Self-expandable metal stents for malignant colonic obstruction: Data from a retrospective regional SIED-AIGO study

Roberto Di Mitri, Filippo Mocciaro, Mario Traina, Luigi Maria Montalbano, Luigi Familiari, Fabio D'Amore, Dario Raimondo, Clara Virgilio, Ilaria Tarantino, Luca Barresi, Marco Giunta, Eleonora Borina, Antonino Borruto, Antonino Marino

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Self-expandable metal stents are a non-surgical option for the treatment of symptomatic malignant colorectal obstruction as palliative treatment or as a bridge to surgery. Aims: To report data from a regional study on self-expandable metal stent (SEMS) placement for malignant colorectal obstruction. Methods: Two hundred and four patients (male 54.9%, mean age of 69.5. ±. 14.2) were retrospectively evaluated and data on technical and clinical success, and complications, were analyzed. Results: Technical and clinical success rates were 99% and 94.6% respectively, with 36.7% treated on an emergency basis and 63.3% electively. Palliative treatment was administered to 70.1%, and as a bridge to surgery for 29.9%. Complications were 17 neoplastic ingrowths, 10 stent migrations, and 4 perforations. Palliative treatment was associated with a higher risk of stent ingrowth (p= 0.003), and chemotherapy with a lower risk of stent ingrowth (p= 0.009). Conclusion: This regional study, although it has certain limitations, confirms the positive role of self-expandable metal stents in the treatment of symptomatic malignant colorectal obstruction, and that chemotherapy decreases the risk of ingrowth.

Original languageEnglish
Pages (from-to)279-282
Number of pages4
JournalDigestive and Liver Disease
Volume46
Issue number3
DOIs
Publication statusPublished - Mar 2014

Keywords

  • Endoscopic placement
  • Malignant colonic obstruction
  • Multicenter experience
  • Self-expandable metal stents

ASJC Scopus subject areas

  • Gastroenterology
  • Hepatology

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