Comparison of efficacies of the self-expandable metallic stent versus transanal drainage tube and emergency surgery for malignant left-sided colon obstruction
Author(s) -
Jun Kawachi,
Hiroyuki Kashiwagi,
Rai Shimoyama,
Naoko Isogai,
Ryuta Fukai,
Katsunori Miyake,
Hideto Egashira,
Ayumu Sugitani,
Hidemitsu Ogino
Publication year - 2017
Publication title -
asian journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.636
H-Index - 33
eISSN - 0219-3108
pISSN - 1015-9584
DOI - 10.1016/j.asjsur.2017.06.003
Subject(s) - medicine , tube (container) , self expandable metallic stent , stent , surgery , radiology , mechanical engineering , engineering
Patients with left-sided malignant colorectal obstruction require emergency treatment. Emergency stoma surgery has traditionally been recommended, however many stomas became permanent, decreasing patient quality of life. Recently, self-expandable metallic stents (SEMS) and transanal decompression tubes (TDT) have become widely used decompression methods to avoid stoma surgery. In this study, we evaluated: 1) the efficacy of SEMS compared with TDT and emergency surgery (ES) to avoid permanent stomas; and 2) the safety and success rate of each treatment.
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