Chinese Journal of Modern Operative Surgery  2018, Vol. 22 Issue (1): 1-5 DOI: 10.16260/j.cnki.1009-2188.2017.03.001 |
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| The Clinical Analysis of Colon Self-expanding Metal Stents without Fluoroscopic Monitoring for theTransitional Treatment of Acute Obstruction in Colorectal Cancer Patients |
| LIU Qi,LU Tai-liang,DONG Hong-yu,FANG Zhi-xue,HUANG Xing,WU Jun-jie,HUANG Zhong-cheng
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| Department?of?Colorectal?and?Anus?Surgery,Hunan?Province?People's?Hospital,Changsha?410005,Hunan,China |
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Abstract ?Objective?To evaluate the efficacy and safety of colonoscopy guided placement of self-expanding metallic stents (SEMS) without fluoroscopic monitoring in the emergence management for acute malignant colorectal obstruction.Methods?Clinicaldata of 63 patients undergoing colonoscopy guided placement of self-expanding metallic stents without fluoroscopic monitoring for acute malignant colorectal obstruction between March,2014 and December,2017 were reviewed retrospectively.Results?The obstruction was located in the ascending colon andhepatic flexure(n=1),transverse colonic carcinoma(n=2),splenic flexure(n=6),descending colon(n=9),sigmoid(n=29),rectosigmoid junction and rectum(n=16) .Technical success was achieved in all the 63 patients (100%).Mean time of operation was (12.3±4.6)min(range,5～35min).One patientdied on the firstday after operation because of severe infection with electrolyte acid-base balancedisorder.The rest patients received liquiddiet on the secondday after operation,and the clinical symptoms were completely relieved within 2～4days.Colorectal cancer radical surgery was performed 2～3 weeks after the colon self-expanding metal stenting.Conclusions?Colonoscopy-guided placement of self-expandable metallic stents without fluoroscopic monitoring in emergence management for acute malignant colorectal obstruction is effective and safe.It is a useful transitional treatment for acute obstructive colorectal cancer from emergency operation to limited operation.
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Published: 13 August 2018
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Corresponding Authors:
LIU Qi
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