高齢者におけるbridge to surgery目的の大腸ステント留置術の有用性と安全性

佐野村 洋次; 東山 真; 渡邉 千之; 古川 潤一; 平野 ななみ; 網岡 祐生; 益田 啓志; 齋藤 裕平; 小道 大輔; 相方 浩; 平本 智樹; 佐々木 民人; 平賀 裕子; 北本 幹也; 三口 真司; 池田 聡

doi:10.11280/gee.67.1255

USEFULNESS OF SELF-EXPANDABLE METALLIC STENTS AS A BRIDGE TO SURGERY FOR MALIGNANT COLORECTAL OBSTRUCTION IN ELDERLY PATIENTS

Yoji SANOMURA , Makoto HIGASHIYAMA, Chiyuki WATANABE, Junichi FURUKAWA, Nanami HIRANO, Yuki AMIOKA, Satoshi MASUDA, Yuhei SAITOU, Daisuke KOMICHI, Hiroshi AIKATA, Tomoki HIRAMOTO, Tamito SASAKI, Yuko HIRAGA, Mikiya KITAMOTO, Masashi MIGUCHI, Satoshi IKEDA

Author information

Yoji SANOMURA Corresponding author
Department of Endoscopy, Hiroshima Prefectural Hospital.
Makoto HIGASHIYAMA
Department of Endoscopy, Hiroshima Prefectural Hospital.
Chiyuki WATANABE
Department of Endoscopy, Hiroshima Prefectural Hospital.
Junichi FURUKAWA
Department of Endoscopy, Hiroshima Prefectural Hospital.
Nanami HIRANO
Department of Endoscopy, Hiroshima Prefectural Hospital.
Yuki AMIOKA
Department of Gastroenterology, Hiroshima Prefectural Hospital.
Satoshi MASUDA
Department of Endoscopy, Hiroshima Prefectural Hospital.
Yuhei SAITOU
Department of Gastroenterology, Hiroshima Prefectural Hospital.
Daisuke KOMICHI
Department of Gastroenterology, Hiroshima Prefectural Hospital.
Hiroshi AIKATA
Department of Gastroenterology, Hiroshima Prefectural Hospital.
Tomoki HIRAMOTO
Department of Endoscopy, Hiroshima Prefectural Hospital.
Tamito SASAKI
Department of Gastroenterology, Hiroshima Prefectural Hospital.
Yuko HIRAGA
Department of Endoscopy, Hiroshima Prefectural Hospital.
Mikiya KITAMOTO
Department of Gastroenterology, Hiroshima Prefectural Hospital.
Masashi MIGUCHI
Department of Gastroenterological Surgery, Hiroshima Prefectural Hospital.
Satoshi IKEDA
Department of Gastroenterological Surgery, Hiroshima Prefectural Hospital.

JOURNAL FREE ACCESS FULL-TEXT HTML

2025 Volume 67 Issue 7 Pages 1255-1263

DOI https://doi.org/10.11280/gee.67.1255

Details

Abstract

Background and Aim: Few studies have reported the outcomes of colorectal stent placement in elderly patients. This study aimed to evaluate the usefulness of self-expandable metallic stents as a bridge to surgery for malignant colorectal obstruction in elderly patients.

Methods: We evaluated the outcomes of colorectal stent placement as a bridge to surgery in 38 elderly and 47 nonelderly patients.

Results: The success rates of colorectal stent placement and obstruction release were 97.4% and 100%, respectively, in the elderly group and 97.9% and 97.9%, respectively, in the non-elderly group. Colorectal obstruction scoring system (CROSS) before stenting and CROSS after stenting were 1.8±1.7 and 3.9±0.3 in the elderly group, and 1.5±1.7 and 3.8±0.7 in the non-elderly group. In both groups, obstruction symptoms promptly improved with stent placement.

Conclusion: Colorectal stent placement was safely performed in elderly patients, and their nutritional status was maintained until surgery.

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