Skip to content
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Stenting as first-line management for all patients with nonperforating left-sided obstructing colorectal cancer
Colorectal Disease, Volume 15, No. 7, Year 2013
Notification
URL copied to clipboard!
Description
Aim: Since 2005, we have used self-expanding metal stents (SEMS) as primary treatment for all patients with left-sided obstructing colorectal cancer without evidence of perforation. The purpose of this study was to assess the safety and efficacy of this treatment. Method: This was a prospective study of consecutive patients with left-sided obstructing colorectal cancer without perforation or peritonitis treated between January 2005 and June 2009. SEMS placement was attempted in all cases. Emergency surgery was reserved for patients in whom a stent placement failed. After successful decompression, surgery was offered to patients with potentially curable disease. Results: Seventy-seven patients were included, with successful SEMS placement in 60/77 (78%) patients, 25 as a bridge to surgery and 35 for palliation. Immediate complications occurred in two (3%) cases. There was no mortality. Of 35 patients in whom SEMS was for palliation, 32 (91%) avoided surgery altogether. A stoma was fashioned in 5 (8.3%) of the 60 patients who were successfully stented, and in 12 (71%) of the 17 patients in whom stenting failed (P = 0.0001). Conclusion: A SEMS-based management protocol for patients with large bowel obstruction due to colorectal cancer is safe and effective. Colorectal Disease © 2013 The Association of Coloproctology of Great Britain and Ireland.
Authors & Co-Authors
Warden, Claire
South Africa, Observatory
Groote Schuur Hospital
Stupart, Douglas A.
Australia, Geelong
Geelong Hospital
Goldberg, Paul A.
South Africa, Observatory
Groote Schuur Hospital
South Africa, Cape Town
University of Cape Town
Statistics
Citations: 9
Authors: 3
Affiliations: 3
Identifiers
Doi:
10.1111/codi.12206
e-ISSN:
14631318
Research Areas
Cancer
Health System And Policy
Study Design
Cohort Study