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Safety and efficacy of self-expandable metallic stents in malignant small bowel obstructions

In this report, we present 3 cases of malignant small bowel obstruction, treated with palliative care using endoscopic self-expandable metallic stent (SEMS) placement, with the aim to identify the safety and efficacy of this procedure. Baseline patient characteristics, procedure methods, procedure t...

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Autores principales: Tsuboi, Akiyoshi, Kuwai, Toshio, Nishimura, Tomoyuki, Iio, Sumio, Mori, Takeshi, Imagawa, Hiroki, Yamaguchi, Toshiki, Yamaguchi, Atsushi, Kouno, Hirotaka, Kohno, Hiroshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5083807/
https://www.ncbi.nlm.nih.gov/pubmed/27833393
http://dx.doi.org/10.3748/wjg.v22.i40.9022
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author Tsuboi, Akiyoshi
Kuwai, Toshio
Nishimura, Tomoyuki
Iio, Sumio
Mori, Takeshi
Imagawa, Hiroki
Yamaguchi, Toshiki
Yamaguchi, Atsushi
Kouno, Hirotaka
Kohno, Hiroshi
author_facet Tsuboi, Akiyoshi
Kuwai, Toshio
Nishimura, Tomoyuki
Iio, Sumio
Mori, Takeshi
Imagawa, Hiroki
Yamaguchi, Toshiki
Yamaguchi, Atsushi
Kouno, Hirotaka
Kohno, Hiroshi
author_sort Tsuboi, Akiyoshi
collection PubMed
description In this report, we present 3 cases of malignant small bowel obstruction, treated with palliative care using endoscopic self-expandable metallic stent (SEMS) placement, with the aim to identify the safety and efficacy of this procedure. Baseline patient characteristics, procedure methods, procedure time, technical and clinical success rates, complications, and patient outcomes were obtained. All 3 patients had pancreatic cancer with small bowel strictures. One patient received the SEMS using colonoscopy, while the other 2 patients received SEMS placement via double balloon endoscopy using the through-the-overtube technique. The median procedure time was 104 min. The technical and clinical success rates were 100%. Post-treatment, obstructive symptoms in all patients improved, and a low-residue diet could be tolerated. All stents remained within the patients until their deaths. The median overall survival time (stent patency time) was 76 d. SEMS placement is safe and effective as a palliative treatment for malignant small bowel obstruction.
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spelling pubmed-50838072016-11-10 Safety and efficacy of self-expandable metallic stents in malignant small bowel obstructions Tsuboi, Akiyoshi Kuwai, Toshio Nishimura, Tomoyuki Iio, Sumio Mori, Takeshi Imagawa, Hiroki Yamaguchi, Toshiki Yamaguchi, Atsushi Kouno, Hirotaka Kohno, Hiroshi World J Gastroenterol Case Report In this report, we present 3 cases of malignant small bowel obstruction, treated with palliative care using endoscopic self-expandable metallic stent (SEMS) placement, with the aim to identify the safety and efficacy of this procedure. Baseline patient characteristics, procedure methods, procedure time, technical and clinical success rates, complications, and patient outcomes were obtained. All 3 patients had pancreatic cancer with small bowel strictures. One patient received the SEMS using colonoscopy, while the other 2 patients received SEMS placement via double balloon endoscopy using the through-the-overtube technique. The median procedure time was 104 min. The technical and clinical success rates were 100%. Post-treatment, obstructive symptoms in all patients improved, and a low-residue diet could be tolerated. All stents remained within the patients until their deaths. The median overall survival time (stent patency time) was 76 d. SEMS placement is safe and effective as a palliative treatment for malignant small bowel obstruction. Baishideng Publishing Group Inc 2016-10-28 2016-10-28 /pmc/articles/PMC5083807/ /pubmed/27833393 http://dx.doi.org/10.3748/wjg.v22.i40.9022 Text en ©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial.
spellingShingle Case Report
Tsuboi, Akiyoshi
Kuwai, Toshio
Nishimura, Tomoyuki
Iio, Sumio
Mori, Takeshi
Imagawa, Hiroki
Yamaguchi, Toshiki
Yamaguchi, Atsushi
Kouno, Hirotaka
Kohno, Hiroshi
Safety and efficacy of self-expandable metallic stents in malignant small bowel obstructions
title Safety and efficacy of self-expandable metallic stents in malignant small bowel obstructions
title_full Safety and efficacy of self-expandable metallic stents in malignant small bowel obstructions
title_fullStr Safety and efficacy of self-expandable metallic stents in malignant small bowel obstructions
title_full_unstemmed Safety and efficacy of self-expandable metallic stents in malignant small bowel obstructions
title_short Safety and efficacy of self-expandable metallic stents in malignant small bowel obstructions
title_sort safety and efficacy of self-expandable metallic stents in malignant small bowel obstructions
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5083807/
https://www.ncbi.nlm.nih.gov/pubmed/27833393
http://dx.doi.org/10.3748/wjg.v22.i40.9022
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