کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
6252382 1612020 2011 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
ReviewColorectal stents: Do we have enough evidence?
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
پیش نمایش صفحه اول مقاله
ReviewColorectal stents: Do we have enough evidence?
چکیده انگلیسی

BackgroundThe use of colonic stents has significantly evolved over the last few years. Emergency surgery for colonic obstructions is usually associated with significant mortality, morbidity and often stoma formation. Colonic stents provide an alternative way to relieve colonic obstruction, and hence avoiding the risks associated with emergency surgery. This literature review aims to summarize the important current evidence regarding colorectal stenting and show whether further evaluation of the procedure is required.ResultsThe available large number of non-randomized studies suggests that Self-Expandable-Metal-Stents (SEMS) placement for acute colonic obstruction could be considered as safe and effective alternative to surgery in experienced hands either as a bridge to surgery or as a palliative measure. This evidence has led to SEMS being widely adopted. However, randomized evidence has begun to show the defects that are inherent in the low level evidence that has so far supported SEMS use and it may be that reports of randomized controlled trials may clarify the patient population where SEMS placement is appropriate.ConclusionWhile we are still waiting for the outcome of the multicentre randomized controlled trials in the UK and Europe, clinicians must be aware of the current evidence limitations and apply SEMS use pragmatically.

► Surgery for colonic obstructions has significant morbidity and mortality risk. ► Non-randomized studies suggest that SEMS could be a safe alternative to surgery. ► Randomized evidence has shown the defects inherent in the low level evidence. ► Clinicians must be aware of the evidence limitations and apply stents pragmatically.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: International Journal of Surgery - Volume 9, Issue 8, 2011, Pages 595-599
نویسندگان
, , , , , , ,