades, in addition to surgery, self-expanding metallic stents (SEMSs) are available both as a bridge to surgery (BTS) or palliation. The aim of our study was to demonstrate the safety and efficacy of the use of SEMSs as BTS in selected patients with acute colonic malignant obstructions.
In total, 125 patients with malignant colonic obstruction who underwent emergency surgery or stent insertion were retrospectively enrolled in our study; 62 patients underwent surgery initially, whereas 62 were subjected to stenting as BTS. The 6-month and 1-year survival rates after the procedure (stenting or surgery) and short-term and long-term complication rates were considered as primary endpoints; the recanalization rate after Hartmann's procedure and the length of hospitalization were considered as secondary endpoints.
On comparing the surgery group (SG) and the BTS group (BG), we observed a lower short-term complication rate (p<0.05) and a reduction in the mean hospital stay (16.1±7.7 vs. 13.5±3.0, p<0.05) in the latter. No differences in long-term complications were found. The recanalization rate after Hartmann's procedure was higher in BG than in SG, although this was not statistically significant.
Our experience shows that SEMS insertion is a safe and effective technique in selected patients with colonic malignant obstruction; the reduction in hospital stay and short-term complications in BG is an important cost-saving aim.</description><subject>Adenocarcinoma - complications</subject><subject>Adenocarcinoma - surgery</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Colectomy - adverse effects</subject><subject>Colonic Neoplasms - complications</subject><subject>Colonic Neoplasms - surgery</subject><subject>Humans</subject><subject>Intestinal Obstruction - etiology</subject><subject>Intestinal Obstruction - therapy</subject><subject>Intestines</subject><subject>Length of Stay</subject><subject>Middle Aged</subject><subject>Obstructions</subject><subject>Postoperative Complications</subject><subject>Retrospective Studies</subject><subject>Safety and security measures</subject><subject>Self Expandable Metallic Stents - adverse effects</subject><subject>Stent (Surgery)</subject><subject>Survival Rate</subject><issn>1300-4948</issn><issn>2148-5607</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptkU2LHCEQhiVkyU52c8w1CLnk0pPS7lYnt2XIFyzksnsWR8vGpVsnaofsv1-H2QQCwUNJ8bxFFQ8hbxlsRzbyj_Vh2nJgYgt82L0gG84G1Y0C5EuyYT1AN-wGdUlel_IA0Csm-CtyyRWAFFJuSNinOcVgqbFrRbqYOUzRxErTodS82hpSLJ8oeo_t_wsjlkKTpwVn3-Hvo4kuxIkuWM08tzGlYgubQg85uAlpTbSsecL8eE0uvJkLvnmuV-T-y-e7_bfu9sfX7_ub284OXNRutMYqaWVvQaLjB8GEb-fJHvqdEWicZMZ5L5xS1oEbBIBVXBns5QhDO_GKfDjPPeb0c8VS9RKKxXk2EdNaNFMjl4opGBv6_oxOZkYdok81G3vC9c0IqhdMDaJR2_9Q7Tlcgk0RfWj9fwLdOWBzKiWj18ccFpMfNQN9kqabNH2Spk_SGv_ueeP1sKD7S_-x1D8BdSeSnA</recordid><startdate>20170101</startdate><enddate>20170101</enddate><creator>Consolo, Pierluigi</creator><creator>Giacobbe, Giuseppa</creator><creator>Cintolo, Marcello</creator><creator>Tortora, Andrea</creator><creator>Famà, Fausto</creator><creator>Gioffrè Florio, Maria</creator><creator>Pallio, Socrate</creator><general>AVES</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20170101</creationdate><title>Colonic acute malignant obstructions: effectiveness of self-expanding metallic stent as bridge to surgery</title><author>Consolo, Pierluigi ; Giacobbe, Giuseppa ; Cintolo, Marcello ; Tortora, Andrea ; Famà, Fausto ; Gioffrè Florio, Maria ; Pallio, Socrate</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c426t-5cac87c73c07ed2b616f01673039a6ead71adff6d88cd0d4600c828ae37504003</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adenocarcinoma - complications</topic><topic>Adenocarcinoma - surgery</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Colectomy - adverse effects</topic><topic>Colonic Neoplasms - complications</topic><topic>Colonic Neoplasms - surgery</topic><topic>Humans</topic><topic>Intestinal Obstruction - etiology</topic><topic>Intestinal Obstruction - therapy</topic><topic>Intestines</topic><topic>Length of Stay</topic><topic>Middle Aged</topic><topic>Obstructions</topic><topic>Postoperative Complications</topic><topic>Retrospective Studies</topic><topic>Safety and security measures</topic><topic>Self Expandable Metallic Stents - adverse effects</topic><topic>Stent (Surgery)</topic><topic>Survival