Clinical outcome of SEMS in
obstructive CRC
Experience from a tertiary center
Tomasz Radomski
2018-03-13
Epidemiologic data
• Period: 2010-2016
• N=248
• Men/Women: 132 (53%) / 116 (47%)
• Age: 66 (28-97)
Stents/yr
2010
2011
2012
2013
2014
2015
2016
55
49
31
32
19
13
49
Palliative/Bridge to surgery
17; 7%
32; 13%
199; 80%
Palliative
Bridge to surgery
na
Localisation
29; 12%
20; 8%
25; 10%
174; 70%
Rectum
Left Colon
Transverse
Right Kolon
Technical, Clinical Success &
Complications
Technical success, 242
Clinical success, 222
98%
90%
6%
Complications, 16
Mortality 30 & 90 d
Mortality 30d, 28 (na:3)
Mortality 90d, 54 (na:5)
22,20%
11,40%
Conclusions
SEMS is an effective method of acceptable safety regarding
complications in acute malignant colon obstruction. The
method is suitable for both intended intestinal relief for
palliative purposes as well as awaiting later curative
measure – bridge to surgery.