• myGriffith
    • Staff portal
    • Contact Us⌄
      • Future student enquiries 1800 677 728
      • Current student enquiries 1800 154 055
      • International enquiries +61 7 3735 6425
      • General enquiries 07 3735 7111
      • Online enquiries
      • Staff phonebook
    View Item 
    •   Home
    • Griffith Research Online
    • Journal articles
    • View Item
    • Home
    • Griffith Research Online
    • Journal articles
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

  • All of Griffith Research Online
    • Communities & Collections
    • Authors
    • By Issue Date
    • Titles
  • This Collection
    • Authors
    • By Issue Date
    • Titles
  • Statistics

  • Most Popular Items
  • Statistics by Country
  • Most Popular Authors
  • Support

  • Contact us
  • FAQs
  • Admin login

  • Login
  • Laparoscopic assisted insertion of a colonic self-expandable metallic stent

    Author(s)
    Ho, YM
    Shenoy, V
    Alberts, J
    Ward, N
    Griffith University Author(s)
    Ho, Yiu Ming
    Year published
    2018
    Metadata
    Show full item record
    Abstract
    The self-expandable metallic stent (SEMS) was first invented in 1991 to relieve acute colonic obstruction by malignancy with a palliative intent [1]. The current indications for colonic stents are palliation of large bowel obstruction and bridge to surgery [2]. There are controversies about the latter indication, particularly related to its effects on outcomes [3]. For those who are old and frail, an extensive resection is not an option. The remaining treatment choices are SEMS or colostomy. These two choices seem to have equivalent efficacy [4]. Patients who have colonic SEMS have a shorter length of stay [5] and less early ...
    View more >
    The self-expandable metallic stent (SEMS) was first invented in 1991 to relieve acute colonic obstruction by malignancy with a palliative intent [1]. The current indications for colonic stents are palliation of large bowel obstruction and bridge to surgery [2]. There are controversies about the latter indication, particularly related to its effects on outcomes [3]. For those who are old and frail, an extensive resection is not an option. The remaining treatment choices are SEMS or colostomy. These two choices seem to have equivalent efficacy [4]. Patients who have colonic SEMS have a shorter length of stay [5] and less early complications [6]. Despite the advantages of palliative colonic SEMS, there is up 50% failure due to technical difficulties in stent deployment [7]. The majority of cases of had failed stent insertion were due to the acute angulation of the colon [8]. When colostomy is a relative contraindication, as in patients with dementia or severe arthritis, failed stent insertion poses a clinical dilemma. We developed a novel technique of palliative colonic SEMS insertion with laparoscopic assistance to resolve this dilemma.
    View less >
    Journal Title
    Techniques in Coloproctology
    Volume
    22
    Issue
    10
    DOI
    https://doi.org/10.1007/s10151-018-1878-y
    Subject
    Clinical sciences
    Publication URI
    http://hdl.handle.net/10072/383678
    Collection
    • Journal articles

    Footer

    Disclaimer

    • Privacy policy
    • Copyright matters
    • CRICOS Provider - 00233E
    • TEQSA: PRV12076

    Tagline

    • Gold Coast
    • Logan
    • Brisbane - Queensland, Australia
    First Peoples of Australia
    • Aboriginal
    • Torres Strait Islander