Clinical Significance of Surgical Resection Timing from Endoscopic Stenting for Left-Sided Large-Bowel Obstruction in Colorectal Cancer

2022 ◽  
Author(s):  
Sunseok Yoon ◽  
Guangzhe Pian ◽  
Sun Gyo Lim ◽  
Seung Yeop Oh
Keyword(s):  
Colorectal Cancer ◽  
Surgical Resection ◽  
Clinical Significance ◽  
Bowel Obstruction ◽  
Large Bowel ◽  
Large Bowel Obstruction ◽  
Endoscopic Stenting

Tu1689 - Long-Term Outcomes of Colorectal Cancer Patients with and without Malignant Large-Bowel Obstruction

2018 ◽  
Vol 154 (6) ◽  
pp. S-1352
Author(s):  
Riku Yamamoto ◽  
Shinya Munakata ◽  
Tomoyuki Kushida ◽  
Hajime Orita ◽  
Mutsumi Sakurada ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Cancer Patients ◽  
Bowel Obstruction ◽  
Large Bowel ◽  
Large Bowel Obstruction ◽  
Long Term Outcomes ◽  
Colorectal Cancer Patients

scholarly journals The Association of Coloproctology of Great Britain and Ireland Study of Large Bowel Obstruction Caused by Colorectal Cancer

2004 ◽  
Vol 240 (1) ◽  
pp. 76-81 ◽  
Author(s):  
Paris P. Tekkis ◽  
Robin Kinsman ◽  
Michael R. Thompson ◽  
Jeffrey D. Stamatakis
Keyword(s):  
Colorectal Cancer ◽  
Great Britain ◽  
Bowel Obstruction ◽  
Large Bowel ◽  
Large Bowel Obstruction

Self-expanding Metallic Stents in Acute Mechanical Intestinal Obstructions Resulting from Colorectal Malignancies

2013 ◽  
Vol 79 (12) ◽  
pp. 1279-1282 ◽  
Author(s):  
Mehmet Karabulut ◽  
Koray Bas ◽  
Murat Gönenç ◽  
Mustafa Uygar Kalayci ◽  
Mehmet Abdussamet Bozkurt ◽  
...  
Keyword(s):  
Success Rate ◽  
Bowel Obstruction ◽  
Large Bowel ◽  
Patient Characteristics ◽  
Large Bowel Obstruction ◽  
Metallic Stents ◽  
Endoscopic Stenting ◽  
Bridge To Surgery ◽  
Effective Treatment Option ◽  
Colonic Stenting

Endoscopic colonic stenting with self-expanding metallic stents is now widely used to treat malignant large bowel obstruction, where temporary or permanent decompression of the large bowel is desired. The medical records of patients who underwent endoscopic colonic stenting for malignant large bowel obstruction between May 2004 and May 2011 were reviewed. Success rate, morbidity, and mortality rate along with patient characteristics were documented. Sixty-seven patients were included. The procedure was used as a bridge to surgery in 38 and as a palliative measure in 29. Success rate was 95.5 per cent. Perforation and reobstruction occurred in three and three patients, respectively. All of the patients who developed perforation or reobstruction underwent emergency surgery. Endoscopic stenting offers a safe and effective treatment option in patients with malignant large bowel obstruction with comparable outcomes.

scholarly journals Definition of large bowel obstruction by primary colorectal cancer: a systematic review

2020 ◽  
Author(s):  
J.V. Veld ◽  
K.J. Beek ◽  
E.C.J. Consten ◽  
F. ter Borg ◽  
H.L. van Westreenen ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Systematic Review ◽  
Bowel Obstruction ◽  
Large Bowel ◽  
Large Bowel Obstruction ◽  
Primary Colorectal Cancer ◽  
Definition Of

scholarly journals Long-term outcomes of colorectal cancer patients with and without malignant large-bowel obstruction

2018 ◽  
Vol 7 (2) ◽  
pp. CRC04
Author(s):  
Shinya Munakata ◽  
Yuta Murai ◽  
Akihiro Koiuzumi ◽  
Hisaki Kato ◽  
Riku Yamamoto ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Cancer Patients ◽  
Bowel Obstruction ◽  
Large Bowel ◽  
Large Bowel Obstruction ◽  
Long Term Outcomes ◽  
Colorectal Cancer Patients

scholarly journals Endoscopic Stenting as Bridge to Surgery versus Emergency Resection for Left-Sided Malignant Colorectal Obstruction: An Updated Meta-Analysis

