Self-expandable Metallic Stents Contribute to Reducing Perioperative Complications in Colorectal Cancer Patients with Acute Obstruction.

Abstract

BACKGROUND/AIM:

The self-expandable metallic stent (SEMS) is an excellent non-invasive tool for emergent bowel obstruction. This study was designed to evaluate the clinical usefulness of the SEMS for avoiding perioperative complications.

PATIENTS AND METHODS:

We analyzed a total of 47 consecutive patients who had a bowel obstruction due to colorectal cancer at initial diagnosis between 2012 and 2017 from hospital records.

RESULTS:

Perioperative complications occurred in 30% (14/47) of patients. Univariate and multivariate logistic regression analyses identified an age of more than 75 years [p=0.037, OR=6.84 (95% CI=1.11-41.6)] and the absence of an SEMS treatment [p=0.028, OR=18.5 (95% CI=1.36-250.0)] as independent risk factors for perioperative complications. Pneumonia (12.7% (6/47)) was the most common complication. There were no pneumonia patients (0% (0/15)) who were treated with the SEMS. In contrast to patients with the non-SEMS treatment, 18.7% (6/32) of all patients and 35.7% (5/14) of elderly patients had pneumonia.

CONCLUSION:

The SEMS is a safe and effective treatment for avoiding perioperative complications, particularly pneumonia, and may be a crucial strategy in elderly patients with acute obstruction due to colorectal cancer.

• Authors: Hirotaka Furuke, Shuhei Komatsu, Jun Ikeda, Sachie Tanaka, Tatsuya Kumano, Ken-Ichiro Imura, Katsumi Shimomura, Fumihiro Taniguchi, Yasuo Ueshima, Ken-Ichiro Takashina, Chol Joo Lee, Eiichi Deguchi, Eito Ikeda, Eigo Otsuji, Yasuhiro Shioaki
• Journal: Anticancer research (Anticancer Res) Vol. 38 Issue 3 Pg. 1749-1753 (03 2018) ISSN: 1791-7530 [Electronic] Greece
• PMID: 29491112 (Publication Type: Journal Article)
• Copyright: Copyright© 2018, International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.

Chemical References

• Metals

Topics

• Acute Disease
• Adult
• Aged
• Aged, 80 and over
• Colorectal Neoplasms (complications, surgery)
• Female
• Humans
• Intestinal Obstruction (etiology, surgery)
• Logistic Models
• Male
• Metals (chemistry)
• Middle Aged
• Multivariate Analysis
• Perioperative Period
• Pneumonia (prevention & control)
• Postoperative Complications (prevention & control)
• Stents
• Treatment Outcome