Transanal decompression tube is superior to self‐expandable metallic colonic stent for malignant colorectal obstruction: a retrospective study

2021 ◽  
Author(s):  
Shuai Zhang ◽  
Guang Liu ◽  
Guang‐Hai Wu ◽  
Shi‐Wu Zhang ◽  
Yong‐Jie Zhao ◽  
...  
2016 ◽  
Vol 205 (2) ◽  
pp. 474-481 ◽  
Author(s):  
Akihisa Matsuda ◽  
Masao Miyashita ◽  
Satoshi Matsumoto ◽  
Nobuyuki Sakurazawa ◽  
Goro Takahashi ◽  
...  

2017 ◽  
Vol 05 (09) ◽  
pp. E834-E838 ◽  
Author(s):  
Tatsuya Ishii ◽  
Kosuke Minaga ◽  
Satoshi Ogawa ◽  
Maiko Ikenouchi ◽  
Tomoe Yoshikawa ◽  
...  

Abstract Background and study aims Self-expandable metallic stents (SEMS) have been widely used for left-sided colorectal obstruction. Few studies on SEMS placement for right-sided colonic obstructions have been reported because stenting in the right colon is technically difficult, particularly in the ileocecal region. We present 4 cases of successful bridge-to-surgery stenting for ileocecal cancer. Using an endoscopic retrograde cholangiopancreatography catheter with a movable tip and a decompression tube was effective for stenting. No adverse events occurred during or after SEMS placement in any of these cases. Short-term stenting for ileocecal cancer seems to be effective and safe.


Author(s):  
Shungo Endo ◽  
K. Kumamoto ◽  
T. Enomoto ◽  
K. Koizumi ◽  
H. Kato ◽  
...  

Abstract Purpose Advances in endoscopic technology have led to the reevaluation of self-expandable metallic stent (SEMS) placement as a bridge-to-surgery (BTS) in patients with obstructive colorectal cancer. In Japan, after inclusion of SEMS placement as a BTS in the medical insurance coverage in 2012, this procedure has been increasingly performed. However, a transanal decompression tube (TADT) placement has been used as a BTS. We aimed to retrospectively evaluate the optimal strategy for obstructive left-sided colorectal cancer (OLCRC) by comparing SEMS and TADT placement with emergency surgery. Methods We included 301 patients with stage II and III OLCRC from 27 institutions. The study patients were divided into Surgery group (emergency surgery, n = 103), SEMS group (BTS by SEMS, n = 113), and TADT group (BTS by TADT, n = 85). We compared the survival and perioperative outcomes of patients in the Surgery group as a standard treatment with those in the SEMS and TADT groups. Results The 3-year relapse-free survival rate in patients in the Surgery group was 74.8%, while that in patients in the SEMS group and TADT group were 69.0% (p = 0.39) and 55.3% (p = 0.006), respectively. The technical success rate was not statistically different, but the clinical success rate was significantly higher in the SEMS group than in the TADT group (p = 0.0040). With regard to postoperative complications after curative surgery, the SEMS group had significantly lower of complications (≥ grade 2) than the Surgery group (p = 0.022). Conclusion Patients who underwent SEMS placement for OLCRC had similar oncological outcomes to patients who underwent emergency surgery.


2003 ◽  
Vol 37 (2) ◽  
pp. 195-196 ◽  
Author(s):  
Satoshi Hasegawa ◽  
Mitsuyoshi Ohta ◽  
Ryutaro Mori ◽  
Koichiro Misuta ◽  
Shunsuke Kobayashi ◽  
...  

Author(s):  
Ryutaro MORI ◽  
Masaru MIURA ◽  
Tetsuya TAKAHASHI ◽  
Yoshiro OBI ◽  
Ken YAMANAKA ◽  
...  

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