Colonic stent-related complications and their management.
Colonic stent-related complications and their management.
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DOI：
10.5946/ce.2014.47.5.415
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发表时间：
2014-09
影响因子：
2.5
通讯作者：
Lee JH
中科院分区：
文献类型：
--
作者：
Han SH;Lee JH
自20世纪90年代初提出以来，自膨式金属支架(SEMS)已越来越多地被用于治疗恶性结直肠梗阻，不仅作为一种姑息方法，而且作为外科候选人的术前治疗。然而，最近，人们对支架并发症的发生率提出了担忧。早期并发症包括疼痛、穿孔和直肠出血，晚期并发症包括支架移位和支架梗阻。随着SEMS越来越多地用于治疗，医生需要更多地意识到放置这些支架后发生的并发症。本文就结肠支架置入术后并发症的技术考虑和处理作一综述。
Since its introduction in the early 1990s, the self-expandable metal stent (SEMS) has been increasingly used for the management of malignant colorectal obstruction, not only as a palliative method but also as a preoperative treatment in surgical candidates. However, more recently, concerns have been raised over stent complication rates. Early complications include pain, perforation, and rectal bleeding, and late complications include stent migration and stent obstruction. With the increasing use of SEMS for treatment, physicians need to be more aware of complications occurring after the placement of these stents. This review covers the technical considerations and management of complications after colonic stenting.