The Effectiveness of Self-Expandable Metallic Stent Insertion in Treating Right-Sided Colonic Obstruction: A Comparison between SEMS and Decompression Tube Placement and an Investigation of the Safety and Difficulties of SEMS Insertion in Right Colons
Objectives. Self-expandable metallic stent (SEMS) is widely used to treat malignant colonic obstruction. However, most reports about SEMS insertion have concentrated on the left colon. This study aimed to (1) investigate the effectiveness of SEMS insertion compared with conventional decompression tu...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Gastroenterology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2014/372918 |
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| author | Rintaro Moroi Katsuya Endo Ryo Ichikawa Hiroshi Nagai Hirohiko Shinkai Tomoya Kimura Fumitake Ishiyama Kei Yaguchi Shoichi Kayaba Tooru Shimosegawa |
| author_facet | Rintaro Moroi Katsuya Endo Ryo Ichikawa Hiroshi Nagai Hirohiko Shinkai Tomoya Kimura Fumitake Ishiyama Kei Yaguchi Shoichi Kayaba Tooru Shimosegawa |
| author_sort | Rintaro Moroi |
| collection | DOAJ |
| description | Objectives. Self-expandable metallic stent (SEMS) is widely used to treat malignant colonic obstruction. However, most reports about SEMS insertion have concentrated on the left colon. This study aimed to (1) investigate the effectiveness of SEMS insertion compared with conventional decompression tube for right-sided colonic obstruction and (2) compare the safety and technical success of SEMS insertion between left- and right-sided colonic obstructions. Methods. The data from thirty-seven patients who underwent SEMS or conventional decompression tube placement for malignant colonic obstruction in our hospital were analyzed retrospectively. Technical and clinical success, complications, and technical difficulties were analyzed. We compared the results between SEMS insertion and decompression tube placement in right colons and the outcomes of SEMS insertion between right- and left-sided colonic obstructions. Results. For right colons, the clinical success rate of SEMS insertion (100%) was significantly higher than that of decompression tube placement (55.9%). Concerning SEMS insertion, the technical difficulty and safety of SEMS insertion were similar between right- and left-sided colonic obstructions. Conclusion. SEMS insertion for right-sided colon is significantly more effective than conventional decompression tube placement, and this procedure was safer and less technically challenging than expected. SEMS insertion should be considered for treating right-sided malignant colonic obstruction. |
| format | Article |
| id | doaj-art-7af94938ebb5455a941d840d94303eb5 |
| institution | Kabale University |
| issn | 1687-6121 1687-630X |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Gastroenterology Research and Practice |
| spelling | doaj-art-7af94938ebb5455a941d840d94303eb52025-02-03T06:11:34ZengWileyGastroenterology Research and Practice1687-61211687-630X2014-01-01201410.1155/2014/372918372918The Effectiveness of Self-Expandable Metallic Stent Insertion in Treating Right-Sided Colonic Obstruction: A Comparison between SEMS and Decompression Tube Placement and an Investigation of the Safety and Difficulties of SEMS Insertion in Right ColonsRintaro Moroi0Katsuya Endo1Ryo Ichikawa2Hiroshi Nagai3Hirohiko Shinkai4Tomoya Kimura5Fumitake Ishiyama6Kei Yaguchi7Shoichi Kayaba8Tooru Shimosegawa9Department of Gastroenterology, Iwate Prefectural Isawa Hospital, 61 Ryugababa, Mizusawa-Ku, Oshu, Iwate 023-0865, JapanDivision of Gastroenterology, Tohoku University Graduate School of Medicine, 1-1 Seiryo, Aoba-ku, Sendai, Miyagi 980-8574, JapanDepartment of Gastroenterology, Iwate Prefectural Isawa Hospital, 61 Ryugababa, Mizusawa-Ku, Oshu, Iwate 023-0865, JapanDepartment of Gastroenterology, Iwate Prefectural Isawa Hospital, 61 Ryugababa, Mizusawa-Ku, Oshu, Iwate 023-0865, JapanDepartment of Gastroenterology, Iwate Prefectural Isawa Hospital, 61 Ryugababa, Mizusawa-Ku, Oshu, Iwate 023-0865, JapanDepartment of Gastroenterology, Iwate Prefectural Isawa Hospital, 61 Ryugababa, Mizusawa-Ku, Oshu, Iwate 023-0865, JapanDepartment of