BACKGROUND: Self-expandable metal stents (SEMS) are an accepted palliation for malignant colorectal obstruction. Outcomes of stent insertion solely in older patients are unknown. OBJECTIVE: To compare outcomes of SEMS insertion for malignant colorectal disease, in older versus younger patients. METHODS: Forty-three patients were retrospectively identified as having undergone SEMS insertion for obstructing colorectal cancer. Of these, 24 were > or = 70 years of age (older patient group) and 19 were <70 years of age (younger patient group). RESULTS: There was no significant difference in successful SEMS insertion between the groups (88% in older versus 100% in younger patients, p > 0.05). Furthermore, the complication rate was similar in both groups (12.5% versus 26%, p > 0.10). There was no difference in median survival (113 days versus 135 days, p > 0.09). CONCLUSION: Colorectal stenting for malignant disease in older patients is both safe and effective with comparative success and complication rates to a younger population.
BACKGROUND: Self-expandable metal stents (SEMS) are an accepted palliation for malignant colorectal obstruction. Outcomes of stent insertion solely in older patients are unknown. OBJECTIVE: To compare outcomes of SEMS insertion for malignant colorectal disease, in older versus younger patients. METHODS: Forty-three patients were retrospectively identified as having undergone SEMS insertion for obstructing colorectal cancer. Of these, 24 were > or = 70 years of age (older patient group) and 19 were <70 years of age (younger patient group). RESULTS: There was no significant difference in successful SEMS insertion between the groups (88% in older versus 100% in younger patients, p > 0.05). Furthermore, the complication rate was similar in both groups (12.5% versus 26%, p > 0.10). There was no difference in median survival (113 days versus 135 days, p > 0.09). CONCLUSION: Colorectal stenting for malignant disease in older patients is both safe and effective with comparative success and complication rates to a younger population.
Authors: Shaji Sebastian; Sean Johnston; Tony Geoghegan; William Torreggiani; Martin Buckley Journal: Am J Gastroenterol Date: 2004-10 Impact factor: 10.864
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Authors: M Alcantara; X Serra; J Bombardó; J Falcó; J Perandreu; I Ayguavives; L Mora; R Hernando; S Navarro Journal: Tech Coloproctol Date: 2007-12-03 Impact factor: 3.781
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