Efficacy and safety of colonic stenting for malignant disease in the elderly.
BACKGROUND
Self-expandable metal stents (SEMS) are an accepted palliation for malignant colorectal obstruction. Outcomes of stent insertion solely in older patients are unknown.


OBJECTIVE
To compare outcomes of SEMS insertion for malignant colorectal disease, in older versus younger patients.


METHODS
Forty-three patients were retrospectively identified as having undergone SEMS insertion for obstructing colorectal cancer. Of these, 24 were > or = 70 years of age (older patient group) and 19 were <70 years of age (younger patient group).


RESULTS
There was no significant difference in successful SEMS insertion between the groups (88% in older versus 100% in younger patients, p > 0.05). Furthermore, the complication rate was similar in both groups (12.5% versus 26%, p > 0.10). There was no difference in median survival (113 days versus 135 days, p > 0.09).


CONCLUSIONS
Colorectal stenting for malignant disease in older patients is both safe and effective with comparative success and complication rates to a younger population.
Donnellan
Fergal
F
Department of Gastroenterology, Beaumont Hospital, Dublin, Ireland. fdonnellan77@hotmail.com
Cullen
Garret
G
Cagney
Daniel
D
O'Halloran
Phil
P
Harewood
Gavin C
GC
Murray
Frank E
FE
Patchett
Stephen E
SE
D000368:Aged; D003106:Colon / Q000473:pathology* / Q000601:surgery*; D003110:Colonic Neoplasms / Q000401:mortality / Q000601:surgery*; D003710:Demography; D005260:Female; D006801:Humans; D008297:Male; D015607:Stents / Q000009:adverse effects*; D015996:Survival Rate; D016896:Treatment Outcome