S1932 Colonic Stenting of Obstructing Colorectal Carcinomas as a Bridge to Surgery

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.

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Colonic Stenting as a Bridge to Surgery in Malignant Large-Bowel Obstruction: A Report from Two Large Multinational Registries

The American Journal of Gastroenterology ◽

10.1038/ajg.2011.360 ◽

2011 ◽

Vol 106 (12) ◽

pp. 2174-2180 ◽

Cited By ~ 70

Author(s):

J Jiménez-Pérez ◽

J Casellas ◽

J García-Cano ◽

J Vandervoort ◽

Roncero O García-Escribano ◽

...

Keyword(s):

Bowel Obstruction ◽

Large Bowel ◽

Large Bowel Obstruction ◽

Bridge To Surgery ◽

Colonic Stenting

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Surgical failure after colonic stenting as a bridge to surgery

World Journal of Gastroenterology ◽

10.3748/wjg.v20.i33.11826 ◽

2014 ◽

Vol 20 (33) ◽

pp. 11826 ◽

Cited By ~ 9

Author(s):

Jung Ho Kim

Keyword(s):

Bridge To Surgery ◽

Colonic Stenting ◽

Surgical Failure

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Colonic stenting as a bridge to surgery for obstructive colorectal cancer: advantages and disadvantages

Surgery Today ◽

10.1007/s00595-016-1333-5 ◽

2016 ◽

Vol 46 (11) ◽

pp. 1310-1317 ◽

Cited By ~ 17

Author(s):

Naotsugu Haraguchi ◽

Masataka Ikeda ◽

Masakazu Miyake ◽

Takuya Yamada ◽

Yuko Sakakibara ◽

...

Keyword(s):

Colorectal Cancer ◽

Bridge To Surgery ◽

Advantages And Disadvantages ◽

Obstructive Colorectal Cancer ◽

Colonic Stenting

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The Safety and Efficiency of Surgery with Colonic Stents in Left-Sided Malignant Colonic Obstruction: A Meta-Analysis

Gastroenterology Research and Practice ◽

10.1155/2014/407325 ◽

2014 ◽

Vol 2014 ◽

pp. 1-11 ◽

Cited By ~ 10

Author(s):

Xiang Zhao ◽

Bo Liu ◽

Ende Zhao ◽

Jiliang Wang ◽

Ming Cai ◽

...

Keyword(s):

Surgical Site Infection ◽

Emergency Surgery ◽

Primary Anastomosis ◽

Meta Analysis ◽

Colonic Obstruction ◽

Bridge To Surgery ◽

Site Infection ◽

Colonic Stenting ◽

Malignant Colonic Obstruction ◽

Colonic Stents

Objective.This meta-analysis is aimed at assessing the safety and efficiency of colonic self-expanding metallic stents (SEMS) used as a bridge to surgery in the management of left-sided malignant colonic obstruction (LMCO).Methods.A systematic search was conducted in PubMed, Web of Knowledge, OVID, Google Scholar, CNKI, and WANGFANG for relevant randomized trials comparing colonic stenting used as a bridge in semielective surgery versus emergency surgery from January 2001 to September 2013.Result.Five published studies were included in this systematic review, including 273 patients (140 male/133 female). 136 patients received semielective surgery after SEMS installation while 137 patients underwent emergency surgery without SEMS. SEMS intervention resulted in significantly lower overall colostomy rate (41.9% versus 56.2%,P=0.02), surgical site infection rate (10.2% versus 19.7%,P=0.03), and overall complication rate (29.2% versus 60.5%,P=0.05). There was no statistic difference for the rate of primary anastomosis, anastomotic leak and operation-related mortality between two groups.Conclusions.semielective surgery with SEMS as a bridge for proper patients of LMCO can lower the overall rate for colostomy, surgical site infection, and complications.

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