Tertiary Care Center Trends in Colonic Stent Placement over the Past Decade.

Publication Title

Cancers (Basel)

Document Type

Article

Publication Date

9-27-2024

Keywords

washington; swedish; swedish digestive health

Abstract

INTRODUCTION: Colonic endoluminal stent placement is a commonly utilized and effective endoscopic approach for the management of malignant large bowel obstruction and is an emerging approach for the management of some benign etiologies of large bowel obstruction. However, recent studies evaluating the evolution of clinical scenarios and patient populations for which stenting is performed in real-world practice are lacking.

METHODS: We assessed colonic stent utilization patterns in a tertiary care academic medical center over the past 10 years. We analyzed the demographics and patient and procedure characteristics of the initial (first half of study period) and latter (second half of the study period) procedures to assess trends over time using standard descriptive statistics.

RESULTS: Our analysis was notable due to its provision of some novel insights. The frequency of colonic stent placement procedures increased significantly over time by comparison of the procedure volume for the initial 5-year interval (22 colonic stent procedures) relative to the latter 5-year interval (49 colonic stent procedures) (

CONCLUSIONS: Our data highlight the evolution of colonic stent placement in tertiary care practice over time and are notable for some interesting trends, including the increased utilization of colonic stent placement over time, the broadening of indications for colonic stent placement to include benign indications, and lower patient age at the time of colonic stent placement over time. These findings will help inform the clinical practice of colonic stent placement and provide a foundation to guide future research on the topic.

Area of Special Interest

Digestive Health

Area of Special Interest

Cancer

Specialty/Research Institute

Swedish Digestive Health Institute

Specialty/Research Institute

Gastroenterology

Specialty/Research Institute

Oncology

DOI

10.3390/cancers16193309

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