Colonic stenting as a bridge to surgery versus emergency surgery for malignant colonic obstruction: results of a multicentre randomised controlled trial (ESCO trial)

2016 ◽  
Vol 31 (8) ◽  
pp. 3297-3305 ◽  
Author(s):  
Alberto Arezzo ◽  
Carmen Balague ◽  
Eduardo Targarona ◽  
Felice Borghi ◽  
Giorgio Giraudo ◽  
...  
Keyword(s):  
Randomised Controlled Trial ◽  
Emergency Surgery ◽  
Controlled Trial ◽  
Colonic Obstruction ◽  
Bridge To Surgery ◽  
Colonic Stenting ◽  
Malignant Colonic Obstruction ◽  
Randomised Controlled

scholarly journals The Safety and Efficiency of Surgery with Colonic Stents in Left-Sided Malignant Colonic Obstruction: A Meta-Analysis

2014 ◽  
Vol 2014 ◽  
pp. 1-11 ◽  
Author(s):  
Xiang Zhao ◽  
Bo Liu ◽  
Ende Zhao ◽  
Jiliang Wang ◽  
Ming Cai ◽  
...  
Keyword(s):  
Surgical Site Infection ◽  
Emergency Surgery ◽  
Primary Anastomosis ◽  
Meta Analysis ◽  
Colonic Obstruction ◽  
Bridge To Surgery ◽  
Site Infection ◽  
Colonic Stenting ◽  
Malignant Colonic Obstruction ◽  
Colonic Stents

Objective.This meta-analysis is aimed at assessing the safety and efficiency of colonic self-expanding metallic stents (SEMS) used as a bridge to surgery in the management of left-sided malignant colonic obstruction (LMCO).Methods.A systematic search was conducted in PubMed, Web of Knowledge, OVID, Google Scholar, CNKI, and WANGFANG for relevant randomized trials comparing colonic stenting used as a bridge in semielective surgery versus emergency surgery from January 2001 to September 2013.Result.Five published studies were included in this systematic review, including 273 patients (140 male/133 female). 136 patients received semielective surgery after SEMS installation while 137 patients underwent emergency surgery without SEMS. SEMS intervention resulted in significantly lower overall colostomy rate (41.9% versus 56.2%,P=0.02), surgical site infection rate (10.2% versus 19.7%,P=0.03), and overall complication rate (29.2% versus 60.5%,P=0.05). There was no statistic difference for the rate of primary anastomosis, anastomotic leak and operation-related mortality between two groups.Conclusions.semielective surgery with SEMS as a bridge for proper patients of LMCO can lower the overall rate for colostomy, surgical site infection, and complications.

Colonic Stenting Versus Emergency Surgery for Management of Acute Left-Sided Malignant Colonic Obstruction: A Multicenter Randomized Trial (Stent-In 2 Study)

2009 ◽  
Vol 69 (5) ◽  
pp. AB273
Author(s):  
Jeanin E. Van Hooft ◽  
Willem A. Bemelman ◽  
Bas Oldenburg ◽  
Mirjam A. Sprangers ◽  
Patrick M. Bossuyt ◽  
...  
Keyword(s):  
Randomized Trial ◽  
Emergency Surgery ◽  
Colonic Obstruction ◽  
Multicenter Randomized Trial ◽  
Colonic Stenting ◽  
Malignant Colonic Obstruction

scholarly journals Colonic stenting versus emergency surgery for acute left-sided malignant colonic obstruction: a multicentre randomised trial

2011 ◽  
Vol 12 (4) ◽  
pp. 344-352 ◽  
Author(s):  
Jeanin E van Hooft ◽  
Willem A Bemelman ◽  
Bas Oldenburg ◽  
Andreas W Marinelli ◽  
Martijn F Lutke Holzik ◽  
...  
Keyword(s):  
Emergency Surgery ◽  
Colonic Obstruction ◽  
Randomised Trial ◽  
Colonic Stenting ◽  
Malignant Colonic Obstruction
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