메뉴 건너뛰기
.. 내서재 .. 알림
소속 기관/학교 인증
인증하면 논문, 학술자료 등을  무료로 열람할 수 있어요.
한국대학교, 누리자동차, 시립도서관 등 나의 기관을 확인해보세요
(국내 대학 90% 이상 구독 중)
로그인 회원가입 고객센터 ENG
주제분류

추천
검색

논문 기본 정보

자료유형
학술저널
저자정보
Kwon Sang-Jae (Department of Gastroenterology Asan Medical Center University of Ulsan College of Medicine Seoul Ko) Yoon Jiyoung (Department of Gastroenterology Asan Medical Center University of Ulsan College of Medicine Seoul Ko) Oh Eun Hye (Department of Gastroenterology Asan Medical Center University of Ulsan College of Medicine Seoul Ko) Kim Jeongseok (Department of Gastroenterology Asan Medical Center University of Ulsan College of Medicine Seoul Ko) Ham Nam Seok (Department of Gastroenterology Asan Medical Center University of Ulsan College of Medicine Seoul Ko) Hwang Sung Wook (Department of Gastroenterology Asan Medical Center University of Ulsan College of Medicine Seoul Ko) Park Sang Hyoung (Department of Gastroenterology Asan Medical Center University of Ulsan College of Medicine Seoul Ko) Ye Byong Duk (Department of Gastroenterology Asan Medical Center University of Ulsan College of Medicine Seoul Ko) Byeon Jeong-Sik (Department of Gastroenterology Asan Medical Center University of Ulsan College of Medicine Seoul Ko) Myung Seung-Jae (Department of Gastroenterology Asan Medical Center University of Ulsan College of Medicine Seoul Ko) Yang Suk-Kyun (Department of Gastroenterology Asan Medical Center University of Ulsan College of Medicine Seoul Ko) Yang Dong-Hoon (Department of Gastroenterology Asan Medical Center University of Ulsan College of Medicine Seoul Ko)
저널정보
거트앤리버 발행위원회 Gut and Liver Gut and Liver 제15권 제4호
발행연도
2021.1
수록면
579 - 587 (9page)

이용수

표지
📌
연구주제
📖
연구배경
🔬
연구방법
🏆
연구결과
AI에게 요청하기
추천
검색

초록· 키워드

오류제보하기
Background/Aims: Self-expandable metal stents (SEMSs) can be applied to relieve colorectal obstruction secondary to incurable primary colorectal cancer or extracolonic malignancy. We aimed to identify factors associated with clinical success and the reintervention-free survival (RFS) after palliative stenting. Methods: Cases of palliative SEMS placement between 2005 and 2019 were retrieved from the institutional database and reviewed retrospectively. Logistic regression and log-rank testing followed by Cox proportional hazard analyses were performed to investigate the predictors of the clinical success of palliative stenting and factors associated with RFS, respectively. Results: A total of 593 patients underwent palliative stenting for malignant colonic obstruction (MCO). The technical and clinical success rates were 92.9% and 83.5%, respectively. Peritoneal carcinomatosis was a predictor of clinical failure (odds ratio, 0.33; 95% confidence interval [CI], 0.17 to 0.65) in the multivariate analysis. Peritoneal carcinomatosis (hazard ratio [HR], 2.48; 95% CI, 1.69 to 3.64) and stent expansion >90% on day 1 (HR, 1.62; 95% CI, 1.05 to 2.50) were associated with a shorter RFS. Neither clinical success nor RFS was associated with extracolonic malignancy. Re-obstruction, stent migration, and perforation were responsible for most reinterventions after clinically successful palliative stenting. Conclusions: In patients requiring palliative stenting for MCO, peritoneal carcinomatosis was associated with both clinical failure and short RFS. Stent expansion >90% on postprocedural day 1 was another predictor of a short RFS after clinically successful stenting. A large prospective study is warranted to establish factors associated with RFS after successful palliative stenting for MCO.

목차

등록된 정보가 없습니다.

참고문헌 (24)

참고문헌 신청

함께 읽어보면 좋을 논문

논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!

이 논문의 저자 정보

최근 본 자료

전체보기

댓글(0)

0