Comparative evaluation of the use of coated and uncoated self-expandable metallic stents in malignant colorectal obstruction [СРАВНИТЕЛЬНАЯ ОЦЕНКА ПРИМЕНЕНИЯ ПОКРЫТЫХ И НЕПОКРЫТЫХ САМОРАСШИРЯЮЩИХСЯ МЕТАЛЛИЧЕСКИХ СТЕНТОВ ПРИ ОБТУРАЦИОННОЙ ТОЛСТОКИШЕЧНОЙ НЕПРОХОДИМОСТИ ОПУХОЛЕВОГО ГЕНЕЗА]

The OBJECTIVE was to compare the efficacy and rate of complications in patients of groups with uncovered and covered colorectal stents. METHODS AND MATERIALS. The study included 102 patients who were admitted for emergency with symptoms of malignant colon obstruction, who were randomly installed covered and uncovered SEMS from December 2012 to September 2017. RESULTS. Clinical success was achieved with uncovered stents in 98 % of cases and 96 % with covered stents (relative risk (RR) 1.02). 95 % confidence interval (CI) 0.954–1.092). The incidence of complications in the group of uncovered stents was 9.8 %, in the group of covered stents – 3.9 % (RR 0.938, CI 0.841–1.046); the frequency of recurrences of obstruction did not significantly different between groups. The median duration of cumulative stent patency was 181 days in the group of uncovered stents and 218 days in the group of covered stents (p=0.427), the difference was statistically insignificant. CONCLUSION. The use of double covered and double uncovered stents is equally effectively and safely for patients with malignant colorectal obstruction. The frequency of reobstructions did not exceed 4 % and did not differ in the groups of covered and uncovered stents. The choice of the type of stent should be determined individually depending on the clinical situation. © 2019 Pavlov University, Departamento de Artes y Letras. All rights reserved.

Authors
Duvanskiy V.A. 1 , Vodoleev A.S. 2 , Kriazhev D.L.3 , Yarotskov I.I. 2
Number of issue
6
Language
Russian
Pages
41-46
Status
Published
Volume
178
Year
2019
Organizations
  • 1 Skobelkin State Scientific Center of Laser Medicine, 40, Studencheskaya street, Moscow, 121165, Russian Federation
  • 2 RUDN University, Moscow, Russian Federation
  • 3 City Clinical Hospital named after A. K. Eramishantsev of the Moscow Healthcare Department Moscow Russian Federation, Moscow, Russian Federation
Keywords
Colorectal stenting; Endoscopy; Malignant colorectal obstruction; Oncology; Surgery
Date of creation
02.11.2020
Date of change
02.11.2020
Short link
https://repository.rudn.ru/en/records/article/record/65784/
Share

Other records