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Utility and safety of the self‐expandable metallic colonic stent in Japanese patients who received systemic chemotherapy or palliative treatment for obstructive primary advanced colorectal cancer: A retrospective single‐center medical chart evaluation

BACKGROUND AND AIM: The present study aimed to compare the utility and safety of the colonic self‐expandable metallic stent between patients with obstructive primary colorectal cancer who underwent chemotherapy or palliative treatment care and patients bridging for surgery. METHODS: The cases of 71...

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Autores principales: Naruse, Naomi, Miyahara, Koichi, Sakata, Yasuhisa, Takamori, Ayako, Ito, Yoichiro, Hidaka, Hidenori, Sameshima, Ryuichiro, Tsuruoka, Nanae, Shimoda, Ryo, Yamanouchi, Kohei, Noda, Takahiro, Fujimoto, Kazuma, Esaki, Motohiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wiley Publishing Asia Pty Ltd 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9120876/
https://www.ncbi.nlm.nih.gov/pubmed/35601122
http://dx.doi.org/10.1002/jgh3.12744
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author Naruse, Naomi
Miyahara, Koichi
Sakata, Yasuhisa
Takamori, Ayako
Ito, Yoichiro
Hidaka, Hidenori
Sameshima, Ryuichiro
Tsuruoka, Nanae
Shimoda, Ryo
Yamanouchi, Kohei
Noda, Takahiro
Fujimoto, Kazuma
Esaki, Motohiro
author_facet Naruse, Naomi
Miyahara, Koichi
Sakata, Yasuhisa
Takamori, Ayako
Ito, Yoichiro
Hidaka, Hidenori
Sameshima, Ryuichiro
Tsuruoka, Nanae
Shimoda, Ryo
Yamanouchi, Kohei
Noda, Takahiro
Fujimoto, Kazuma
Esaki, Motohiro
author_sort Naruse, Naomi
collection PubMed
description BACKGROUND AND AIM: The present study aimed to compare the utility and safety of the colonic self‐expandable metallic stent between patients with obstructive primary colorectal cancer who underwent chemotherapy or palliative treatment care and patients bridging for surgery. METHODS: The cases of 71 patients with colonic obstructive stenosis and in‐dwelling stents who were hospitalized between May 2012 and April 2020 at Karatsu Red Cross Hospital were retrospectively analyzed. The patients were classified into three groups: bridging for curative surgery (group I), receiving systemic chemotherapy (group II‐A), and receiving only palliative treatment (group II‐B). Technical and clinical success rates and complication rates after stenting were evaluated. RESULTS: No significant differences were observed in the technical (procedure) success rates (group I: 100%; group II, 97.6% [II‐A: 100%; II‐B: 95.8%]). The total clinical success rate was 85.9% (61/71) and did not vary significantly among the groups (group I: 82.8%; group II 88.0% [II‐A: 83.3%; II‐B: 91.6%]). No significant differences were observed in the early complication rates between groups I and II and in the late complication rates between groups II‐A and II‐B. Nutrition status, general condition, tumor staging, and 1‐year survival were poorer in group II than in group I. CONCLUSION: The findings show that colonic stenting for malignant obstruction was performed successfully and safely both in patients who received systemic chemotherapy or palliative therapy and in patients bridging for curative surgery, regardless of risk status for malnutrition, poor general condition, cancer stage progression, and short survival.
