Literature DB >> 9106691

Initial results of a new procedure for treatment of malignant obstruction of the left colon.

E Tejero1, R Fernández-Lobato, A Mainar, C Montes, I Pinto, L Fernández, E Jorge, R Lozano.   

Abstract

PURPOSE: This study was undertaken to analyze the results obtained in 38 unselected patients using a new and original procedure for treatment of malignant obstructions of the left colon.
METHOD: This procedure involves three phases: 1) resolution of the obstruction by means of a stent placed at the site of the tumor; 2) recovery of the general state of the patient, study of the extent of disease, and mechanical preparation of the colon; 3) regulated and final surgery (if this is not suitable, the stent may be used as definitive palliative treatment).
RESULTS: In 35 patients (92 percent), the obstruction was resolved with the stent. In 22 patients the three phases were completed, and in 13 patients the stent constituted definitive palliative treatment. Only one patient (2.6 percent) died after resection of the tumor.
CONCLUSION: This procedure offers a new, safe, and efficacious option for treatment of neoplastic colorectal obstructions.

Entities:  

Mesh:

Year:  1997        PMID: 9106691     DOI: 10.1007/bf02258387

Source DB:  PubMed          Journal:  Dis Colon Rectum        ISSN: 0012-3706            Impact factor:   4.585


  14 in total

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3.  Emergency preoperative stenting versus surgery for acute left-sided malignant colonic obstruction: a multicenter randomized controlled trial.

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4.  Prospective, controlled, randomized study of intraoperative colonic lavage versus stent placement in obstructive left-sided colonic cancer.

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5.  Self-expanding metallic stent as a bridge to surgery versus emergency resection for obstructing left-sided colorectal cancer: a case-matched study.

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6.  Survival benefit in patients after palliative resection vs non-resection colon cancer surgery.

Authors:  A Beham; M Rentsch; K Püllmann; L Mantouvalou; H Spatz; H J Schlitt; A Obed
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7.  Colon and rectal surgery for cancer without mechanical bowel preparation: one-center randomized prospective trial.

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Review 8.  Self-expanding metallic stents for relieving malignant colorectal obstruction: a systematic review.

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Review 10.  Definitive palliation for neoplastic colonic obstruction using enteral stents: personal case-series with literature review.

Authors:  Giuseppe Piccinni; Anna Angrisano; Mario Testini; G Martino Bonomo
Journal:  World J Gastroenterol       Date:  2004-03-01       Impact factor: 5.742

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