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Management of Colorectal Cancer Patients Undergoing a Colonic Stenting: A Multidisciplinary Team Approach.
Bejo Utomo1, Carmen Alvarez, Ricardo F Baldonedo
1Bejo Utomo, MSc, RN, is Erasmus Mundus Master in Emergency and Critical Care Nursing, University of Oviedo, Asturias, Spain. Carmen Alvarez, RN, is Endoscopist Supervisor Nurse, Hospìtal Universitario Central de Asturias, Asturias, Spain. Ricardo F. Baldonedo, MD, PhD, is Lecturer in Medical and Surgical Nursing, Faculty of Medicine and Health Sciences, University of Oviedo, Asturias, Spain.
Colonic stenting offers high success in managing colorectal cancer with bowel obstruction. This procedure provides improved survival and patient satisfaction, especially with a multidisciplinary team approach.
Area of Science:
- Gastroenterology
- Oncology
- Surgical Innovation
Background:
- Colorectal cancer frequently causes large bowel obstruction, necessitating effective interventions.
- Colonic stenting is a key therapeutic option for managing such obstructions.
Purpose of the Study:
- To evaluate the epidemiological and clinical outcomes of colonic stent procedures over 10 years.
- To assess the role of nursing care and patient satisfaction in colonic stenting.
- To analyze survival rates in palliative versus preoperative stenting groups.
Main Methods:
- Retrospective analysis of 102 colorectal cancer patients undergoing colonic stenting (10-year data).
- Prospective evaluation of nursing roles and patient satisfaction.
- Comparison of survival times between palliative and preoperative patient groups.
Main Results:
- Male patients (2:1 ratio) were more prevalent. Survival was 3 months (palliative) vs. 28 months (preoperative).
- Nursing care focused on a multidisciplinary safety culture, leading to high patient satisfaction.
- The procedure demonstrated high technical and clinical success.
Conclusions:
- Colonic stenting is a successful and high-quality intervention for colorectal cancer with bowel obstruction.
- A multidisciplinary team approach enhances patient safety and satisfaction.
- The procedure significantly improves survival for select patient groups.
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