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https://www.readbyqxmd.com/read/27924392/colonic-stenting-as-a-bridge-to-surgery-versus-emergency-surgery-for-malignant-colonic-obstruction-results-of-a-multicentre-randomised-controlled-trial-esco-trial
#1
Alberto Arezzo, Carmen Balague, Eduardo Targarona, Felice Borghi, Giorgio Giraudo, Luigi Ghezzo, Antonio Arroyo, Javier Sola-Vera, Paolo De Paolis, Maurizio Bossotti, Elisa Bannone, Edoardo Forcignanò, Marco Augusto Bonino, Roberto Passera, Mario Morino
BACKGROUND: The aim of colonic stenting with self-expandable metallic stents in neoplastic colon obstruction is to avoid emergency surgery and thus potentially reduce morbidity, mortality, and need for a stoma. Concern has been raised, however, about the effect of colonic stenting on short-term complications and long-term survival. We compared morbidity rates after colonic stenting as a bridge to surgery (SBTS) versus emergency surgery (ES) in the management of left-sided malignant large-bowel obstruction...
December 6, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27847668/large-bowel-obstruction-a-delayed-complication-of-severe-gallstone-pancreatitis
#2
Neeraj Lal, John Whiting, Rahul Hejmadi, Sudarsanam Raman
Colonic complications are rare after acute pancreatitis but are associated with a high mortality. Possible complications include mechanical obstruction, ischaemic necrosis, haemorrhage, and fistula. We report a case of large bowel obstruction in a 31-year-old postpartum female, secondary to severe gallstone pancreatitis. The patient required emergency laparotomy and segmental bowel resection, as well as cholecystectomy. Presentation of obstruction occurs during the acute episode or can be delayed for several weeks...
2016: Case Reports in Surgery
https://www.readbyqxmd.com/read/27701841/colonic-stenting-in-malignant-large-bowel-obstruction-an-unanswered-question
#3
EDITORIAL
Alexander G Heriot
No abstract text is available yet for this article.
October 2016: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/27664898/comparison-between-metallic-stent-and-transanal-decompression-tube-for-malignant-large-bowel-obstruction
#4
Akihisa Matsuda, Masao Miyashita, Satoshi Matsumoto, Nobuyuki Sakurazawa, Goro Takahashi, Takeshi Matsutani, Marina Yamada, Eiji Uchida
BACKGROUND: The short-term safety and efficacy of a self-expandable metallic colonic stent (SEMS) insertion followed by elective surgery, "bridge to surgery (BTS)", for malignant large-bowel obstruction (MLBO) have been well described comparing with emergency surgery. The aim of this study was to compare short-term outcomes of endoscopic decompression using a SEMS versus a transanal decompression tube (TDT). MATERIALS AND METHODS: From January 2005 to November 2014, a total of 101 patients with MLBO underwent surgery at our single institution were retrospectively identified...
October 2016: Journal of Surgical Research
https://www.readbyqxmd.com/read/27652303/three-cases-of-endoscopic-resection-for-synchronous-early-colon-cancers-after-self-expandable-metallic-stent-placement-for-obstructive-colon-cancer
#5
Rintaro Moroi, Katsuya Endo, Ryo Ichikawa, So Takahashi, Takeharu Shiroki, Hirohiko Shinkai, Fumitake Ishiyama, Shoichi Kayaba
The feasibility of endoscopic resection for synchronous early colon cancer after placement of self-expandable metallic stents (SEMS) for malignant colorectal obstruction is unknown. Herein we evaluated 3 cases of endoscopic resection for synchronous early colorectal cancers after SEMS placement. Patient 1 was an 82-year-old man with obstructive sigmoid colon cancer. We curatively treated the synchronous descending colon cancer with endoscopic submucosal dissection (ESD) and the rectal cancer with endoscopic mucosal resection (EMR) after SEMS placement...
September 2016: Endoscopy International Open
https://www.readbyqxmd.com/read/27631312/colonic-self-expanding-metal-stent-sems-as-a-bridge-to-surgery-in-left-sided-malignant-colonic-obstruction-an-8-year-review
#6
Kit-Man Ho, Ka-Man Chan, Shu-Yan Kwok, Patrick Ying-Yu Lau
INTRODUCTION: Colonic stenting has evolved to be an alternative to emergency laparotomy in the management of acute left-sided malignant colonic obstruction. This retrospective comparative study aimed to review the outcomes of colonic stent as bridge to surgery with emergency operation in a regional hospital in Hong Kong. METHOD: Consecutive patients who were admitted from January 2006 to July 2014 with diagnosis of malignant left-sided colonic obstruction (from splenic flexure to rectosigmoid colon) were included...
September 8, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27626209/endoscopic-ultrasound-guided-fine-needle-biopsy-through-the-interstices-of-a-colonic-stent-for-the-diagnosis-of-metastatic-breast-cancer-using-a-forward-viewing-linear-echoendoscope
#7
https://www.readbyqxmd.com/read/27606606/intractable-rectal-pain-secondary-to-colonic-stent-placement-in-patient-with-advanced-pelvic-cancer-successfully-treated-with-hypogastric-nerve-plexus-neurolysis
#8
Turki Alkully, Umar Darr, Anas Renno, Abhinav Tiwari, Joseph Atallah, Ali Nawras
No abstract text is available yet for this article.
