PT  - JOURNAL ARTICLE
AU  - HIROTAKA FURUKE
AU  - SHUHEI KOMATSU
AU  - JUN IKEDA
AU  - SACHIE TANAKA
AU  - TATSUYA KUMANO
AU  - KEN-ICHIRO IMURA
AU  - KATSUMI SHIMOMURA
AU  - FUMIHIRO TANIGUCHI
AU  - YASUO UESHIMA
AU  - KEN-ICHIRO TAKASHINA
AU  - CHOL JOO LEE
AU  - EIICHI DEGUCHI
AU  - EITO IKEDA
AU  - EIGO OTSUJI
AU  - YASUHIRO SHIOAKI
TI  - Self-expandable Metallic Stents Contribute to Reducing Perioperative Complications in Colorectal Cancer Patients with Acute Obstruction
DP  - 2018 Mar 01
TA  - Anticancer Research
PG  - 1749--1753
VI  - 38
IP  - 3
4099  - http://ar.iiarjournals.org/content/38/3/1749.short
4100  - http://ar.iiarjournals.org/content/38/3/1749.full
SO  - Anticancer Res2018 Mar 01; 38
AB  - Background/Aim: The self-expandable metallic stent (SEMS) is an excellent non-invasive tool for emergent bowel obstruction. This study was designed to evaluate the clinical usefulness of the SEMS for avoiding perioperative complications. Patients and Methods: We analyzed a total of 47 consecutive patients who had a bowel obstruction due to colorectal cancer at initial diagnosis between 2012 and 2017 from hospital records. Results: Perioperative complications occurred in 30% (14/47) of patients. Univariate and multivariate logistic regression analyses identified an age of more than 75 years [p=0.037, OR=6.84 (95% CI=1.11-41.6)] and the absence of an SEMS treatment [p=0.028, OR=18.5 (95% CI=1.36-250.0)] as independent risk factors for perioperative complications. Pneumonia (12.7% (6/47)) was the most common complication. There were no pneumonia patients (0% (0/15)) who were treated with the SEMS. In contrast to patients with the non-SEMS treatment, 18.7% (6/32) of all patients and 35.7% (5/14) of elderly patients had pneumonia. Conclusion: The SEMS is a safe and effective treatment for avoiding perioperative complications, particularly pneumonia, and may be a crucial strategy in elderly patients with acute obstruction due to colorectal cancer.