Management of malignant left-sided XXXX : a comparison between colonic stents and surgery.

@entity1 @entity28 @entity1702 @entity694 @entity1744 @entity204
BACKGROUND: Management of distal malignant @entity1744 ( @entity1744 ) remains challenging. Acute surgical intervention is often associated with poorer clinical outcome compared to an elective procedure. @entity1702 ( @entity1702 ) as a bridge to surgery (BTS) or palliation remain controversial and are not yet widely available. METHODS: From 1998 to 2008, a retrospective analysis of the @entity1 presenting with an acute malignant @entity1744 to The Tweed Public and John Flynn Private Hospitals was performed. RESULTS: Fifty-six admissions with @entity694 were reviewed. On an intention to treat, @entity1 underwent either stent 30 or surgery 26. American Association of Anaesthetists (ASA) scores, @entity28 rates and palliative procedures were all higher in the stent group. Inpatient @entity204 numbered four (two stent group, two surgery group). The technical success of inserted stents was 29/30, while clinical success was 27/30. Complications both medical, surgical and intensive care unit admissions were more common in the surgical group. Length of stay was 8.5 days for stent and 17.7 days for surgery. Of the 25 successful stent survivors, 14 were palliative and 11 were BTS. CONCLUSIONS: @entity1702 are effective in treatment of @entity1744 either as palliation or BTS. They are associated with an overall better outcome and improved quality of life of @entity1 . Surgery is indicated where @entity1702 are unavailable or have failed.
