"iDoctor – Medical Blog"

OBJECTIVE. The purpose of this study was to compare, focusing on
colonic perforation and stent migration, the clinical safety and efficacy of
dual-design expandable colorectal stents with flared ends with those of stents
with bent ends in the treatment of patients with malignant colorectal
obstruction.

SUBJECTS AND METHODS. A total of 122 patients with malignant
colorectal obstruction underwent implantation of dual-design stents with
flared (n = 69) or bent (n = 53) ends.

RESULTS. Stent placement was technically successful in 116 of 122
patients (95.1%), 65 of 69 patients (94.2%) with flared-end stents and 51 of
53 patients (96.2%) with bent-end stents (p > 0.05). Clinical
success was achieved within 2 days in 61 of 65 patients (93.8%) with bent-end
stents and in 46 of 51 patients (90.2%) with flared-end stents (p
> 0.05). Complications included seven cases of colonic perforation (6%),
seven cases of stent migration (6%), three cases of tumor overgrowth (2.6%),
four cases of severe rectal pain (3.4%), and four cases of bleeding (3.4%).
There were no significant differences between the rates of colonic perforation
and stent migration in the two groups (6.2% vs 5.9%), and the overall
complication rates were similar (p > 0.05).

CONCLUSION. Dual-design expandable colorectal stents with flared
ends and those with bent ends are equally safe and effective, having similar
perforation and migration rates.

This entry was posted on Thursday, June 25th, 2009 at 3:20 am and is filed under Health news. You can follow any responses to this entry through the RSS 2.0 feed. You can skip to the end and leave a response. Pinging is currently not allowed.