September 5, 2016: American Journal of Therapeutics
https://www.readbyqxmd.com/read/27448435/self-expanding-metal-stenting-for-obstructing-left-colon-cancer-a-district-hospital-experience
#9
Mohan Raj Harilingam, Amjad Khushal, Abdulmalik Aikoye
Stenting of malignant colonic obstructions using self-expanding metal stents (SEMS) is commonly used for palliation and can be used as an interim procedure prior to definitive surgery. We retrospectively reviewed prospectively collected data from all consecutive colonic stenting procedures undertaken between September 2007 and December 2014 at a district general hospital. Technical and clinical success rates, mortality, colonic perforation, and other complications were documented and analyzed. Sixty-four colonic stenting procedures were undertaken...
July 2016: Indian Journal of Gastroenterology: Official Journal of the Indian Society of Gastroenterology
https://www.readbyqxmd.com/read/27448227/colonic-stenting-for-malignant-colonic-obstruction-with-pneumatosis-intestinalis-a-case-report
#10
Natthawut Phothong, Jirawat Swangsri, Thawatchai Akaraviputh, Vitoon Chinswangwatanakul, Atthaphorn Trakarnsanga
INTRODUCTION: Pneumatosis intestinalis is one of serious conditions following mechanical bowel obstruction. Emergency surgery is generally required to be a definite treatment in these patients of pneumatosis intestinalis, because of its risk of bowel ischemia and perforation. Since the operation in unprepared colon usually resulted in unfavorable outcome, the use of colonic stent is considered one of potential options as a bridge to definitive surgery. Presently, there is no widely published report of using colonic stent in these patients, particularly for stepping to curative surgery...
2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27446826/colonic-stents-for-colorectal-cancer-are-seldom-used-and-mainly-for-palliation-of-obstruction-a-population-based-study
#11
Anna M Borowiec, Charlie S K Wang, Elaine Yong, Calvin Law, Natalie Coburn, Rinku Sutradhar, Nancy Baxter, Lawrence Paszat, Jill Tinmouth
Self-expandable stents for obstructing colorectal cancer (CRC) offer an alternative to operative management. The objective of the study was to determine stent utilization for CRC obstruction in the province of Ontario between April 1, 2000, and March 30, 2009. Colonic stent utilization characteristics, poststent insertion health outcomes, and health care encounters were recorded. 225 patients were identified over the study period. Median age was 69 years, 2/3 were male, and 2/3 had metastatic disease. Stent use for CRC increased over the study period and gastroenterologists inserted most stents...
2016: Canadian Journal of Gastroenterology & Hepatology
https://www.readbyqxmd.com/read/27398210/colonic-stenting-in-malignant-large-bowel-obstruction
#12
Vinita A Rajadurai, Michael Levitt
In patients who are surgical candidates, colonic stenting is beneficial for preoperative decompression in large bowel obstruction, as it can convert a surgical procedure from an emergent two-step approach into an elective one-step resection with a primary anastomosis.
June 2016: Clinical Case Reports
https://www.readbyqxmd.com/read/27259863/technical-and-clinical-outcomes-following-colonic-stenting-a-seven-year-analysis-of-268-procedures
#13
M W Little, T Oakley, J H Briggs, J A Sutcliffe, A K Allouni, G Makris, M J Bratby, C R Tapping, R Patel, A Wigham, S Anthony, J Phillips-Hughes, R Uberoi
AIMS: To assess the factors contributing to the technical and clinical success of colorectal stenting for large bowel obstruction. METHODOLOGY: 268 cases of colonic stenting for large bowel obstruction were performed in 249 patients of mean age of 72 years (28-98) between 2006 and 2013. The majority of strictures were due to malignant disease, 244/268 (91 %). Diverticular strictures accounted for 24/268 (9 %). RESULTS: Overall technical success rate was 81 % (217/268), with a clinical success rate of 65 % (174/268)...
October 2016: Cardiovascular and Interventional Radiology
https://www.readbyqxmd.com/read/27179226/clinical-strategies-for-the-management-of-intestinal-obstruction-and-pseudo-obstruction-a-delphi-consensus-study-of-sicut-societ%C3%A3-italiana-di-chirurgia-d-urgenza-e-del-trauma
#14
Gianluca Costa, Paolo Ruscelli, Genoveffa Balducci, Francesco Buccoliero, Laura Lorenzon, Barbara Frezza, Piero Chirletti, Franco Stagnitti, Stefano Miniello, Francesco Stella
BACKGROUND: Intestinal obstructions/pseudo-obstruction of the small/large bowel are frequent conditions but their management could be challenging. Moreover, a general agreement in this field is currently lacking, thus SICUT Society designed a consensus study aimed to define their optimal workout. METHODS: The Delphi methodology was used to reach consensus among 47 Italian surgical experts in two study rounds. Consensus was defined as an agreement of 75.0% or greater...
