III．大腸癌術前大腸ステントのup-to-date
本邦で2012年に保険収載された大腸ステントは，閉塞性大腸癌治療に大きなparadigm shiftを起している．術前減圧目的の大腸ステント留置（bridge to surgery：BTS）は，良好な短期成績が報告されている一方，長期予後への懸念から，欧州消化器内視鏡学会（ESGE）のガイドラインにおいて否定的な推奨であった．しかし，近年，長期予後の安全性を示唆する報告が多数出され，2020年のupdate版では一転，推奨する形となった．今後，さらに広がることが予想されるBTS治療戦略であるが，長期予後のみならず，手術までの至適待機期間，ステントの種類，右側結腸癌での効果，経肛門的減圧管との比...
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| Published in | 日本大腸肛門病学会雑誌 Vol. 73; no. 10; pp. 410 - 416 |
|---|---|
| Main Authors | , , , , , , , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
日本大腸肛門病学会
2020
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0047-1801 1882-9619 |
| DOI | 10.3862/jcoloproctology.73.410 |
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| Abstract | 本邦で2012年に保険収載された大腸ステントは，閉塞性大腸癌治療に大きなparadigm shiftを起している．術前減圧目的の大腸ステント留置（bridge to surgery：BTS）は，良好な短期成績が報告されている一方，長期予後への懸念から，欧州消化器内視鏡学会（ESGE）のガイドラインにおいて否定的な推奨であった．しかし，近年，長期予後の安全性を示唆する報告が多数出され，2020年のupdate版では一転，推奨する形となった．今後，さらに広がることが予想されるBTS治療戦略であるが，長期予後のみならず，手術までの至適待機期間，ステントの種類，右側結腸癌での効果，経肛門的減圧管との比較など，解決すべきclinical questionは多い．本稿では，BTSのこれまでの治療成績を概説し，今後の展望も含めて述べる． |
|---|---|
| AbstractList | 本邦で2012年に保険収載された大腸ステントは，閉塞性大腸癌治療に大きなparadigm shiftを起している．術前減圧目的の大腸ステント留置（bridge to surgery：BTS）は，良好な短期成績が報告されている一方，長期予後への懸念から，欧州消化器内視鏡学会（ESGE）のガイドラインにおいて否定的な推奨であった．しかし，近年，長期予後の安全性を示唆する報告が多数出され，2020年のupdate版では一転，推奨する形となった．今後，さらに広がることが予想されるBTS治療戦略であるが，長期予後のみならず，手術までの至適待機期間，ステントの種類，右側結腸癌での効果，経肛門的減圧管との比較など，解決すべきclinical questionは多い．本稿では，BTSのこれまでの治療成績を概説し，今後の展望も含めて述べる． |
| Author | 太田, 竜 栗山, 翔 松田, 明久 武田, 幸樹 高橋, 吾郎 進士, 誠一 吉田, 寛 松本, 智司 上田, 康二 山田, 岳史 園田, 寛道 岩井, 拓磨 |
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| References | 10) Kuwai T, Yamaguchi T, Imagawa H, et al: Factors related to difficult self-expandable metallic stent placement for malignant colonic obstruction: A post-hoc analysis of a multicenter study across Japan. Dig Endosc 31:51-58, 2019 17) Matsuda A, Miyashita M, Matsumoto S, et al: Optimal interval from placement of a self-expandable metallic stent to surgery in patients with malignant large bowel obstruction: A preliminary study. Surg Laparosc Endosc Percutan Tech 28:239-244, 2018 26) Matsuda A, Yamada T, Matsumoto S, et al: Short-term outcomes of a self-expandable metallic stent as a bridge to surgery vs. a transanal decompression tube for malignant large-bowel obstruction: a meta-analysis. Surg Today 49:728-737, 2019 9) Lee JH, Yoon JY, Park SJ, et al: The learning curve for colorectal stent insertion for the treatment of malignant colorectal obstruction. Gut Liver 6:328-333, 2012 13) Tomita M, Saito S, Makimoto S, et al: Self-expandable metallic stenting as a bridge to surgery for malignant colorectal obstruction: pooled analysis of 426 patients from two prospective multicenter series. Surg Endosc 33:499-509, 2019 6) van Hooft JE, Veld JV, Arnold D, et al: Self-expandable metal stents for obstructing colonic and extracolonic cancer: European Society of Gastrointestinal Endoscopy (ESGE) Guideline - Update 2020. Endoscopy 52:389-407, 2020 11) van Hooft JE, van Halsema EE, Vanbiervliet G, et al: Self-expandable metal stents for obstructing colonic and extracolonic cancer: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline. Endoscopy 46:990-1053, 2014 21) Visser