Long-term oncologic outcomes of endoscopic stenting as a bridge to surgery for malignant colonic obstruction: comparison with emergency surgery

2014 ◽  
Vol 28 (9) ◽  
pp. 2649-2655 ◽  
Author(s):  
Ji Min Choi ◽  
Changhyun Lee ◽  
Yoo Min Han ◽  
Minjong Lee ◽  
Young Hoon Choi ◽  
...  
Keyword(s):  
Emergency Surgery ◽  
Colonic Obstruction ◽  
Oncologic Outcomes ◽  
Endoscopic Stenting ◽  
Bridge To Surgery ◽  
Malignant Colonic Obstruction

Su1728 LONG-TERM SURVIVAL ANALYSIS AFTER ENDOSCOPIC STENTING AS A BRIDGE TO SURGERY FOR MALIGNANT COLONIC OBSTRUCTION: COMPARISON WITH EMERGENCY SURGERY

2019 ◽  
Vol 89 (6) ◽  
pp. AB397-AB398
Author(s):  
Rodrigo Corsato Scomparin ◽  
Bruno da Costa Martins ◽  
Carlos F. Marques ◽  
Caio Sergio R. Nahas ◽  
Fabio S. Kawaguti ◽  
...  
Keyword(s):  
Survival Analysis ◽  
Emergency Surgery ◽  
Colonic Obstruction ◽  
Endoscopic Stenting ◽  
Bridge To Surgery ◽  
Term Survival ◽  
Long Term Survival ◽  
Malignant Colonic Obstruction

scholarly journals Colonic Stenting in the Emergency Setting

Medicina ◽  
2021 ◽  
Vol 57 (4) ◽  
pp. 328
Author(s):  
Mario Morino ◽  
Alberto Arezzo ◽  
Francesca Farnesi ◽  
Edoardo Forcignanò
Keyword(s):  
Emergency Surgery ◽  
Scientific Evidence ◽  
Colonic Obstruction ◽  
Large Bowel Obstruction ◽  
Endoscopic Stenting ◽  
Emergency Setting ◽  
Bridge To Surgery ◽  
Term Survival ◽  
Colonic Stenting

Nowadays, colorectal cancer (CRC) is the third most frequent cancer, and about a third of patients with CRC presents themselves with symptoms of large bowel obstruction. Historically, surgical resection was the treatment of choice for colonic obstruction, but this kind of approach is burdened by a high risk of postoperative morbidity and mortality. In recent times, the use of a colonic stent has been proposed to overcome the obstruction and transform an emergency surgical case into an elective one to avoid emergency surgery complications. Endoscopic stenting is the first-line treatment option in the palliative management of colonic obstruction, and there is sufficient scientific evidence to support this approach. However, endoscopic stent used as a bridge to surgery is not yet widely adopted because the concern was raised about the long-term survival and cancer safety of this approach. The recent scientific evidence has shown that this approach improves the short-term outcomes, such as postoperative complications and the stoma rate, without differences in long-term outcomes compared to emergency surgery. Therefore, the European Society for Gastrointestinal Endoscopy in 2020 has reconsidered stenting as a bridge to surgery as a valid alternative to emergency surgery.

scholarly journals Long-term oncologic outcomes of stent as a bridge to surgery versus emergency surgery in malignant left side colonic obstructions: a meta-analysis

2017 ◽  
Vol 8 (5) ◽  
pp. 867-876 ◽  
Author(s):  
Marco Ceresoli ◽  
Niccolò Allievi ◽  
Federico Coccolini ◽  
Giulia Montori ◽  
Paola Fugazzola ◽  
...  
Keyword(s):  
Emergency Surgery ◽  
Meta Analysis ◽  
Oncologic Outcomes ◽  
Bridge To Surgery
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