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KMID : 0359020080360050274
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Korean Journal of Gastrointestinal Endoscopy
2008 Volume.36 No. 5 p.274 ~ p.281
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The Effect of Self-Expanding Metallic Stent Insertion for the Treatment of Malignant Colorectal Obstruction
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Lee Kee-Myung
Kim Tae-Il
Ko Bong-Min
Shin Sung-Jae
Kim Won-Ho
Kim Jin-Hong
Lee Moon-Sung
Kim Hyun-Soo
Park Young-Soo
Lee Kang-Moon
Park Jong-Jae
Jean Yoon-Tae
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Abstract
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Background/Aims: The aim of this study was to evaluate the clinical and cost effectiveness of the use of stent insertion for malignant colorectal obstruction as compared with performing emergency surgery.
Methods: We retrospectively reviewed the medical records of 201 patients. Malignant colorectal obstructions caused by a resectable tumor were treated with preoperative stenting followed by surgery (group A, n=55) or emergency surgery (group B, n=59). Malignant obstructions caused by an unresectable cancer were treated with palliative stenting (group C, n=58) or palliative emergency surgery (group D, n=29).
Results: The one-staged radical resection rate was significantly higher in group A patients than in group B patients (87.3% vs. 52.5%, p＜0.05). Post-operative complications were more frequent in group A patients than in group B patients (9.1% vs. 32.2%, p＜0.05). The admission period was significantly shorter for group A patients than for group B patients (25.0 days vs. 33.7 days, p＜0.05). The medical cost was not different for group A and group B patients. Life-long stoma formation was necessary for 15.5% of group C patients and 69% of group D patients, respectively. The admission period was significantly shorter for group C patients than group D patients (10.5 days vs. 22.7 days, p＜0.05). The medical cost was not different for group C and D patients.
Conclusions: Stent insertion was an effective treatment modality for malignant colorectal obstruction. (Korean J Gastrointest Endosc 2008;36:274- 281)
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KEYWORD
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Stentinsertion, Malignantobstruction, Coloncancer
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