RT Journal Article
SR Electronic
T1 Self-expandable Metallic Stents Contribute to Reducing Perioperative Complications in Colorectal Cancer Patients with Acute Obstruction
JF Anticancer Research
JO Anticancer Res
FD International Institute of Anticancer Research
SP 1749
OP 1753
VO 38
IS 3
A1 HIROTAKA FURUKE
A1 SHUHEI KOMATSU
A1 JUN IKEDA
A1 SACHIE TANAKA
A1 TATSUYA KUMANO
A1 KEN-ICHIRO IMURA
A1 KATSUMI SHIMOMURA
A1 FUMIHIRO TANIGUCHI
A1 YASUO UESHIMA
A1 KEN-ICHIRO TAKASHINA
A1 CHOL JOO LEE
A1 EIICHI DEGUCHI
A1 EITO IKEDA
A1 EIGO OTSUJI
A1 YASUHIRO SHIOAKI
YR 2018
UL http://ar.iiarjournals.org/content/38/3/1749.abstract
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.