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spelling pubmed-91208762022-05-21 Utility and safety of the self‐expandable metallic colonic stent in Japanese patients who received systemic chemotherapy or palliative treatment for obstructive primary advanced colorectal cancer: A retrospective single‐center medical chart evaluation Naruse, Naomi Miyahara, Koichi Sakata, Yasuhisa Takamori, Ayako Ito, Yoichiro Hidaka, Hidenori Sameshima, Ryuichiro Tsuruoka, Nanae Shimoda, Ryo Yamanouchi, Kohei Noda, Takahiro Fujimoto, Kazuma Esaki, Motohiro JGH Open Original Articles BACKGROUND AND AIM: The present study aimed to compare the utility and safety of the colonic self‐expandable metallic stent between patients with obstructive primary colorectal cancer who underwent chemotherapy or palliative treatment care and patients bridging for surgery. METHODS: The cases of 71 patients with colonic obstructive stenosis and in‐dwelling stents who were hospitalized between May 2012 and April 2020 at Karatsu Red Cross Hospital were retrospectively analyzed. The patients were classified into three groups: bridging for curative surgery (group I), receiving systemic chemotherapy (group II‐A), and receiving only palliative treatment (group II‐B). Technical and clinical success rates and complication rates after stenting were evaluated. RESULTS: No significant differences were observed in the technical (procedure) success rates (group I: 100%; group II, 97.6% [II‐A: 100%; II‐B: 95.8%]). The total clinical success rate was 85.9% (61/71) and did not vary significantly among the groups (group I: 82.8%; group II 88.0% [II‐A: 83.3%; II‐B: 91.6%]). No significant differences were observed in the early complication rates between groups I and II and in the late complication rates between groups II‐A and II‐B. Nutrition status, general condition, tumor staging, and 1‐year survival were poorer in group II than in group I. CONCLUSION: The findings show that colonic stenting for malignant obstruction was performed successfully and safely both in patients who received systemic chemotherapy or palliative therapy and in patients bridging for curative surgery, regardless of risk status for malnutrition, poor general condition, cancer stage progression, and short survival. Wiley Publishing Asia Pty Ltd 2022-04-28 /pmc/articles/PMC9120876/ /pubmed/35601122 http://dx.doi.org/10.1002/jgh3.12744 Text en © 2022 The Authors. JGH Open published by Journal of Gastroenterology and Hepatology Foundation and John Wiley & Sons Australia, Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Original Articles
Naruse, Naomi
Miyahara, Koichi
Sakata, Yasuhisa
Takamori, Ayako
Ito, Yoichiro
Hidaka, Hidenori
Sameshima, Ryuichiro
Tsuruoka, Nanae
Shimoda, Ryo
Yamanouchi, Kohei
Noda, Takahiro
Fujimoto, Kazuma
Esaki, Motohiro
Utility and safety of the self‐expandable metallic colonic stent in Japanese patients who received systemic chemotherapy or palliative treatment for obstructive primary advanced colorectal cancer: A retrospective single‐center medical chart evaluation
title Utility and safety of the self‐expandable metallic colonic stent in Japanese patients who received systemic chemotherapy or palliative treatment for obstructive primary advanced colorectal cancer: A retrospective single‐center medical chart evaluation
title_full Utility and safety of the self‐expandable metallic colonic stent in Japanese patients who received systemic chemotherapy or palliative treatment for obstructive primary advanced colorectal cancer: A retrospective single‐center medical chart evaluation
title_fullStr Utility and safety of the self‐expandable metallic colonic stent in Japanese patients who received systemic chemotherapy or palliative treatment for obstructive primary advanced colorectal cancer: A retrospective single‐center medical chart evaluation
title_full_unstemmed Utility and safety of the self‐expandable metallic colonic stent in Japanese patients who received systemic chemotherapy or palliative treatment for obstructive primary advanced colorectal cancer: A retrospective single‐center medical chart evaluation
title_short Utility and safety of the self‐expandable metallic colonic stent in Japanese patients who received systemic chemotherapy or palliative treatment for obstructive primary advanced colorectal cancer: A retrospective single‐center medical chart evaluation
title_sort utility and safety of the self‐expandable metallic colonic stent in japanese patients who received systemic chemotherapy or palliative treatment for obstructive primary advanced colorectal cancer: a retrospective single‐center medical chart evaluation
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9120876/
https://www.ncbi.nlm.nih.gov/pubmed/35601122
http://dx.doi.org/10.1002/jgh3.12744
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