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Efficacy and safety of colonic stenting for malignant disease in the elderly

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International Journal of Colorectal Disease Aims and scope Submit manuscript

Abstract

Background

Self-expandable metal stents (SEMS) are an accepted palliation for malignant colorectal obstruction. Outcomes of stent insertion solely in older patients are unknown.

Objective

To compare outcomes of SEMS insertion for malignant colorectal disease, in older versus younger patients.

Methods

Forty-three patients were retrospectively identified as having undergone SEMS insertion for obstructing colorectal cancer. Of these, 24 were ≥ 70 years of age (older patient group) and 19 were <70 years of age (younger patient group).

Results

There was no significant difference in successful SEMS insertion between the groups (88% in older versus 100% in younger patients, p > 0.05). Furthermore, the complication rate was similar in both groups (12.5% versus 26%, p > 0.10). There was no difference in median survival (113 days versus 135 days, p > 0.09).

Conclusion

Colorectal stenting for malignant disease in older patients is both safe and effective with comparative success and complication rates to a younger population.

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Authors and Affiliations

  1. Department of Gastroenterology, Beaumont Hospital, Dublin, Ireland

    Fergal Donnellan, Garret Cullen, Daniel Cagney, Phil O’Halloran, Gavin C. Harewood, Frank E. Murray & Stephen E. Patchett

Authors
  1. Fergal Donnellan
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  2. Garret Cullen
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  3. Daniel Cagney
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  4. Phil O’Halloran
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  5. Gavin C. Harewood
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  6. Frank E. Murray
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  7. Stephen E. Patchett
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Correspondence to Fergal Donnellan.

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Donnellan, F., Cullen, G., Cagney, D. et al. Efficacy and safety of colonic stenting for malignant disease in the elderly. Int J Colorectal Dis 25, 747–750 (2010). https://doi.org/10.1007/s00384-010-0917-6

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  • DOI: https://doi.org/10.1007/s00384-010-0917-6

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