2016: Annali Italiani di Chirurgia
https://www.readbyqxmd.com/read/27156171/endoscopic-stenting-as-bridge-to-surgery-bts-in-left-sided-obstructing-colorectal-cancer-experience-with-conformable-stents
#15
Andrea Parodi, Antonella De Ceglie, Luca De Luca, Rita Conigliaro, Riccardo Naspetti, Paola Arpe, Gianni Coccia, Massimo Conio
BACKGROUND: Compared to emergency surgery, self-expandable metallic stents are effective and safe when used as bridge-to-surgery (BTS) in operable patients with acute colorectal cancer obstruction. In this study, we report data on the new conformable colonic stents. OBJECTIVES: To evaluate clinical effectiveness of conformable stents as BTS in patients with acute colorectal cancer obstruction. DESIGN: This was a retrospective study. SETTINGS: The study was conducted at six Italian Endoscopic Units...
May 4, 2016: Clinics and Research in Hepatology and Gastroenterology
https://www.readbyqxmd.com/read/27048552/colonic-stenting-as-a-bridge-to-surgery-for-obstructive-colorectal-cancer-advantages-and-disadvantages
#16
Naotsugu Haraguchi, Masataka Ikeda, Masakazu Miyake, Takuya Yamada, Yuko Sakakibara, Eiji Mita, Yuichiro Doki, Masaki Mori, Mitsugu Sekimoto
PURPOSE: To clarify the advantages and disadvantages of stenting as a bridge to surgery (BTS) by comparing the clinical features and outcomes of patients who underwent BTS with those of patients who underwent emergency surgery (ES). METHODS: We assessed technical success, clinical success, surgical procedures, stoma formation, complications, clinicopathological features, and Onodera's prognostic nutritional index (OPNI) in patients who underwent BTS and those who underwent ES...
November 2016: Surgery Today
https://www.readbyqxmd.com/read/27017599/open-surgery-versus-laparoscopic-surgery-after-stent-insertion-for-obstructive-colorectal-cancer
#17
Toshiyuki Enomoto, Yoshihisa Saida, Kazuhiro Takabayashi, Sayaka Nagao, Emiko Takeshita, Ryohei Watanabe, Asako Takahashi, Yoichi Nakamura, Koji Asai, Manabu Watanebe, Jiro Nagao, Shinya Kusachi
PURPOSE: To compare the outcomes of laparoscopic surgery vs. open surgery after insertion of a colonic stent for obstructive colorectal cancer. METHODS: Between April 2005 and August 2013, 58 patients underwent surgery after the insertion of a colonic stent for obstructive colorectal cancer. We analyzed the outcomes of the patients who underwent laparoscopic surgery vs. those who underwent open surgery. RESULTS: We compared blood loss, operative time, hospital stay, and complications in 26 patients who underwent laparoscopic surgery and 32 patients who underwent open surgery...
March 26, 2016: Surgery Today
https://www.readbyqxmd.com/read/26962401/role-of-colonic-stents-in-the-management-of-colorectal-cancers
#18
Jayesh Sagar
Colorectal cancer is one of the commonly encountered cancers across the Western World. In United Kingdom, this constitutes third most common ranked cancer and second most common ranked cause of cancer related deaths. Its acute presentation as a malignant colonic obstruction imposes challenges in its management. Colonic stent has been used for many years to alleviate acute obstruction in such cases allowing optimisation of patient's physiological status and adequate staging of cancer. In this review, current literature evidence regarding use of colonic stent in acute malignant colonic obstruction is critically appraised and recommendations on the use of colonic stent are advocated...
February 25, 2016: World Journal of Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/26956192/development-of-biliary-and-enteral-stents-by-the-korean-gastrointestinal-endoscopists
#19
REVIEW
Chan Sup Shim, Jin Hong Kim, Gene Hyun Bok
Stenting in the gastrointestinal tract is a common procedure used for palliation of obstruction in the enteral and biliary tract. Today, stenting of malignant and benign strictures is performed at almost every major tertiary hospital in Korea. Moreover, Korea has become a major global supplier of cutting edge technology in the field of self-expanding metal stents. However, the history of stenting in Korea is relatively short and was far behind that of other nations such as Japan and Germany. The authors are humbled and gratified to have been able to observe the development and application of these stents in Korea, first hand...
March 2016: Clinical Endoscopy
https://www.readbyqxmd.com/read/26843916/how-to-decide-on-stent-insertion-or-surgery-in-colorectal-obstruction
#20
REVIEW
Assad Zahid, Christopher John Young
Colorectal cancer is one of the most common cancers in western society and malignant obstruction of the colon accounts for 8%-29% of all large bowel obstructions. Conventional treatment of these patients with malignant obstruction requiring urgent surgery is associated with a greater physiological insult on already nutritionally replete patients. Of late the utility of colonic stents has offered an option in the management of these patients in both the palliative and bridge to surgery setting. This has been the subject of many reviews which highlight its efficacy, particulary in reducing ostomy rates, allowing quicker return to oral diet, minimising extended post-operative recovery as well as some quality of life benefits...
January 27, 2016: World Journal of Gastrointestinal Surgery
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