A three year audit in the use of colorectal stents: P124

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Aim:Colorectal stents are a useful adjunct in the management of obstructing colorectal cancers. Prior to commencement of the CReST trial at our unit, a 42 month audit of stent outcome was performed.Method:Data was collected retrospectively from September 2006 - March 2010. Allprocedures were performed by three interventional radiologists.Results:A total of 60 stents were placed over the 42 month period, average age 75. The most common site for stent placement was sigmoid - 39, descending - 7, recto-sigmoid 7, rectal 5 and 2 at the splenic flexure. Forty-eightprocedures were successful on the first attempt (80%) increasing to 52 (87%) at second attempt. Failures were due to inability to cross the lesion. 10/60 stents were a bridge to surgery and the remaining palliative.Complications:One stent blockage and two stents migrated, all three restented. 33/60 patients are deceased (55%).Conclusion:Colorectal stents are safe and beneficial in converting emergency to elective surgery or as palliation. We plan to take our experience further as part of the CReST trial.

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