Hong Sung Pil, Kim Tae Il
Sung Pil Hong, Tae Il Kim, Division of Gastroenterology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul 120-752, South Korea.
World J Gastroenterol. 2014 Nov 21;20(43):16020-8. doi: 10.3748/wjg.v20.i43.16020.
Some colorectal cancer (CRC) patients present symptoms of bowel obstruction, which is considered a surgical emergency. Because of poor medical condition and high incidence of post-surgical complications, there has been increasing use of self-expanding metal stents (SEMS) for the purpose of palliation or as a bridge to surgery with some benefits, including shorter hospital stays, lower rates of adverse events, and one-stage surgery. However, with increasing survival of CRC patients, there have been controversial data on clinical outcomes and complications, compared between SEMS use and surgery for treatment of malignant bowel obstruction. We review recent clinical data on clinical outcomes of SEMS use compared to surgery, including complications.
一些结直肠癌（CRC）患者会出现肠梗阻症状，这被视为外科急症。由于患者身体状况较差且术后并发症发生率高，自膨式金属支架（SEMS）越来越多地被用于缓解症状或作为手术桥梁，具有一些益处，包括缩短住院时间、降低不良事件发生率以及一期手术。然而，随着CRC患者生存率的提高，关于SEMS使用与手术治疗恶性肠梗阻的临床结局和并发症的数据存在争议。我们回顾了与手术相比，SEMS使用的近期临床结局的临床数据，包括并发症。
