Stenting for malignant colonic obstruction
Background: Self-expandable metal stent placement for palliation of malignant colonic obstruction for colorectal cancer (CRC) is safe and efficacious. In contrast, outcomes of stent placement for extracolonic malignancy (ECM) are unclear. Objective: To compare the success and complication rates of c...
محفوظ في:
| المؤلف الرئيسي: | |
|---|---|
| مؤلفون آخرون: | , , , , |
| التنسيق: | article |
| منشور في: |
2009
|
| الوصول للمادة أونلاين: | http://hdl.handle.net/10725/4107 http://dx.doi.org/10.1016/j.gie.2008.09.009 http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php http://www.giejournal.org/article/S0016-5107(08)02590-X/abstract |
| الوسوم: |
إضافة وسم
لا توجد وسوم, كن أول من يضع وسما على هذه التسجيلة!
|
| _version_ | 1864513462866018304 |
|---|---|
| author | Azar, Riad |
| author2 | Keswani, Rajesh N. Edmundowicz, Steven A. Zhang, Qin Ammar, Tarek Banerjee, Bhaskar |
| author2_role | author author author author author |
| author_facet | Azar, Riad Keswani, Rajesh N. Edmundowicz, Steven A. Zhang, Qin Ammar, Tarek Banerjee, Bhaskar |
| author_role | author |
| dc.creator.none.fl_str_mv | Azar, Riad Keswani, Rajesh N. Edmundowicz, Steven A. Zhang, Qin Ammar, Tarek Banerjee, Bhaskar |
| dc.date.none.fl_str_mv | 2009 2016-06-20T09:52:49Z 2016-06-20T09:52:49Z 2016-06-20 |
| dc.identifier.none.fl_str_mv | 0016-5107 http://hdl.handle.net/10725/4107 http://dx.doi.org/10.1016/j.gie.2008.09.009 Keswani, R. N., Azar, R. R., Edmundowicz, S. A., Zhang, Q., Ammar, T., Banerjee, B., ... & Jonnalagadda, S. S. (2009). Stenting for malignant colonic obstruction: a comparison of efficacy and complications in colonic versus extracolonic malignancy. Gastrointestinal endoscopy, 69(3), 675-680. http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php http://www.giejournal.org/article/S0016-5107(08)02590-X/abstract |
| dc.language.none.fl_str_mv | en |
| dc.relation.none.fl_str_mv | Gastrointestinal Endoscopy |
| dc.rights.*.fl_str_mv | info:eu-repo/semantics/openAccess |
| dc.title.none.fl_str_mv | Stenting for malignant colonic obstruction a comparison of efficacy and complications in colonic versus extracolonic malignancy |
| dc.type.none.fl_str_mv | Article info:eu-repo/semantics/publishedVersion info:eu-repo/semantics/article |
| description | Background: Self-expandable metal stent placement for palliation of malignant colonic obstruction for colorectal cancer (CRC) is safe and efficacious. In contrast, outcomes of stent placement for extracolonic malignancy (ECM) are unclear. Objective: To compare the success and complication rates of colorectal stenting in patients with CRC versus those with ECM. Design: Retrospective chart review. Setting: Tertiary-care academic medical center. Patients and Interventions: Between September 2000 and December 2007, all patients with malignant colon obstruction in whom endoscopy was performed with the intention of placing a colonic metal stent. Main Outcome Measurements: Technical and clinical success rates, surgical interventions, and procedure related complications. Results: Colonic stenting was performed for CRC in 34 patients and for ECM in 15 patients. Patients with CRC were more likely to have clinical success after all endoscopic therapy (94.1%) than those with ECM (20.0%) (P ! .0001). Surgical diversion to relieve persistent obstructive symptoms was required in significantly more patients with ECM. Five patients with ECM (33.3%) had at least one complication, including 2 deaths, compared with 3 patients with CRC (8.8%) (P Z .046). Only underlying ECM was predictive of failed colon stent placement by multivariate analysis (hazard ratio 21.0, P Z .0013). A history of radiation therapy was the sole predictor of complications (hazard ratio 7.8, P Z .048). Limitations: Single institution, retrospective analysis, relatively small sample size. Conclusions: Colon stenting for large-bowel obstruction from ECM is infrequently successful and is associated with a significantly higher risk of complications in comparison with patients with CRC. |
