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Own experiences of endoscopic self-expandable stent placement for malignant colorectal ileus

INTRODUCTION: Acute low neoplasm ileus requires emergency surgery. Nowadays there are increased numbers of patients with comorbidities, which causes higher risk of intra- and postoperative complications. AIM: To evaluate the clinical usefulness of endoscopic self-expandable stent placement for malig...

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Autores principales: Kamocki, Zbigniew K., Zaręba, Konrad P., Bandurski, Roman, Baniukiewicz, Andrzej, Wróblewski, Eugeniusz, Gryko, Mariusz, Kędra, Bogusław
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Termedia Publishing House 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3983551/
https://www.ncbi.nlm.nih.gov/pubmed/24729811
http://dx.doi.org/10.5114/wiitm.2014.40390
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author Kamocki, Zbigniew K.
Zaręba, Konrad P.
Bandurski, Roman
Baniukiewicz, Andrzej
Wróblewski, Eugeniusz
Gryko, Mariusz
Kędra, Bogusław
author_facet Kamocki, Zbigniew K.
Zaręba, Konrad P.
Bandurski, Roman
Baniukiewicz, Andrzej
Wróblewski, Eugeniusz
Gryko, Mariusz
Kędra, Bogusław
author_sort Kamocki, Zbigniew K.
collection PubMed
description INTRODUCTION: Acute low neoplasm ileus requires emergency surgery. Nowadays there are increased numbers of patients with comorbidities, which causes higher risk of intra- and postoperative complications. AIM: To evaluate the clinical usefulness of endoscopic self-expandable stent placement for malignant colorectal ileus. MATERIAL AND METHODS: Twenty-one patients (8 women and 13 men), mean age 66.7 years, with low neoplasm obstruction, underwent endoscopic stenting of the stricture. This procedure was performed as a bridge to the surgery especially for high-risk patients. Eight of them had coagulation system impairment, 5 severe metabolic disorders, 4 circulatory insufficiency, 3 severe malnutrition and 1 patient undiagnosed synchronic rectal tumor. In 10 patients cancer was located in the sigmoid colon, in 7 in the rectum, in 2 in the ascending colon, and the transverse and ascending colon was involved in another 2 patients. RESULTS: All 21 patients (100%) underwent endoscopic stenting successfully. There were no complications after stent placement. The authors underline that placement of expandable metallic stents for patients with malignant colon obstruction with acute ileus is a safe and effective method. It gives an opportunity for quick balance of fluid, electrolyte, and the coagulation system and improvement of efficiency of the circulatory and respiratory system. CONCLUSIONS: Endoscopic treatment of ileus helps precisely estimate tumor advancement and gives the possibility of a single stage radical surgical procedure.
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spelling pubmed-39835512014-04-11 Own experiences of endoscopic self-expandable stent placement for malignant colorectal ileus Kamocki, Zbigniew K. Zaręba, Konrad P. Bandurski, Roman Baniukiewicz, Andrzej Wróblewski, Eugeniusz Gryko, Mariusz Kędra, Bogusław Wideochir Inne Tech Maloinwazyjne Original Paper INTRODUCTION: Acute low neoplasm ileus requires emergency surgery. Nowadays there are increased numbers of patients with comorbidities, which causes higher risk of intra- and postoperative complications. AIM: To evaluate the clinical usefulness of endoscopic self-expandable stent placement for malignant colorectal ileus. MATERIAL AND METHODS: Twenty-one patients (8 women and 13 men), mean age 66.7 years, with low neoplasm obstruction, underwent endoscopic stenting of the stricture. This procedure was performed as a bridge to the surgery especially for high-risk patients. Eight of them had coagulation system impairment, 5 severe metabolic disorders, 4 circulatory insufficiency, 3 severe malnutrition and 1 patient undiagnosed synchronic rectal tumor. In 10 patients cancer was located in the sigmoid colon, in 7 in the rectum, in 2 in the ascending colon, and the transverse and ascending colon was involved in another 2 patients. RESULTS: All 21 patients (100%) underwent endoscopic stenting successfully. There were no complications after stent placement. The authors underline that placement of expandable metallic stents for patients with malignant colon obstruction with acute ileus is a safe and effective method. It gives an opportunity for quick balance of fluid, electrolyte, and the coagulation system and improvement of efficiency of the circulatory and respiratory system. CONCLUSIONS: Endoscopic treatment of ileus helps precisely estimate tumor advancement and gives the possibility of a single stage radical surgical procedure. Termedia Publishing House 2014-01-30 2014-03 /pmc/articles/PMC3983551/ /pubmed/24729811 http://dx.doi.org/10.5114/wiitm.2014.40390 Text en Copyright © 2014 Sekcja Wideochirurgii TChP http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial 3.0 Unported License, permitting all non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Paper
Kamocki, Zbigniew K.
Zaręba, Konrad P.
Bandurski, Roman
Baniukiewicz, Andrzej
Wróblewski, Eugeniusz
Gryko, Mariusz
Kędra, Bogusław
Own experiences of endoscopic self-expandable stent placement for malignant colorectal ileus
title Own experiences of endoscopic self-expandable stent placement for malignant colorectal ileus
title_full Own experiences of endoscopic self-expandable stent placement for malignant colorectal ileus
title_fullStr Own experiences of endoscopic self-expandable stent placement for malignant colorectal ileus
title_full_unstemmed Own experiences of endoscopic self-expandable stent placement for malignant colorectal ileus
title_short Own experiences of endoscopic self-expandable stent placement for malignant colorectal ileus
title_sort own experiences of endoscopic self-expandable stent placement for malignant colorectal ileus
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3983551/
https://www.ncbi.nlm.nih.gov/pubmed/24729811
http://dx.doi.org/10.5114/wiitm.2014.40390
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