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Short-Term Outcomes of Colorectal Stenting Using a Low Axial Force Self-Expandable Metal Stent for Malignant Colorectal Obstruction: A Japanese Multicenter Prospective Study.
Sasaki, Takashi; Yoshida, Shuntaro; Isayama, Hiroyuki; Narita, Akiko; Yamada, Tomonori; Enomoto, Toshiyuki; Sumida, Yorinobu; Kyo, Rika; Kuwai, Toshio; Tomita, Masafumi; Moroi, Rintaro; Shimada, Mamoru; Hirata, Nobuto; Saida, Yoshihisa.
Afiliação
  • Sasaki T; Department of Hepato-Biliary-Pancreatic Medicine, Cancer Institute Hospital of Japanese Foundation for Cancer Research, Tokyo 135-8550, Japan.
  • Yoshida S; Department of Endoscopy and Endoscopic Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo 113-8655, Japan.
  • Isayama H; Department of Gastroenterology, Graduate School of Medicine, Juntendo University, Tokyo 113-8431, Japan.
  • Narita A; Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo 113-8655, Japan.
  • Yamada T; Department of Gastroenterology, Japanese Red Cross Aichi Medical Center Nagoya Daini Hospital, Aichi 466-8650, Japan.
  • Enomoto T; Department of Surgery, Toho University Ohashi Medical Center, Tokyo 153-8515, Japan.
  • Sumida Y; Department of Gastroenterology, National Hospital Organization, Kyushu Medical Center and Clinical Research Center, Fukuoka 810-8563, Japan.
  • Kyo R; Department of Gastroenterology, Saiseikai Yokohamashi Nanbu Hospital, Kanagawa 234-0054, Japan.
  • Kuwai T; Department of Gastroenterology, National Hospital Organization, Kure Medical Center and Chugoku Cancer Center, Hiroshima 737-0023, Japan.
  • Tomita M; Department of Surgery, Kobe Tokushukai Hospital, Hyogo 655-0017, Japan.
  • Moroi R; Division of Gastroenterology, Department of Internal Medicine, Graduate School of Medicine, Tohoku University, Miyagi 980-8574, Japan.
  • Shimada M; Department of Surgery, Toyonaka Keijinkai Hospital, Osaka 560-0004, Japan.
  • Hirata N; Department of Gastroenterology, Kameda Medical Center, Chiba 296-8602, Japan.
  • Saida Y; Department of Surgery, Toho University Ohashi Medical Center, Tokyo 153-8515, Japan.
J Clin Med ; 10(21)2021 Oct 26.
Article em En | MEDLINE | ID: mdl-34768456
ABSTRACT
(1)

Background:

Endoscopic colorectal stenting with high technical success and safety is essential in discussing the oncological outcomes for the management of malignant colorectal obstruction. Mechanical properties of self-expandable metal stents are usually considered to affect clinical outcomes. (2)

Methods:

A multicenter, prospective study was conducted in Japan. A self-expandable metal stent with low axial force was inserted endoscopically. The primary endpoint was clinical success, defined as the resolution of symptoms and radiological findings within 24 h. Secondary endpoints were technical success and adverse events. Short-term outcomes of 7 days were evaluated in this study. (3)

Results:

Two hundred and five consecutive patients were enrolled. Three patients were excluded, and the remaining 202 patients were evaluated. The technical and clinical success rates were 97.5% and 96.0%, respectively. Major stent-related adverse events included stent migration (1.0%), insufficient stent expansion (0.5%), and stent occlusion (0.5%). No colonic perforation was observed. There were two fatal cases (1%) which were not related to stent placement. (4)

Conclusions:

The placement of self-expandable metal stents with low axial force is safe with no perforation and showed high technical and clinical success rates in short-term outcomes for the management of malignant colorectal obstruction.
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Texto completo: 1 Base de dados: MEDLINE Idioma: En Ano de publicação: 2021 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Idioma: En Ano de publicação: 2021 Tipo de documento: Article