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雑誌文献

臨床外科73巻1号

2018年01月発行

文献概要

特集 閉塞性大腸癌—ベストプラクティスを探す 閉塞性大腸癌に対するステント留置

根治切除不能閉塞性大腸癌のマネジメント—ステント留置versus外科治療

著者: 廣純一郎1 問山裕二1 藤川裕之1 楠正人1

所属機関: 1三重大学医学部消化管小児外科

ページ範囲:P.28 - P.31

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【ポイント】
◆ステント留置は少ない侵襲で腸管減圧が可能である.
◆外科的治療は腸管減圧の技術的成功率が高く,晩期合併症率が低い.
◆ステント留置は術後早期にメリットが多いが,晩期合併症率が高い.

参考文献

1)Dohmoto M:New method-endoscopic implantation of rectal stent in palliative treatment of malignant stenosis. Endosc Dig 3:1507-1512, 1991
2)Zhang Y, Shi J, Shi B, et al:Self-expanding metallic stent as a bridge to surgery versus emergency surgery for obstructive colorectal cancer:a meta-analysis. Surg Endosc 26:110-119, 2012
3)van Hooft JE, van Halsema EE, Vanbiervliet G, et al:Self-expandable metal stents for obstructing colonic and extracolonic cancer:European Society of Gastrointestinal Endoscopy(ESGE)Clinical Guideline. Gastrointest Endosc 80:747-761, 2014
4)Xinopoulos D, Dimitroulopoulos D, Theodosopoulos T, et al:Stenting or stoma creation for patients with inoperable malignant colonic obstructions? Results of a study and cost-effectiveness analysis. Surg Endosc 18:421-426, 2004
5)Takahashi H, Okabayashi K, Tsuruta M, et al:Self-expanding metallic stents versus surgical intervention as palliative therapy for obstructive colorectal cancer:a meta-analysis. World J Surg 39:2037-2044, 2015
6)Ahn HJ, Kim SW, Lee SW, et al:Long-term outcomes of palliation for unresectable colorectal cancer obstruction in patients with good performance status:endoscopic stent versus surgery. Surg Endosc 30:4765-4775, 2016
7)Lee WS, Baek JH, Kang JM, et al:The outcome after stent placement or surgery as the initial treatment for obstructive primary tumor in patients with stage Ⅳ colon cancer. Am J Surg 203:715-719, 2012
8)Lamazza A, Fiori E, Schillaci A, et al:Self-expandable metallic stents in patients with stage Ⅳ obstructive colorectal cancer. World J Surg 36:2931-2936, 2012
9)Fiori E, Lamazza A, De Cesare A, et al:Palliative management of malignant rectosigmoidal obstruciton. Colostomy vs. endoscopic stenting. A randomized prospective trial. Anticancer Res 24:265-268, 2004
10)Varadarajulu S, Roy A, Lopes T, et al:Endoscopic stenting versus surgical colostomy for the management of malignant colonic obstruction:comparison of hospital costs and clinical outcomes. Surg Endosc 25:2203-2209, 2011
11)斉田芳久:大腸狭窄に対する金属ステント留置.東邦医会誌:20-23,2012
12)大腸ステント安全手技研究会:大腸ステント安全留置のためのミニガイドライン.http://colon-stent.com/001_mainpage_ja.html
13)ASGE Standards of Practice Committee, Harrison ME, Anderson MA, et al:The role of endoscopy in the management of patients with known and suspected colonic obstruction and pseudo-obstruction. Gastrointest Endosc 71:669-679, 2010
14)Ansaloni L, Andersson RE, Bazzoli F, et al:Guidelines in the management of obstructing cancer of the left colon:consensus conference of the world society of emergency surgery(WSES)and peritoneum and surgery(PnS)society. World J Emerg Surg 5:29, 2010

掲載誌情報

出版社:株式会社医学書院

電子版ISSN:1882-1278

印刷版ISSN:0386-9857

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