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加拿大关于在胃肠道使用金属支架治疗肿瘤适应症的跨学科指南。

Interdisciplinary Canadian guidelines on the use of metal stents in the gastrointestinal tract for oncological indications.

作者信息

Baerlocher Mark Otto, Asch Murray R, Dixon Peter, Kortan Paul, Myers Andy, Law Calvin

机构信息

Department of Radiology, University of Toronto, Toronto, ON.

出版信息

Can Assoc Radiol J. 2008 Jun;59(3):107-22.

Abstract

OBJECTIVE

To provide evidence-based guidelines regarding the appropriate use of gastrointestinal stents for oncologic indications. This document describes the use of gastrointestinal stents by appropriately trained physicians.

METHODS

This document is based on a review of the published evidence and supplemented by consensus expert opinion. Gastrointestinal stenting has been evaluated in terms of technical success, complications, patient satisfaction, clinical outcome, and cost-benefit analysis. This document was approved by the Canadian Interventional Radiology Association; approval from the other relevant Canadian societies is pending.

CONCLUSION

Gastrointestinal stenting has a valuable role in the management of gastrointestinal malignancy. The decision to use such devices should be taken after comprehensive multidisciplinary clinical, endoscopic, and radiologic evaluation.

摘要

目的

提供关于胃肠道支架在肿瘤适应证方面合理应用的循证指南。本文描述了经过适当培训的医生对胃肠道支架的使用。

方法

本文基于对已发表证据的综述,并辅以专家共识意见。已从技术成功率、并发症、患者满意度、临床结局和成本效益分析等方面对胃肠道支架置入术进行了评估。本文已获加拿大介入放射学会批准;尚待加拿大其他相关学会批准。

结论

胃肠道支架置入术在胃肠道恶性肿瘤的治疗中具有重要作用。使用此类装置的决定应在综合多学科临床、内镜和放射学评估后做出。

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