Comparative assessment of short-term results of palliative surgical interventions and endoscopic stenting in case of malignant upper digestive tract obstruction
Abstract
The retrospective non-randomised two-focus examination allowed to compare treatment of 189 patients with malignant upper digestive tract obstruction that included surgical palliative operations (101 patients) or endoscopic prosthetic repair with selfuncrumpled metal stents (88 patients). There were complications in 18.8 and 14.8 % of cases, respectively. The post-operative lethality rates were 27.7 and 6.8 %, respectively. The average length of hospital stay (median duration) reached 21 and 14 days, respectively. The statistic comparison results allows to make a conclusion that the endoscopic prosthetic repair entails comparable number of complications, lower lethality rate that makes it possible to reduce the duration of hospital stay, compared to the traditional surgeries, and can be recommended as final palliative method intended to treat non-operable patients.
About the Authors
S. V. Davidova
Peoples’ Friendship University of Russia
Russian Federation
Russian Federation
A. G. Fyodorov
Peoples’ Friendship University of Russia
Russian Federation
Russian Federation
A. E. Klimov
Peoples’ Friendship University of Russia
Russian Federation
Russian Federation
A. S. Vodoleev
City Clinical Hospital No. 64, Moscow
Russian Federation
Russian Federation
O. I. Yudin
City Clinical Hospital No. 31, Moscow
Russian Federation
Russian Federation
E. V. Ivanova
The Russian State Medical University named after N.I. Pirogov
Russian Federation
Russian Federation
E. V. Gorgachev
The Russian State Medical University named after N.I. Pirogov
Russian Federation
Russian Federation
E. D. Fyodorov
The Russian State Medical University named after N.I. Pirogov
Russian Federation
Russian Federation
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Review
For citations:
Davidova S.V., Fyodorov A.G., Klimov A.E., Vodoleev A.S., Yudin O.I., Ivanova E.V., Gorgachev E.V., Fyodorov E.D. Comparative assessment of short-term results of palliative surgical interventions and endoscopic stenting in case of malignant upper digestive tract obstruction. Pacific Medical Journal. 2011;(4):33-36. (In Russ.)
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