Short-term outcomes after self-expandable metal stent insertion for obstructing colon cancer: a retrospective cohort study.
Ann Saudi Med
; 40(5): 403-407, 2020.
Article
em En
| MEDLINE
| ID: mdl-33007172
ABSTRACT
BACKGROUND:
Self-expanding metal stents (SEMS) are used as a bridge to surgery for colon cancer patients as an alternative to emergency surgery. Currently, there is a paucity of literature from Saudi Arabia on the preoperative usage of SEMS.OBJECTIVE:
Determine whether SEMS are associated with a higher rate of complications.DESIGN:
Retrospective cohort study SETTINGS Tertiary care hospital in Saudi Arabia. PATIENTS ANDMETHODS:
In patients diagnosed with obstructing colon cancer, up-front surgical resection was compared with insertion of SEMS followed by surgical resection between the years 2009 and 2013. MAIN OUTCOMEMEASURES:
Rate of stent-related short-term complications. Secondary endpoint, postoperative complications. SAMPLE SIZE 65.RESULTS:
Twenty-four (36.9%) patients underwent SEMS placement; 41 (63.1%) underwent primary surgery. The median (interquartile range) hospital stay was significantly higher among the SEMS group (13 [8.5] days versus 7 [3] days in the primary surgery group, P<.001). Five patients (20.8%) in the SEMS group developed complications 2 (8.3%) perforations, 2 (8.3%) obstructions, and 1 (4.2%) stent migrations.CONCLUSION:
SEMS is associated with longer hospital stays and short-term serious complications. Further research should be conducted, preferably with a larger sample size.LIMITATIONS:
Retrospective design, small sample size. CONFLICT OF INTEREST None.
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Neoplasias Colorretais
/
Neoplasias do Colo
/
Obstrução Intestinal
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article