Long-Term Oncological Outcomes of Endoscopic Stenting as a Bridge to Surgery Versus Emergency Surgery for Malignant Colorectal Obstruction: A Comparative Study

2017 ◽  
Vol 27 (6) ◽  
pp. 611-617 ◽  
Author(s):  
Fei-hu Yan ◽  
Zheng Lou ◽  
Xiao-shuang Liu ◽  
Zhen Wang ◽  
Xiao-dong Xu ◽  
...  
Keyword(s):  
Comparative Study ◽  
Emergency Surgery ◽  
Endoscopic Stenting ◽  
Bridge To Surgery ◽  
Colorectal Obstruction ◽  
Oncological Outcomes

scholarly journals Long-term survival analysis after endoscopic stenting as a bridge to surgery for malignant colorectal obstruction: comparison with emergency diverting colostomy

Clinics ◽  
2020 ◽  
Vol 75 ◽  
Author(s):  
Rodrigo Corsato Scomparin ◽  
Bruno Costa Martins ◽  
Luciano Lenz ◽  
Luiza Haendchen Bento ◽  
Carlos Sparapam Marques ◽  
...  
Keyword(s):  
Survival Analysis ◽  
Endoscopic Stenting ◽  
Bridge To Surgery ◽  
Term Survival ◽  
Colorectal Obstruction ◽  
Long Term Survival ◽  
Diverting Colostomy

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.

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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