The experience of self-expandable metallic stent (sems) use in patients with malignant colorectal obstruction
Despite numerous discussions on the advantages or disadvantages of the use of self-expanding metallic stent (SEMS) compared with operative treatment as the initial stage on management strategy for patients with malignant colorectal obstruction, our research showed that SEMS placement in case of intestinal obstruction caused by malignancies in colorectal zone is a safe treatment option with an acceptable risk profile. We were unable to determine the factors that could predict the development of complications, or factors that may affect the long-term survival. However, based on the current guidelines and the results of our study it was determined that the use of SEMS for malignant colorectal obstructions is the best option of palliative treatment and preparatory stage (bridge to surgery) before radical cancer surgery.
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