Table 1.
Baseline characteristics of patients with malignant colorectal obstruction.
| Variable | Total | ND-GWI group | D-GWI group | p |
|---|---|---|---|---|
| N = 509 | N = 456 | N = 53 | ||
| Sex, n (%) | 0.556 | |||
| Male | 288 (56.6) | 256 (56.1) | 32 (60.4) | |
| Female | 221 (43.4) | 200 (43.9) | 21 (39.6) | |
| Age, mean (SD), years | 62.3 ± 16.1 | 62.2 ± 16.2 | 63.7 ± 15.3 | 0.512 |
| Emergency endoscopic SEMS, n (%) | 0.457 | |||
| Yes | 96 (18.9) | 84 (18.4) | 12 (22.6) | |
| No | 413 (81.1) | 372 (81.6) | 41 (77.4) | |
| Anesthesia endoscopic SEMS, n (%) | 0.976 | |||
| Yes | 57 (11.2) | 51 (11.2) | 6 (11.3) | |
| No | 452 (88.8) | 405 (88.8) | 47 (88.7) | |
| Degree of obstruction, n (%) | 0.027 | |||
| Total | 426 (83.7) | 376 (82.5) | 50 (94.3) | |
| Subtotal | 83 (16.3) | 80 (17.5) | 3 (5.7) | |
| Obstruction site, n (%) | 0.038 | |||
| Rectum | 124 (24.4) | 118 (25.9) | 6 (11.3) | |
| Sigmoid colon | 202 (39.7) | 168 (36.8) | 28 (52.8) | |
| Descending colon | 85 (16.7) | 78 (17.1) | 7 (13.2) | |
| Transverse colon | 67 (13.2) | 57 (12.5) | 10 (18.9) | |
| Ascending colon | 37 (7.3) | 35 (7.7) | 2 (3.8) | |
| Sharply angulated stricture, n (%) | <0.001 | |||
| Presence | 137(26.9) | 102(22.4) | 35(66.0) | |
| Absence | 372 (73.1) | 354 (77.6) | 18 (34.0) | |
| Etiology, n (%) | 0.356 | |||
| Colorectal malignancy | 468 (91.9) | 421 (92.3) | 47 (88.7) | |
| Extracolonic malignancy | 41 (8.1) | 35 (7.7) | 6 (11.3) | |
| Carcinomatosis, n (%) | 0.006 | |||
| Presence | 190 (37.3) | 161 (35.3) | 29 (54.7) | |
| Absence | 319 (62.7) | 295 (64.7) | 24 (45.3) | |
| Organ metastasis | 0.236 | |||
| Presence | 109 (21.4) | 101 (22.1) | 8 (15.1) | |
| Absence | 400 (78.6) | 355 (77.9) | 45 (84.9) | |
| Experienced colonoscopist, n (%) | <0.001 | |||
| Yes | 313 (61.5) | 301 (66.0) | 12 (22.6) | |
| No | 196 (38.5) | 155 (34.0) | 41 (77.4) |
ND-GWI group, non-difficult guidewire insertion group; D-GWI, difficult guidewire insertion group.
Experienced colonoscopists had placed self-expandable metal stents in more than 100 cases.