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

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 for Colorectal Cancer. The Importance of Collaboration between Specialists

2018 ◽  
Author(s):  
Antonio V Sterpetti ◽  
Antonietta Lamazza ◽  
Luca Di Marzo ◽  
Enrico Fiori
Keyword(s):  
Colorectal Cancer ◽  
Clinical Success ◽  
Operative Procedure ◽  
Major Complication ◽  
Daily Basis ◽  
Metal Stents ◽  
Endoscopic Stenting ◽  
Colorectal Obstruction ◽  
Proper Training ◽  
Endoscopic Placement

BACKGROUND: Endoscopic placement of Self Expandable Metal Stents to relieve malignant colorectal obstruction has become a common therapeutic  advancement in clinical practice. MATERIAL: In a 16 year period 167 patients had endoscopic placement of a Self Expandable Metal Stent  in a center where gastroenterologists and surgeons cooperate in  a daily basis, discussing indications. RESULTS: There was no operative mortality and no major complication in placement of the stent. Technical and clinical success was respectively 95.1% and 92.9%. Consultation among specialists changed the preoperative indication in 60 patients, during the same time period. CONCLUSIONS: Self expandable metal stents placement represents an important tool to treat patients with obstructing colorectal cancer and complications after colorectal resection . A proper training is required, and this training in operative endoscopy is not always available and possible. In this scenario, a close collaboration among specialists in selecting the most appropriate operative procedure is essential and brings to better results.

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

What is the necessity of endoscopist for successful endoscopic stenting in patients with malignant colorectal obstruction?

2014 ◽  
Vol 30 (1) ◽  
pp. 119-125 ◽  
Author(s):  
Hyun Jung Lee ◽  
Soo Jung Park ◽  
Jae Hee Cheon ◽  
Tae Il Kim ◽  
Won Ho Kim ◽  
...  
Keyword(s):  
Endoscopic Stenting ◽  
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.

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