Pawan Mathur
Royal Free London NHS Fundation Trust, UK
Title: STATE OF THE ART IN THE MANAGEMENT OF BENIGN AND MALIGNANT COLORECTAL STRICTURES
Biography
Biography: Pawan Mathur
Abstract
The author will describe the incidence and clinical presenation of colorectal strictures; a investigation pathway will be proposed. The management options will be discussed including the placement of SEMS (Self Expanding Metatalic Stents). CT characetristics we recommend to ensure successful deployment will be presented.
Our 17 year exeperinece in SEMs will be presented, including deployment and clinical success rates, complication and failure rates. These are compared to the worlds literature on thris topic. Management of benign colorectal strictures will also be discussed.
A comparative study of the performance of gastroenterologists and interventional radiologists/ colorectal endoscopists in SEMS placement in our unit will be presented. An analysis of the viability of a regional cnetralised SEMs service within the London Cancer Netwowrk will be presented
A summary of the world literature on the subject of SEMS will be presented leading to up to date results from the UK CrEST trial.
A mamagement algorithym for the management of patients with benign and malignant colorectal structures will be proposed.