Lee Kwang Jae, Kim Sang Woo, Kim Tae Il, Lee Jong-Hoon, Lee Bo-In, Keum Bora, Cheung Dae Young, Yang Chang Heon
Department of Gastroenterology, Ajou University School of Medicine, Suwon, Korea.
Clin Endosc. 2013 Jul;46(4):355-67. doi: 10.5946/ce.2013.46.4.355. Epub 2013 Jul 31.
Recently, placement of self-expandable metallic stents has been used for the treatment of colorectal obstruction. As domestic awareness of colorectal cancer has increased, the number of colorectal stenting procedures performed has also increased. We aimed to provide evidence-based recommendations for colorectal stenting to aid gastroenterologists in making informed decisions regarding the management of patients who present with colorectal obstruction. The working group consisted of eight gastroenterologists who actively practice and conduct research in the field of colorectal stenting and are the members of the Stent Study Group of the Korean Society of Gastrointestinal Endoscopy. A literature search was conducted using the PubMed, Embase, KoreaMed, and the Cochrane Library databases to identify relevant articles published between January 2001 and June 2012. Based on the modified Delphi process, 10 recommendation statements regarding indications, usefulness, methodology and complications of colorectal stenting, and alternative treatments for malignant colorectal obstruction were determined. The contents will be widely distributed, and periodically revised to reflect the latest knowledge. These evidence-based recommendations for colorectal stenting will provide gastroenterologists and patients with appropriate and balanced information, and will improve the quality of care.
最近，自膨式金属支架置入术已被用于治疗结直肠梗阻。随着国内对结直肠癌的认识提高，进行结直肠支架置入术的数量也有所增加。我们旨在为结直肠支架置入提供循证建议，以帮助胃肠病学家在处理结直肠梗阻患者时做出明智决策。工作组成员包括八位积极从事结直肠支架置入领域实践与研究的胃肠病学家，他们均为韩国胃肠内镜学会支架研究组的成员。通过检索PubMed、Embase、KoreaMed和考克兰图书馆数据库，以识别2001年1月至2012年6月期间发表的相关文章。基于改良的德尔菲法，确定了10条关于结直肠支架置入的适应证、有效性、方法、并发症以及恶性结直肠梗阻替代治疗的推荐声明。这些内容将广泛传播，并定期修订以反映最新知识。这些基于证据的结直肠支架置入推荐将为胃肠病学家和患者提供恰当且平衡的信息，并提高医疗质量。
