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Interventional management of malignant colorectal obstruction: use of covered and uncovered stents.

Choi JS, Choo SW, Park KB, Shin SW, Yoo SY, Kim JH, Do YS - Korean J Radiol (2007 Jan-Feb)

Bottom Line: In the palliative group, the data on the success of the procedure, the stent patency and the complications between the two groups (covered versus uncovered stents) were compared.The technical success rate was 89% (33/37).The rate of complications is lower in the uncovered stent group than in the covered stent group.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 135-710, Korea.

ABSTRACT

Objective: We wanted to evaluate usefulness of uncovered stent in comparison with covered stent for the palliative treatment of malignant colorectal obstruction.

Materials and methods: Covered (n = 52, type 1 and type 2) and uncovered (n = 22, type 3) stents were placed in 74 patients with malignant colorectal obstruction. Stent insertion was performed for palliative treatment in 37 patients (covered stent: n = 23 and uncovered stent: n = 14). In the palliative group, the data on the success of the procedure, the stent patency and the complications between the two groups (covered versus uncovered stents) were compared.

Results: The technical success rate was 89% (33/37). Symptomatic improvement was achieved in 86% (18/21) of the covered stent group and in 92% (11/12) of the uncovered stent group patients. The period of follow-up ranged from three to 319 days (mean period: 116+/-85 days). The mean period of stent patency was 157+/-33 days in the covered stent group and 165+/-25 days in the uncovered stent group. In the covered stent group, stent migration (n = 11), stent fracture (n = 2) and poor expansion of the stent (n = 2) were noted. In the uncovered stent group, tumor ingrowth into the stents (n = 3) was noted.

Conclusion: Self-expanding metallic stents are effective for relieving malignant colorectal obstruction. The rate of complications is lower in the uncovered stent group than in the covered stent group.

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Related in: MedlinePlus

Inadequate expansion of the type 2 stent in a 60-year-old patient. Seven days after insertion, inadequate expansion of the stent was noted.
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Figure 3: Inadequate expansion of the type 2 stent in a 60-year-old patient. Seven days after insertion, inadequate expansion of the stent was noted.

Mentions: For two cases where the stent did not expand adequately, the patients revealed tumor seeding by cervical cancer and ovarian cancer, respectively (Fig. 3). Insertion of a second stent was performed in one patient, and surgical operation with colostomy was performed in the other patient.


Interventional management of malignant colorectal obstruction: use of covered and uncovered stents.

Choi JS, Choo SW, Park KB, Shin SW, Yoo SY, Kim JH, Do YS - Korean J Radiol (2007 Jan-Feb)

Inadequate expansion of the type 2 stent in a 60-year-old patient. Seven days after insertion, inadequate expansion of the stent was noted.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2626692&req=5

Figure 3: Inadequate expansion of the type 2 stent in a 60-year-old patient. Seven days after insertion, inadequate expansion of the stent was noted.
Mentions: For two cases where the stent did not expand adequately, the patients revealed tumor seeding by cervical cancer and ovarian cancer, respectively (Fig. 3). Insertion of a second stent was performed in one patient, and surgical operation with colostomy was performed in the other patient.

Bottom Line: In the palliative group, the data on the success of the procedure, the stent patency and the complications between the two groups (covered versus uncovered stents) were compared.The technical success rate was 89% (33/37).The rate of complications is lower in the uncovered stent group than in the covered stent group.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 135-710, Korea.

ABSTRACT

Objective: We wanted to evaluate usefulness of uncovered stent in comparison with covered stent for the palliative treatment of malignant colorectal obstruction.

Materials and methods: Covered (n = 52, type 1 and type 2) and uncovered (n = 22, type 3) stents were placed in 74 patients with malignant colorectal obstruction. Stent insertion was performed for palliative treatment in 37 patients (covered stent: n = 23 and uncovered stent: n = 14). In the palliative group, the data on the success of the procedure, the stent patency and the complications between the two groups (covered versus uncovered stents) were compared.

Results: The technical success rate was 89% (33/37). Symptomatic improvement was achieved in 86% (18/21) of the covered stent group and in 92% (11/12) of the uncovered stent group patients. The period of follow-up ranged from three to 319 days (mean period: 116+/-85 days). The mean period of stent patency was 157+/-33 days in the covered stent group and 165+/-25 days in the uncovered stent group. In the covered stent group, stent migration (n = 11), stent fracture (n = 2) and poor expansion of the stent (n = 2) were noted. In the uncovered stent group, tumor ingrowth into the stents (n = 3) was noted.

Conclusion: Self-expanding metallic stents are effective for relieving malignant colorectal obstruction. The rate of complications is lower in the uncovered stent group than in the covered stent group.

Show MeSH
Related in: MedlinePlus