臨床外科79巻9号

2024年09月発行

特集 徹底解説　大腸癌治療ガイドライン2024

詳説

大腸ステントの適応

著者： 石黒めぐみ¹

所属機関： ¹東京医科歯科大学ヘルスサイエンスR＆Dセンター

ページ範囲：P.998 - P.1003

文献概要

【ポイント】
◆薬物療法の適応となる患者に対するステント治療は，穿孔のリスク，重要なkey drugである血管新生阻害薬の使用を制限し予後を短縮するリスクがあるため，推奨されない．
◆薬物療法の適応となる患者では，ステント留置を行う前に，薬物療法担当医と十分に適応について検討する必要がある．
◆Bridge to surgery（BTS）としてのステント治療は複数の利点があり弱く推奨されるが，直腸癌では肛門温存が不可能になる場合もあることに注意する．

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