BC, Keegan H, Martin M, et al: Death after colectomy: it's later than we think. Arch Surg 144:1021-1027, 2009 12) Huang X, Lv B, Zhang S, et al: Preoperative colonic stents versus emergency surgery for acute left-sided malignant colonic obstruction: a meta-analysis. J Gastrointest Surg 18:584-591, 2014 8) Williams D, Law R, Pullyblank AM: Colorectal stenting in malignant large bowel obstruction: the learning curve. Int J Surg Oncol 2011:917848, 2011 22) Osler M, Iversen LH, Borglykke A, et al: Hospital variation in 30-day mortality after colorectal cancer surgery in Denmark: the contribution of hospital volume and patient characteristics. Ann Surg 253:733-738, 2011 25) Sakamoto T, Fujiogi M, Lefor AK, et al: Stent as a bridge to surgery or immediate colectomy for malignant right colonic obstruction: propensity-scored, national database study. Brit J Surg 107:1354-1362, 2020 2) 長尾二郎, 炭山嘉伸:大腸癌イレウス症例の検討. 日臨外会誌 51:1896-1902, 1990 20) Rayhanabad J, Abbas MA: Long-term outcome of endoscopic colorectal stenting for malignant and benign disease. Am Surg 75:897-900, 2009 27) Foo CC, Poon SHT, Chiu RHY, et al: Is bridge to surgery stenting a safe alternative to emergency surgery in malignant colonic obstruction: a meta-analysis of randomized control trials. Surg Endosc 33:293-302, 2019 24) Amelung FJ, de Beaufort HW, Siersema PD, et al: Emergency resection versus bridge to surgery with stenting in patients with acute right-sided colonic obstruction: a systematic review focusing on mortality and morbidity rates. Int J Colorectal Dis 30:1147-1155, 2015 14) Webster PJ, Aldoori J, Burke DA: Optimal management of malignant left-sided large bowel obstruction: do international guidelines agree? World J Emerg Surg 14:23, 2019 29) Amelung FJ, Burghgraef TA, Tanis PJ, et al: Critical appraisal of oncological safety of stent as bridge to surgery in left-sided obstructing colon cancer; a systematic review and meta-analysis. Crit Rev Oncol Hematol 131:66-75, 2018 23) Kobayashi H, Miyata H, Gotoh M, et al: Risk model for right hemicolectomy based on 19, 070 Japanese patients in the National Clinical Database. J Gastroenterol 49:1047-1055, 2014 4) Frago R, Ramirez E, Millan M, et al: Current management of acute malignant large bowel obstruction: a systematic review. Am J Surg 207:127-138, 2014 28) Amelung FJ, Borstlap WAA, Consten ECJ, et al: Propensity score-matched analysis of oncological outcome between stent as bridge to surgery and emergency resection in patients with malignant left-sided colonic obstruction. Brit J Surg 106:1075-1086, 2019 1) 国立がん研究センター:がん情報サービス. URL:https://ganjoho. jp. 5) Dohmoto M: New method: endoscopic implantation of rectal stent in palliative treatment of malignant stenosis. Endoscopia Digestiva 3:1507-1512, 1991 16) Saito S, Yoshida S, Isayama H, et al: A prospective multicenter study on self-expandable metallic stents as a bridge to surgery for malignant colorectal obstruction in Japan: efficacy and safety in 312 patients. Surg Endosc 30:3976-3986, 2016 7) Kim JY, Kim SG, Im JP, et al: Comparison of treatment outcomes of endoscopic stenting for colonic and extra colonic obstruction. Surg Endosc 27:272-277, 2013 15) 大腸癌研究会編:大腸癌治療ガイドライン（医師用）（2019年度版）. 