Numata Koji, Yasukawa Mio, Toda Soji, Kamioka Yuto, Suematsu Hideaki, Tsuchida Kazuhito, Higuchi Akio, Saeki Hiroyuki, Rino Yasushi, Masuda Munetaka, Matsukawa Hiroshi
Dept. of Surgery, Yokohama Minami Kyosai Hospital.
Gan To Kagaku Ryoho. 2019 Dec;46(13):1911-1913.
The aim of this study was to compare the outcome of using trans-anal ileus tube and self-expandable metallic stent(SEMS) for obstructive colorectal cancer.
Between 2014 and 2018, 14 patients received trans-anal ileus tube placement (group I)and 34 received SEMS insertion as bridge to surgery(BTS)and underwent primary resection.
The technical success rate was 100%in both groups, and the clinical success rate was 85.7%(12/14 cases)in group I and 91.2%(31/34 cases)in group S. In group S, the CROSS score significantly improved, the rates of stoma construction and postoperative complications were significantly lower, and the period until oral intake and hospital discharge was significantly short.
SEMS insertion is more effective than trans-anal ileus tube placement in terms of short-term outcome.
本研究的目的是比较经肛门肠梗阻导管和自膨式金属支架（SEMS）用于梗阻性结直肠癌的效果。
2014年至2018年期间，14例患者接受经肛门肠梗阻导管置入（第一组），34例接受SEMS置入作为手术桥接（BTS）并接受一期切除。
两组的技术成功率均为100%，第一组的临床成功率为85.7%（12/14例），第二组为91.2%（31/34例）。在第二组中，CROSS评分显著改善，造口率和术后并发症显著降低，经口进食和出院时间显著缩短。
就短期效果而言，SEMS置入比经肛门肠梗阻导管置入更有效。
