Endoscopic Self-Expandable Metallic Stent Insertion without Fluoroscopic Guidance Is Feasible and Safe for Acute Colonic Obstruction Caused by Colorectal Cancer
Joint Authors
Shi, Ruihua
Feng, Yadong
Yu, Qian
Li, Ming
Xu, Wei
Zhu, Ye
Liu, Yang
Source
Gastroenterology Research and Practice
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-01-10
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Aims.
Endoscopic self-expandable metallic stent (SEMS) insertion for acute colonic obstruction caused by colorectal cancer (CRC) is always performed under fluoroscopic guidance.
This study evaluated the feasibility and safety of an endoscopic stenting procedure without fluoroscopic guidance.
Methods.
A total of 36 patients with an acute colonic obstruction caused by CRC underwent endoscopic SEMS insertion using a colonoscope without fluoroscopic guidance, followed by analyses of the technical and clinical success and short-term complications.
Results.
Total technical success rate and clinical success rate were 91.7% and 86.1%, respectively.
The mean procedure time was 21.2±10.3 minutes.
There was no stent dislodgement.
One case of hematochezia and two cases of tenesmus occurred in patients with left-sided complete obstructions.
No other short-term complications occurred.
Procedure time, technical success, and clinical success rate were 16.3±9.4 minutes, 93.1%, and 89.6% for left-sided obstructions, respectively, and were 26.8±10.7 minutes, 85.7%, and 71.4% for right-sided obstructions, respectively.
For complete obstructions, procedure time, technical success, and clinical success rate were 22.5±8.9 minutes, 90%, and 83.3%, respectively.
In the incomplete cases, procedure time, technical success, and clinical success were 13.5±6.7 minutes, 100%, and 100%, respectively.
Technical success, clinical success, and short-term complications were not differed between lesion locations and degrees.
Conclusions.
This simple technique is feasible and safe for palliation of acute colonic obstruction caused by CRC.
American Psychological Association (APA)
Feng, Yadong& Yu, Qian& Li, Ming& Xu, Wei& Zhu, Ye& Liu, Yang…[et al.]. 2020. Endoscopic Self-Expandable Metallic Stent Insertion without Fluoroscopic Guidance Is Feasible and Safe for Acute Colonic Obstruction Caused by Colorectal Cancer. Gastroenterology Research and Practice،Vol. 2020, no. 2020, pp.1-5.
https://search.emarefa.net/detail/BIM-1166956
Modern Language Association (MLA)
Feng, Yadong…[et al.]. Endoscopic Self-Expandable Metallic Stent Insertion without Fluoroscopic Guidance Is Feasible and Safe for Acute Colonic Obstruction Caused by Colorectal Cancer. Gastroenterology Research and Practice No. 2020 (2020), pp.1-5.
https://search.emarefa.net/detail/BIM-1166956
American Medical Association (AMA)
Feng, Yadong& Yu, Qian& Li, Ming& Xu, Wei& Zhu, Ye& Liu, Yang…[et al.]. Endoscopic Self-Expandable Metallic Stent Insertion without Fluoroscopic Guidance Is Feasible and Safe for Acute Colonic Obstruction Caused by Colorectal Cancer. Gastroenterology Research and Practice. 2020. Vol. 2020, no. 2020, pp.1-5.
https://search.emarefa.net/detail/BIM-1166956
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1166956