金原出版, 東京, 2019, p80 19) Kye BH, Kim JH, Kim HJ, et al: The optimal time interval between the placement of self-expandable metallic stent and elective surgery in patients with obstructive colon cancer. Sci Rep 10:9502, 2020 3) Yeo HL, Lee SW: Colorectal emergencies: review and controversies in the management of large bowel obstruction. J Gastrointest Surg 17:2007-2012, 2013 18) Lee GJ, Kim HJ, Baek JH, et al: Comparison of short-term outcomes after elective surgery following endoscopic stent insertion and emergency surgery for obstructive colorectal cancer. Int J Surg 11:442-446, 2013 |
| References_xml | – reference: 13) Tomita M, Saito S, Makimoto S, et al: Self-expandable metallic stenting as a bridge to surgery for malignant colorectal obstruction: pooled analysis of 426 patients from two prospective multicenter series. Surg Endosc 33:499-509, 2019 – reference: 6) van Hooft JE, Veld JV, Arnold D, et al: Self-expandable metal stents for obstructing colonic and extracolonic cancer: European Society of Gastrointestinal Endoscopy (ESGE) Guideline - Update 2020. Endoscopy 52:389-407, 2020 – reference: 16) Saito S, Yoshida S, Isayama H, et al: A prospective multicenter study on self-expandable metallic stents as a bridge to surgery for malignant colorectal obstruction in Japan: efficacy and safety in 312 patients. Surg Endosc 30:3976-3986, 2016 – reference: 2) 長尾二郎, 炭山嘉伸:大腸癌イレウス症例の検討. 日臨外会誌 51:1896-1902, 1990 – reference: 21) Visser BC, Keegan H, Martin M, et al: Death after colectomy: it's later than we think. Arch Surg 144:1021-1027, 2009 – reference: 3) Yeo HL, Lee SW: Colorectal emergencies: review and controversies in the management of large bowel obstruction. J Gastrointest Surg 17:2007-2012, 2013 – reference: 24) Amelung FJ, de Beaufort HW, Siersema PD, et al: Emergency resection versus bridge to surgery with stenting in patients with acute right-sided colonic obstruction: a systematic review focusing on mortality and morbidity rates. Int J Colorectal Dis 30:1147-1155, 2015 – reference: 28) Amelung FJ, Borstlap WAA, Consten ECJ, et al: Propensity score-matched analysis of oncological outcome between stent as bridge to surgery and emergency resection in patients with malignant left-sided colonic obstruction. Brit J Surg 106:1075-1086, 2019 – reference: 9) Lee JH, Yoon JY, Park SJ, et al: The learning curve for colorectal stent insertion for the treatment of malignant colorectal obstruction. Gut Liver 6:328-333, 2012 – reference: 1) 国立がん研究センター:がん情報サービス. URL:https://ganjoho. jp. – reference: 11) van Hooft JE, van Halsema EE, Vanbiervliet G, et al: Self-expandable metal stents for obstructing colonic and extracolonic cancer: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline. Endoscopy 46:990-1053, 2014 – reference: 22) Osler M, Iversen LH, Borglykke A, et al: Hospital variation in 30-day mortality after colorectal cancer surgery in Denmark: the contribution of hospital volume and patient characteristics. Ann Surg 253:733-738, 2011 – reference: 19) Kye BH, Kim JH, Kim HJ, et al: The optimal time interval between the placement of self-expandable metallic stent and elective surgery in patients with obstructive colon cancer. Sci Rep 10:9502, 2020 – reference: 27) Foo CC, Poon SHT, Chiu RHY, et al: Is bridge to surgery