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


    loading  Checking for direct PDF access through Ovid

Abstract

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.

    loading  Loading Related Articles