Rate</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Consolo, Pierluigi</creatorcontrib><creatorcontrib>Giacobbe, Giuseppa</creatorcontrib><creatorcontrib>Cintolo, Marcello</creatorcontrib><creatorcontrib>Tortora, Andrea</creatorcontrib><creatorcontrib>Famà, Fausto</creatorcontrib><creatorcontrib>Gioffrè Florio, Maria</creatorcontrib><creatorcontrib>Pallio, Socrate</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Turkish journal of gastroenterology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Consolo, Pierluigi</au><au>Giacobbe, Giuseppa</au><au>Cintolo, Marcello</au><au>Tortora, Andrea</au><au>Famà, Fausto</au><au>Gioffrè Florio, Maria</au><au>Pallio, Socrate</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Colonic acute malignant obstructions: effectiveness of self-expanding metallic stent as bridge to surgery</atitle><jtitle>The Turkish journal of gastroenterology</jtitle><addtitle>Turk J Gastroenterol</addtitle><date>2017-01-01</date><risdate>2017</risdate><volume>28</volume><issue>1</issue><spage>40</spage><epage>45</epage><pages>40-45</pages><issn>1300-4948</issn><eissn>2148-5607</eissn><abstract>Bowel obstruction is a frequent event in patients with adenocarcinoma, affecting, in some series, almost one-third of the patients. In the last decades, in addition to surgery, self-expanding metallic stents (SEMSs) are available both as a bridge to surgery (BTS) or palliation. The aim of our study was to demonstrate the safety and efficacy of the use of SEMSs as BTS in selected patients with acute colonic malignant obstructions.
In total, 125 patients with malignant colonic obstruction who underwent emergency surgery or stent insertion were retrospectively enrolled in our study; 62 patients underwent surgery initially, whereas 62 were subjected to stenting as BTS. The 6-month and 1-year survival rates after the procedure (stenting or surgery) and short-term and long-term complication rates were considered as primary endpoints; the recanalization rate after Hartmann's procedure and the length of hospitalization were considered as secondary endpoints.
On comparing the surgery group (SG) and the BTS group (BG), we observed a lower short-term complication rate (p<0.05) and a reduction in the mean hospital stay (16.1±7.7 vs. 13.5±3.0, p<0.05) in the latter. No differences in long-term complications were found. The recanalization rate after Hartmann's procedure was higher in BG than in SG, although this was not statistically significant.
Our experience shows that SEMS insertion is a safe and effective technique in selected patients with colonic malignant obstruction; the reduction in hospital stay and short-term complications in BG is an important cost-saving aim.</abstract><cop>Turkey</cop><pub>AVES</pub><pmid>28007677</pmid><doi>10.5152/tjg.2016.0249</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1300-4948 |
| ispartof | The Turkish journal of gastroenterology, 2017-01, Vol.28 (1), p.40-45 |
| issn | 1300-4948 2148-5607 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1852781805 |
| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Adenocarcinoma - complications Adenocarcinoma - surgery Aged Aged, 80 and over Colectomy - adverse effects Colonic Neoplasms - complications Colonic Neoplasms - surgery Humans Intestinal Obstruction - etiology Intestinal Obstruction - therapy Intestines Length of Stay Middle Aged Obstructions Postoperative Complications Retrospective Studies Safety and security measures Self Expandable Metallic Stents - adverse effects Stent (Surgery) Survival Rate |
| title | Colonic acute malignant obstructions: effectiveness of self-expanding metallic stent as bridge to surgery |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-28T18%3A28%3A45IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_proqu&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Colonic%20acute%20malignant%20obstructions:%20effectiveness%20of%20self-expanding%20metallic%20stent%20as%20bridge%20to%20surgery&rft.jtitle=The%20Turkish%20journal%20of%20gastroenterology&rft.au=Consolo,%20Pierluigi&rft.date=2017-01-01&rft.volume=28&rft.issue=1&rft.spage=40&rft.epage=45&rft.pages=40-45&rft.issn=1300-4948&rft.eissn=2148-5607&rft_id=info:doi/10.5152/tjg.2016.0249&rft_dat=%3Cgale_proqu%3EA508361846%3C/gale_proqu%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1852781805&rft_id=info:pmid/28007677&rft_galeid=A508361846&rfr_iscdi=true |