stenting a safe alternative to emergency surgery in malignant colonic obstruction: a meta-analysis of randomized control trials. Surg Endosc 33:293-302, 2019 – reference: 12) Huang X, Lv B, Zhang S, et al: Preoperative colonic stents versus emergency surgery for acute left-sided malignant colonic obstruction: a meta-analysis. J Gastrointest Surg 18:584-591, 2014 – reference: 14) Webster PJ, Aldoori J, Burke DA: Optimal management of malignant left-sided large bowel obstruction: do international guidelines agree? World J Emerg Surg 14:23, 2019 – reference: 23) Kobayashi H, Miyata H, Gotoh M, et al: Risk model for right hemicolectomy based on 19, 070 Japanese patients in the National Clinical Database. J Gastroenterol 49:1047-1055, 2014 – reference: 8) Williams D, Law R, Pullyblank AM: Colorectal stenting in malignant large bowel obstruction: the learning curve. Int J Surg Oncol 2011:917848, 2011 – reference: 17) Matsuda A, Miyashita M, Matsumoto S, et al: Optimal interval from placement of a self-expandable metallic stent to surgery in patients with malignant large bowel obstruction: A preliminary study. Surg Laparosc Endosc Percutan Tech 28:239-244, 2018 – reference: 7) Kim JY, Kim SG, Im JP, et al: Comparison of treatment outcomes of endoscopic stenting for colonic and extra colonic obstruction. Surg Endosc 27:272-277, 2013 – reference: 10) Kuwai T, Yamaguchi T, Imagawa H, et al: Factors related to difficult self-expandable metallic stent placement for malignant colonic obstruction: A post-hoc analysis of a multicenter study across Japan. Dig Endosc 31:51-58, 2019 – reference: 18) Lee GJ, Kim HJ, Baek JH, et al: Comparison of short-term outcomes after elective surgery following endoscopic stent insertion and emergency surgery for obstructive colorectal cancer. Int J Surg 11:442-446, 2013 – reference: 29) Amelung FJ, Burghgraef TA, Tanis PJ, et al: Critical appraisal of oncological safety of stent as bridge to surgery in left-sided obstructing colon cancer; a systematic review and meta-analysis. Crit Rev Oncol Hematol 131:66-75, 2018 – reference: 20) Rayhanabad J, Abbas MA: Long-term outcome of endoscopic colorectal stenting for malignant and benign disease. Am Surg 75:897-900, 2009 – reference: 15) 大腸癌研究会編:大腸癌治療ガイドライン（医師用）（2019年度版）. 金原出版, 東京, 2019, p80 – reference: 25) Sakamoto T, Fujiogi M, Lefor AK, et al: Stent as a bridge to surgery or immediate colectomy for malignant right colonic obstruction: propensity-scored, national database study. Brit J Surg 107:1354-1362, 2020 – reference: 26) Matsuda A, Yamada T, Matsumoto S, et al: Short-term outcomes of a self-expandable metallic stent as a bridge to surgery vs. a transanal decompression tube for malignant large-bowel obstruction: a meta-analysis. Surg Today 49:728-737, 2019 – reference: 4) Frago R, Ramirez E, Millan M, et al: Current management of acute malignant large bowel obstruction: a systematic review. Am J Surg 207:127-138, 2014 – reference: 5) Dohmoto M: New method: endoscopic implantation of rectal stent in palliative treatment of malignant stenosis. Endoscopia Digestiva 3:1507-1512, 1991 |
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| Title | III．大腸癌術前大腸ステントのup-to-date |
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