2017 ◽  
Vol 2017 ◽  
pp. 1-11 ◽  
Author(s):  
Niccolò Allievi ◽  
Marco Ceresoli ◽  
Paola Fugazzola ◽  
Giulia Montori ◽  
Federico Coccolini ◽  
...  
Keyword(s):  
Bowel Obstruction ◽  
Emergency Surgery ◽  
Large Bowel ◽  
Meta Analysis ◽  
Large Bowel Obstruction ◽  
Endoscopic Stenting ◽  
Bridge To Surgery ◽  
Colorectal Obstruction ◽  
Pubmed Database ◽  
Emergency Resection

Introduction. Emergency resection represents the traditional treatment for left-sided malignant obstruction. However, the placement of self-expanding metallic stents and delayed surgery has been proposed as an alternative approach. The aim of the current meta-analysis was to review the available evidence, with particular interest for the short-term outcomes, including a recent multicentre RCT. Methods. We considered randomized controlled trials comparing stenting as a bridge to surgery and emergency surgery for the management of left-sided malignant large bowel obstruction, performing a systematic review in MEDLINE, PubMed database, and the Cochrane libraries. Results. We initially identified a total of 2543 studies. After the elimination of duplicates and the screening of titles and abstracts, seven studies, for a total of 448 patients, were considered. The current meta-analysis revealed no difference in the mortality rate between the stent group and the emergency surgery group; the postoperative complication rate (37.84% versus 54.87%, P=0.02), the stoma rate (28.8% versus 46.02%, P<0.0001), and the incidence of wound infection (8.11% versus 15.49%, P=0.01) were reduced after stent as a bridge to surgery. Conclusion. Colonic stenting as a bridge to surgery appears to be a safe approach to malignant large bowel obstruction. Possible advantages of this treatment can be identified in a reduced incidence of postoperative complications and a lower stoma rate. Further RCTs considering long-term outcomes and cost-effectiveness analysis are needed.

scholarly journals “Stent in Stent” Procedure for Treatment of Extreme Strictures of Colorectal Cancer – Case Series in a Single Center: How to Do it

2020 ◽  
pp. 1-5
Author(s):  
Giungato Simone ◽  
Giungato Simone ◽  
Giordano G ◽  
Fazzolari L ◽  
Putignano C ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Bowel Obstruction ◽  
Large Bowel ◽  
Case Series ◽  
Large Bowel Obstruction ◽  
Technical Note ◽  
Cancer Case ◽  
Metal Stent ◽  
Synchronous Colorectal Cancer ◽  
Colorectal Cancer Case

Background: Since 1990’s the use of self-expanding metal stent has been known. Initially, this kind of technique has been debated in literature. Actually, is a widely used technique for treatment of bowel neoplastic obstruction. This procedure is important to restore bowel canalization but is feasible performed by expert endoscopists and a dedicated anesthesiologist team. More difficult seems to be the treatment of strictures longer than 9 cm of large bowel or synchronous very close stenosis of rectal-sigmoid junction and rectum. This technical note demonstrated how SEMS positioning can be performed for treatment of long and extreme large bowel obstruction. Methods: In this case series we have treated all patients admitted in our department with diagnosis of extreme bowel neoplastic obstruction, with “stent in stent” technique, in deep sedation. Results: From January to August 2019 we admitted in our Surgical and Endoscopic Unit two patients, a 90- year-old for bowel obstruction by synchronous colorectal cancer and a 80-year-old female for 15 cm large bowel neoplastic obstruction. Patients were submitted to “Stent-in-Stent” technique. No complications and perforation were observed with restore of bowel canalization after few hours from SEMS positioning. Both patients had no signs of bowel obstruction at abdomen X-Ray control, after 48 hours. 80-year-old female patient was submitted to left colectomy after 6 days without complications, while 90-year-old was discharge after 3 days. Conclusion: This study demonstrated how is possible to perform endoscopic SEMS positioning to treat longer than 15 cm neoplastic large bowel obstruction and synchronous colorectal cancer with “Stent-inStent” technique. Our technical note describes, point by point, all passages of this procedure and suggests as is possible to treat synchronous sigmoid-rectal neoplastic obstruction using two different kind of metal stent.

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