The factors influencing long-term outcomes of stenting for malignant colorectal obstruction in elderly group in community medicine

Purpose Malignant bowel obstruction is a complication of colorectal carcinoma or metastasis from other carcinoma, and it causes significant damage on the condition of elderly patients; however, the self-expandable metallic stents (SEMSs) have been effectively used either for palliation or for bridgi...

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Bibliographic Details
Published in:International journal of colorectal disease 2018-02, Vol.33 (2), p.189-197
Main Authors: Imai, Michitaka, Kamimura, Kenya, Takahashi, Yoshifumi, Sato, Toshihiro, Isokawa, Osamu, Maruyama, Masaki, Kobayashi, Takamasa, Hayashi, Kazunao, Terai, Shuji
Format: Article
Language:English
Subjects:
Aged patients
Analysis
Colorectal cancer
Colorectal carcinoma
Gastroenterology
Gastrointestinal diseases
Geriatrics
Hepatology
Implants
Internal Medicine
Intestinal obstruction
Intestine
Medical research
Medicine
Medicine & Public Health
Medicine, Experimental
Metastases
Metastasis
Multivariate analysis
Original Article
Palliation
Patient outcomes
Population studies
Proctology
Stent (Surgery)
Stents
Surgery
Survival
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Summary:Purpose Malignant bowel obstruction is a complication of colorectal carcinoma or metastasis from other carcinoma, and it causes significant damage on the condition of elderly patients; however, the self-expandable metallic stents (SEMSs) have been effectively used either for palliation or for bridging to the surgical procedure for this condition. The aim of this study was to investigate the factors influencing long-term outcomes of old-aged patients with SEMS for large bowel obstruction to develop the strategy for those patients in the community medicine. Methods We performed a retrospective review of 42 patients with a median age of 83.0 years (range, 65–99 years), who underwent SEMS placement for malignant colorectal obstruction between 2006 and 2015 in our hospital. Univariate and multivariate logistic regressions were performed on data from the patients to assess the factors affecting 6-month survival without stent dysfunction. Results The study population comprised 24 females (57.1%) and 18 males (42.9%). Of these, 38 patients (90.5%) received SEMS as palliation, whereas 4 patients (9.5%) underwent subsequent surgery. SEMSs were successfully inserted in 97.6% of patients. The median duration of follow-up was 205.0 days (range, 20–1377 days). On multivariate analysis, shorter stents (
ISSN:0179-1958
1432-1262
DOI:10.1007/s00384-017-2946-x