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Super-Flexible Through-the-Scope Self-Expandable Metallic Stent Insertion for the Management of Malignant Tortuous Hepatic or Splenic Flexure Colonic Obstruction 被引量:1

Super-Flexible Through-the-Scope Self-Expandable Metallic Stent Insertion for the Management of Malignant Tortuous Hepatic or Splenic Flexure Colonic Obstruction
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摘要 To the Editor: The methods for obstruction of colon cancer include emergency surgery or self-expanding metallic stents (SEMSs). SEMS insertion was shown to be a safe, easy, and effective treatment for left-sided malignant colon obstruction, for palliative treatment or as bridge to resection. The cases reported of SEMS insertion in the colon proximal to the splenic flexure were 〈5% of all studies. The long distances and the tortuosity of the distal bowel make it difficult to advance and position the stent in the target proximal colon, and obstruction of right colon has traditionally been managed by acute operation. To the Editor: The methods for obstruction of colon cancer include emergency surgery or self-expanding metallic stents (SEMSs). SEMS insertion was shown to be a safe, easy, and effective treatment for left-sided malignant colon obstruction, for palliative treatment or as bridge to resection. The cases reported of SEMS insertion in the colon proximal to the splenic flexure were 〈5% of all studies. The long distances and the tortuosity of the distal bowel make it difficult to advance and position the stent in the target proximal colon, and obstruction of right colon has traditionally been managed by acute operation.
出处 《Chinese Medical Journal》 SCIE CAS CSCD 2018年第11期1381-1384,共4页 中华医学杂志(英文版)
基金 This study was supported by the grants from the National Natural Science Foundation of China (No. 81571773) and the Shanghai Municipal Health and Family Planning Commission (No. 201640191).
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