scholarly journals Comment on “Endoscopic Stenting and Diverting Colostomy as a Bridge to Surgery for Malignant Colorectal Obstruction”

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Antonietta Lamazza ◽  
Mariavittoria Carati ◽  
Enrico Fiori ◽  
Antonio V. Sterpetti
Keyword(s):  
Endoscopic Stenting ◽  
Bridge To Surgery ◽  
Colorectal Obstruction ◽  
Diverting Colostomy

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

Endoscopic stenting for colorectal obstruction from unresectable ovarian and colorectal cancer: a bridge to surgery

2015 ◽  
Vol 17 (7) ◽  
pp. 646-647 ◽  
Author(s):  
A. La Mazza ◽  
E. Fiori ◽  
A. Schillaci ◽  
A. De Cesare ◽  
A. V. Sterpetti
Keyword(s):  
Colorectal Cancer ◽  
Endoscopic Stenting ◽  
Bridge To Surgery ◽  
Colorectal Obstruction

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.

Endoscopic stenting as bridge-to-surgery (BTS) in left-sided obstructing colorectal cancer: Experience with conformable stents

2016 ◽  
Vol 40 (5) ◽  
pp. 638-644 ◽  
Author(s):  
Andrea Parodi ◽  
Antonella De Ceglie ◽  
Luca De Luca ◽  
Rita Conigliaro ◽  
Riccardo Naspetti ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Endoscopic Stenting ◽  
Bridge To Surgery ◽  
Cancer Experience

scholarly journals Endoscopic stenting combined with neoadjuvant chemotherapy for treatment of malignant colorectal obstruction

2013 ◽  
Vol 21 (35) ◽  
pp. 4056
Author(s):  
Jie Wu ◽  
Da-Qing Rong ◽  
Qing-Feng Liu ◽  
Xuan Geng ◽  
Zhi-Qiang Zhang ◽  
...  
Keyword(s):  
Neoadjuvant Chemotherapy ◽  
Endoscopic Stenting ◽  
Colorectal Obstruction

Metallic Stent for Malignant Colorectal Obstruction

2018 ◽  
Vol 02 (01) ◽  
pp. 046-052
Author(s):  
Yoshitaka Inaba ◽  
Yozo Sato
Keyword(s):  
Stent Migration ◽  
Late Complications ◽  
Secondary Outcome ◽  
Successful Implementation ◽  
Metallic Stent ◽  
Bridge To Surgery ◽  
Success Rates ◽  
Sems Placement ◽  
Colorectal Obstruction ◽  
Expandable Metallic Stent

AbstractAcute colorectal obstruction has been often reported as a secondary outcome of left-colonic malignancy. It is considered as a common emergency condition. Self-expandable metallic stent (SEMS) placement is widely used as a palliative treatment for the management of malignant colorectal obstruction (MCRO). SEMS placement is also deliberated as a bridge to surgery. With advances in technology, several recent studies of SEMS placement for MCRO indicated high technical (94–98%) and clinical (91–93%) success rates. The complication rate associated with SEMS is quite acceptable. However, long-term outcomes are still unclear. The symptoms should be carefully monitored before application of SEMS, particularly in patients who are eligible for systemic chemotherapy and in patients with a long life expectancy because of late complications such as reobstruction, stent migration, and perforation. Appropriate patient selection and placement technique are keys for the successful implementation of SEMS.

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