直肠乙状结肠支架在急性大肠梗阻治疗中的应用。

The use of rectosigmoid stents in the management of acute large bowel obstruction.

作者信息

Lamah M, Mathur P, McKeown B, Blake H, Swift R I

机构信息

Department of Surgery, Mayday University Hospital, London, UK.

出版信息

J R Coll Surg Edinb. 1998 Oct;43(5):318-21.

PMID:9803102

Abstract

The management of the acutely obstructed colon is controversial. Initial decompression of the bowel is still favoured by many surgeons, but the resulting colostomy has significant morbidity and mortality. Instead, stenting of the obstruction would permit defunctioning of the bowel, without the need for surgery and stoma formation. In this study we present our experience of the use of stents in the initial management of six patients with acute and sub-acute large bowel obstruction.

摘要

急性梗阻性结肠的处理存在争议。许多外科医生仍倾向于首先对肠道进行减压，但由此产生的结肠造口术有显著的发病率和死亡率。相反，对梗阻部位进行支架置入可使肠道解除功能，而无需进行手术和造口。在本研究中，我们介绍了使用支架对6例急性和亚急性大肠梗阻患者进行初始治疗的经验。