Endoscopic stenting is not as effective for palliation of colorectal obstruction in patients with advanced gastric cancer as emergency surgery

2012 ◽  
Vol 75 (2) ◽  
pp. 294-301 ◽  
Author(s):  
Bo Kyung Kim ◽  
Sung Pil Hong ◽  
Hyun Mi Heo ◽  
Jin Young Kim ◽  
Hyuk Hur ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Advanced Gastric Cancer ◽  
Emergency Surgery ◽  
Endoscopic Stenting ◽  
Colorectal Obstruction

Palliative Treatment for Advanced Gastric Cancer with Outlet Obstruction: Endoscopic Stenting or Surgical Bypass?

2007 ◽  
Vol 65 (5) ◽  
pp. AB162
Author(s):  
Shiley Y. Liu ◽  
Philip W. Chiu ◽  
Frances K. Cheung ◽  
Wilfred L. Mui ◽  
Wing Tai Siu ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Advanced Gastric Cancer ◽  
Palliative Treatment ◽  
Outlet Obstruction ◽  
Endoscopic Stenting ◽  
Surgical Bypass

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.

CPT-11/Cisplatin neoadjuvant therapy downstages locally advanced gastric cancer

2001 ◽  
Vol 120 (5) ◽  
pp. A129-A129
Author(s):  
E NEWMAN ◽  
S MARCUS ◽  
M POTMESIL ◽  
H HOCHSTER ◽  
H YEE ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Neoadjuvant Therapy ◽  
Advanced Gastric Cancer ◽  
Locally Advanced ◽  
Locally Advanced Gastric Cancer

Staging of Advanced Gastric Cancer: Comparison of Conventional CT and Intraoperative Assessment

1994 ◽  
Vol 31 (2) ◽  
pp. 301
Author(s):  
Jong Sung Kim ◽  
On Koo Cho ◽  
Hyun Chul Rhim ◽  
Byung Hee Koh ◽  
Yoon Young Choi ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Advanced Gastric Cancer ◽  
Intraoperative Assessment ◽  
Conventional Ct
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