Self-expanding Metallic Stent Placement as Conservative Treatment of Malignant Colorectal Obstruction: Efficacy and Safety

自擴張金屬支架作為惡性結腸直腸阻塞的保守治療：功效和安全

沈士權(Sim Shyh Chyuan) ； 顏旭亨(Hsu-Heng Yen) ； 黃玄遠(Xuan-Yuan Huang) ； 陳志誠(Zhi-Cheng Chen) ； 王愷晟(Kai-Chen Wang) ； 黃燈明(Ting-Ming Huang) ； 張譽耀(Yu-Yao Chang)

《中華民國大腸直腸外科醫學會雜誌》 28卷4期 (2017/12) Pp. 201-206

https://doi.org/10.6312/SCRSTW.2017.28(4).10618

摘要

Purpose. To assess the safety and efficacy of self-expanding metallic stent (SEMS) placement in the treatment of malignant colorectal obstruction. Methods. A retrospective chart review of 49 patients undergoing SEMS placement for conservative treatment between April 2013 and December 2016 at Changhua Christian Hospital was conducted. Results. Atotal of 49 patients received stents as conservative treatment. The technical and clinical success rates were 94% and 90%, respectively. Early major complications (8%) related to stent placement included perforation (2/49) and stent migration (2/49). Late complications (18%) were migration (3/49), re-obstruction (4/49), death (1/49), and bleeding (1/49). Conclusions. SEMS placement is an effective and safe conservative treatment for malignant colorectal obstruction.

關鍵字

Self-expanding metallic stent ； Conservative treatment ； Malignant colorectal obstruction

並列摘要

目的：評估自擴張金屬支架放置對緩解惡性結腸直腸阻塞的安全性和有效性。方法：自2013年4月至2016年12月49名惡性結腸直腸癌阻塞患者接受自擴張金屬支架放置的回顧性研究。結果：共49例患者使用支架置放進行保守治療。技術和臨床成功率分別為94%和90%。與支架置放相關的早期併發症(8%)包括穿孔(2/49)及支架移位(2/49)。晚期併發症(18%)是支架移位(3/49)，再阻塞(4/49)，死亡(1/49)和出血(1/49)。結論：自擴張金屬支架作為惡性結腸直腸阻塞的保守治療上是有功效和安全的。

並列關鍵字

自擴張金屬支架 ； 保守治療 ； 惡性結腸直腸阻塞

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