| eu_rights_str_mv | openAccess |
| format | article |
| id | LAURepo_bd0b097d4182fec814a9a44bb0476468 |
| identifier_str_mv | 0016-5107 Keswani, R. N., Azar, R. R., Edmundowicz, S. A., Zhang, Q., Ammar, T., Banerjee, B., ... & Jonnalagadda, S. S. (2009). Stenting for malignant colonic obstruction: a comparison of efficacy and complications in colonic versus extracolonic malignancy. Gastrointestinal endoscopy, 69(3), 675-680. |
| language_invalid_str_mv | en |
| network_acronym_str | LAURepo |
| network_name_str | Lebanese American University repository |
| oai_identifier_str | oai:laur.lau.edu.lb:10725/4107 |
| publishDate | 2009 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| spelling | Stenting for malignant colonic obstructiona comparison of efficacy and complications in colonic versus extracolonic malignancyAzar, RiadKeswani, Rajesh N.Edmundowicz, Steven A.Zhang, QinAmmar, TarekBanerjee, BhaskarBackground: Self-expandable metal stent placement for palliation of malignant colonic obstruction for colorectal cancer (CRC) is safe and efficacious. In contrast, outcomes of stent placement for extracolonic malignancy (ECM) are unclear. Objective: To compare the success and complication rates of colorectal stenting in patients with CRC versus those with ECM. Design: Retrospective chart review. Setting: Tertiary-care academic medical center. Patients and Interventions: Between September 2000 and December 2007, all patients with malignant colon obstruction in whom endoscopy was performed with the intention of placing a colonic metal stent. Main Outcome Measurements: Technical and clinical success rates, surgical interventions, and procedure related complications. Results: Colonic stenting was performed for CRC in 34 patients and for ECM in 15 patients. Patients with CRC were more likely to have clinical success after all endoscopic therapy (94.1%) than those with ECM (20.0%) (P ! .0001). Surgical diversion to relieve persistent obstructive symptoms was required in significantly more patients with ECM. Five patients with ECM (33.3%) had at least one complication, including 2 deaths, compared with 3 patients with CRC (8.8%) (P Z .046). Only underlying ECM was predictive of failed colon stent placement by multivariate analysis (hazard ratio 21.0, P Z .0013). A history of radiation therapy was the sole predictor of complications (hazard ratio 7.8, P Z .048). Limitations: Single institution, retrospective analysis, relatively small sample size. Conclusions: Colon stenting for large-bowel obstruction from ECM is infrequently successful and is associated with a significantly higher risk of complications in comparison with patients with CRC.PublishedN/A2016-06-20T09:52:49Z2016-06-20T09:52:49Z20092016-06-20Articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article0016-5107http://hdl.handle.net/10725/4107http://dx.doi.org/10.1016/j.gie.2008.09.009Keswani, R. N., Azar, R. R., Edmundowicz, S. A., Zhang, Q., Ammar, T., Banerjee, B., ... & Jonnalagadda, S. S. (2009). Stenting for malignant colonic obstruction: a comparison of efficacy and complications in colonic versus extracolonic malignancy. Gastrointestinal endoscopy, 69(3), 675-680.http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.phphttp://www.giejournal.org/article/S0016-5107(08)02590-X/abstractenGastrointestinal Endoscopyinfo:eu-repo/semantics/openAccessoai:laur.lau.edu.lb:10725/41072021-03-19T10:00:55Z |
| spellingShingle | Stenting for malignant colonic obstruction Azar, Riad |
| status_str | publishedVersion |
| title | Stenting for malignant colonic obstruction |
| title_full | Stenting for malignant colonic obstruction |
| title_fullStr | Stenting for malignant colonic obstruction |
| title_full_unstemmed | Stenting for malignant colonic obstruction |
| title_short | Stenting for malignant colonic obstruction |
| title_sort | Stenting for malignant colonic obstruction |
| url | http://hdl.handle.net/10725/4107 http://dx.doi.org/10.1016/j.gie.2008.09.009 http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php http://www.giejournal.org/article/S0016-5107(08)02590-X/abstract |