Gastroenterology, Iwate Prefectural Isawa Hospital, 61 Ryugababa, Mizusawa-Ku, Oshu, Iwate 023-0865, JapanDepartment of Gastroenterology, Iwate Prefectural Isawa Hospital, 61 Ryugababa, Mizusawa-Ku, Oshu, Iwate 023-0865, JapanDepartment of Gastroenterology, Iwate Prefectural Isawa Hospital, 61 Ryugababa, Mizusawa-Ku, Oshu, Iwate 023-0865, JapanDivision of Gastroenterology, Tohoku University Graduate School of Medicine, 1-1 Seiryo, Aoba-ku, Sendai, Miyagi 980-8574, JapanObjectives. Self-expandable metallic stent (SEMS) is widely used to treat malignant colonic obstruction. However, most reports about SEMS insertion have concentrated on the left colon. This study aimed to (1) investigate the effectiveness of SEMS insertion compared with conventional decompression tube for right-sided colonic obstruction and (2) compare the safety and technical success of SEMS insertion between left- and right-sided colonic obstructions. Methods. The data from thirty-seven patients who underwent SEMS or conventional decompression tube placement for malignant colonic obstruction in our hospital were analyzed retrospectively. Technical and clinical success, complications, and technical difficulties were analyzed. We compared the results between SEMS insertion and decompression tube placement in right colons and the outcomes of SEMS insertion between right- and left-sided colonic obstructions. Results. For right colons, the clinical success rate of SEMS insertion (100%) was significantly higher than that of decompression tube placement (55.9%). Concerning SEMS insertion, the technical difficulty and safety of SEMS insertion were similar between right- and left-sided colonic obstructions. Conclusion. SEMS insertion for right-sided colon is significantly more effective than conventional decompression tube placement, and this procedure was safer and less technically challenging than expected. SEMS insertion should be considered for treating right-sided malignant colonic obstruction.http://dx.doi.org/10.1155/2014/372918 |
| spellingShingle | Rintaro Moroi Katsuya Endo Ryo Ichikawa Hiroshi Nagai Hirohiko Shinkai Tomoya Kimura Fumitake Ishiyama Kei Yaguchi Shoichi Kayaba Tooru Shimosegawa The Effectiveness of Self-Expandable Metallic Stent Insertion in Treating Right-Sided Colonic Obstruction: A Comparison between SEMS and Decompression Tube Placement and an Investigation of the Safety and Difficulties of SEMS Insertion in Right Colons Gastroenterology Research and Practice |
| title | The Effectiveness of Self-Expandable Metallic Stent Insertion in Treating Right-Sided Colonic Obstruction: A Comparison between SEMS and Decompression Tube Placement and an Investigation of the Safety and Difficulties of SEMS Insertion in Right Colons |
| title_full | The Effectiveness of Self-Expandable Metallic Stent Insertion in Treating Right-Sided Colonic Obstruction: A Comparison between SEMS and Decompression Tube Placement and an Investigation of the Safety and Difficulties of SEMS Insertion in Right Colons |
| title_fullStr | The Effectiveness of Self-Expandable Metallic Stent Insertion in Treating Right-Sided Colonic Obstruction: A Comparison between SEMS and Decompression Tube Placement and an Investigation of the Safety and Difficulties of SEMS Insertion in Right Colons |
| title_full_unstemmed | The Effectiveness of Self-Expandable Metallic Stent Insertion in Treating Right-Sided Colonic Obstruction: A Comparison between SEMS and Decompression Tube Placement and an Investigation of the Safety and Difficulties of SEMS Insertion in Right Colons |
| title_short | The Effectiveness of Self-Expandable Metallic Stent Insertion in Treating Right-Sided Colonic Obstruction: A Comparison between SEMS and Decompression Tube Placement and an Investigation of the Safety and Difficulties of SEMS Insertion in Right Colons |
| title_sort | effectiveness of self expandable metallic stent insertion in treating right sided colonic obstruction a comparison between sems and decompression tube placement and an investigation of the safety and difficulties of sems insertion in right colons |
| url | http://dx.doi.org/10.1155/2014/372918 |
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