Colorectal Stenting in Malignant Large Bowel Obstruction : The Learning Curve
Joint Authors
Williams, D.
Pullyblank, A. M.
Law, R.
Source
International Journal of Surgical Oncology
Issue
Vol. 2011, Issue 2011 (31 Dec. 2011), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2010-10-11
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Aim.
Self-expanding metal stents (SEMSs) are increasingly used for the palliation of metastatic colorectal cancer and as a bridge to surgery for obstructing tumours.
This case series analyses the learning curve and changes in practice of colorectal stenting over a three year period.
Methods.
A study of 40 patients who underwent placement of SEMS for the management of colorectal cancer.
Patients spanned the learning curve of a single surgeon endoscopist.
Results.
Technical success rates increased from 82% initially, using an average of 1.7 stents per procedure, to a 94% success rate where all patients were stented using a single stent.
There has been a change in practice from elective palliative stenting toward emergency preoperative stenting.
Conclusion.
There is a steep learning curve for the use of SEMS in the management of malignant colorectal bowel obstruction.
We suggest that at least 20 cases are required for an operator to be considered experienced.
American Psychological Association (APA)
Williams, D.& Law, R.& Pullyblank, A. M.. 2010. Colorectal Stenting in Malignant Large Bowel Obstruction : The Learning Curve. International Journal of Surgical Oncology،Vol. 2011, no. 2011, pp.1-4.
https://search.emarefa.net/detail/BIM-507998
Modern Language Association (MLA)
Williams, D.…[et al.]. Colorectal Stenting in Malignant Large Bowel Obstruction : The Learning Curve. International Journal of Surgical Oncology No. 2011 (2011), pp.1-4.
https://search.emarefa.net/detail/BIM-507998
American Medical Association (AMA)
Williams, D.& Law, R.& Pullyblank, A. M.. Colorectal Stenting in Malignant Large Bowel Obstruction : The Learning Curve. International Journal of Surgical Oncology. 2010. Vol. 2011, no. 2011, pp.1-4.
https://search.emarefa.net/detail/BIM-507998
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-507998