2018 Volume 33 Issue 4 Pages 1025-1030
Objective: To perform a nutritional assessment of the effectiveness of colorectal self-expandable metallic stent (SEMS) placement for patients with obstructive colorectal cancer.
Subjects and methods: Obstructive colorectal cancer patients undergoing management with SEMS between January 2013 and March 2016 were investigated. We compared 16 patients who underwent surgery regaining the ability to ingest food following SEMS placement (Ingestion group) and 18 patients who, while not considered for emergency treatment, underwent nil per os (npo) management while awaiting surgery (NPO group).
Results: Compare to the values before SEMS placement, the Ingestion group showed significantly elevated total lymphocyte account prior surgery. The NPO group showed significantly lower total cholesterol levels. Comparison of the two groups indicated that the preoperative total lymphocyte count in the Ingestion group was significantly higher than that in the NPO group. A significantly high number of patients in the Ingestion group showed improvement in their Controlling Nutritional Status (CONUT) scores. There were no significantly differences in the frequency of postoperative complications or duration of hospital stay.
Conclusions: Although the results suggest that SEMS placement for patients with obstructive colorectal cancer improves preoperative nutritional status, we did not obtain evidence to support active use of SEMS placement in patients with manageable by npo.
