school

Macau Periodical Index (澳門期刊論文索引)

Author
Romeo, Giovanni; Tomasello, Giovanni; Ciulla, Antonio; Genova, Gaspare; Castronovo, Gioacchino; Agnello, Giuseppe; Bernasconi, David; Urso, Giacomo; Maiorana, Alfonso M
Title
Malignant colorectal obstruction: palliative endoscopic treatment with self-expanding metallic stents
Journal Name
澳門醫學雜誌
Pub. Info
2005年3月26日, Vol.5, No.1, pp. 9-12
Keyword
Colorectal cancer;Endoscopic treatment;Self-expanding stents
Abstract
Objective: The Authors report their experience in the palliative management of malignant clolrectal obstruction. Methods: Between June 2000 and April 2003 sisteen patients (11 men and 5 women, age range 63-82) were found suffering from malignant colorectal obstruction. In these patients it was not possible to perform definitive surgical treatment because of the old age, advances neoplastiv disease and poor health condition, colostomy was the only therapeutic option. Endoscopic self-expanding stents placement was performed as a definitive palliative method to treat colorectal obstructions caused by advanced and unresectable tumours. This procedure was performed under endoscopic and fluoroscopic control and neither analgesia nor sedation was administered during the procedure. Results: Stent placement was successful in 14 cases (87.5%) with relief of bowel obstruction within following 24 hours. Conclusions: It was possible to obtain a permanent intestinal canalization and other treatments weren't necessary during the follow-up. The results obtain were similar to the data of literature. Paragraph Headings: 1. Introduction 2. Matterials and Methods 3. Results 4. Discussion 5. Conclusions