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[恶性大肠狭窄的内镜支架置入术]

[Endoscopic stenting of malignant colorectal strictures].

作者信息

Brudvik Andreas, Rancinger Peter, Sundhagen Jon Otto, Hauge Truls

机构信息

Kirurgisk avdeling, Sykehuset Østfold Fredrikstad.

出版信息

Tidsskr Nor Laegeforen. 2005 Aug 11;125(15):2011-3.

Abstract

BACKGROUND

Stenting of malignant colorectal strictures has been used in the management of colorectal obstruction in order to convert acute into elective surgery ("bridge to surgery") as well as to avoid surgery in disseminated disease.

MATERIAL AND METHOD

There are increasing numbers of international publications available. We have identified English-language reports from Pubmed. In addition we present our results with our first fifteen patients.

RESULTS

The results reported in the international literature are encouraging and similar. Technical success rates were achieved in about 90%, stent migration and re-obstruction in about 10%. The results from our hospital were consistent with those in the international literature.

CONCLUSION

Stenting of malignant colorectal strictures is an effective and safe definitive procedure in the palliation of malignant colorectal obstruction. Acute colorectal surgery may be converted into elective.

摘要

背景

恶性大肠狭窄的支架置入术已被用于治疗大肠梗阻,以便将急症手术转变为择期手术(“手术桥梁”),以及避免在播散性疾病中进行手术。

材料与方法

国际上发表的相关文献数量日益增多。我们检索了来自PubMed的英文报告。此外,我们还展示了首批15例患者的治疗结果。

结果

国际文献报道的结果令人鼓舞且相似。技术成功率约为90%,支架移位和再梗阻发生率约为10%。我们医院的结果与国际文献一致。

结论

恶性大肠狭窄的支架置入术是缓解恶性大肠梗阻的一种有效且安全的确定性治疗方法。急性大肠手术可转变为择期手术。

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