Authors: Vasileios Trompetas Mike Saunders James Gossage Hugh Anderson
Publish Date: 2010/04/14
Volume: 25, Issue: 7, Pages: 851-854
Abstract
During the study period a total of 12 stent procedures were carried out in 11 patients with colonic obstruction from extracolonic cancer and were analysed further These represented 85 of a total of 141 stent procedures performed in 130 patients Fluoroscopic technique was used alone The median age was 73 years with a range from 47 to 88 years The underlying malignancy was ovarian in five urinary bladder in one kidney in one prostatic in one breast in one cholangiocarcinoma in one and carcinoid in one The technical and clinical success rate was 42 and 25 respectively The 30day mortality rate was 36 Stentrelated complications included one perforation The colostomy formation rate was 45 Only two patients survived over a month with a stent and without a subsequent colostomy The median survival time was 2 months The 3 6 and 12month survival rate was 36 18 and 9 respectivelyOur experience does not support the routine use of colonic stenting for extracolonic cancer obstructing the colon A more realistic approach is necessary including either the acceptance that the obstruction represents a lifeending event or proceeding immediately to a colostomy Decisions should be individualised and stenting used after recognising its shortcomings
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