scholarly journals Postoperative Clinical Outcomes of Colonic Stent Placement as Bridge-to-surgery vs. Emergency Surgery in Left-sided Malignant Colonic Obstruction

2021 ◽  
Vol 9 (2) ◽  
pp. 43-49
Author(s):  
Eun Ju Choe ◽  
Yong Kang Lee ◽  
Han Ho Jeon ◽  
Jong Won Choi ◽  
Byung Kyu Park ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Stent Placement ◽  
Emergency Surgery ◽  
Colonic Obstruction ◽  
Bridge To Surgery ◽  
Malignant Colonic Obstruction ◽  
Colonic Stent

WallFlex colonic stent placement for management of malignant colonic obstruction: a prospective study at two centers

2008 ◽  
Vol 67 (1) ◽  
pp. 77-84 ◽  
Author(s):  
Alessandro Repici ◽  
Giuseppe De Caro ◽  
Carmelo Luigiano ◽  
Carlo Fabbri ◽  
Nico Pagano ◽  
...  
Keyword(s):  
Prospective Study ◽  
Stent Placement ◽  
Colonic Obstruction ◽  
Malignant Colonic Obstruction ◽  
Colonic Stent ◽  
A Prospective Study

Colonic stent vs. emergency surgery for management of acute left-sided malignant colonic obstruction: a decision analysis

2004 ◽  
Vol 60 (6) ◽  
pp. 865-874 ◽  
Author(s):  
Laura E. Targownik ◽  
Brennan M. Spiegel ◽  
Jonathan Sack ◽  
Oscar J. Hines ◽  
Gareth S. Dulai ◽  
...  
Keyword(s):  
Decision Analysis ◽  
Emergency Surgery ◽  
Colonic Obstruction ◽  
Malignant Colonic Obstruction ◽  
Colonic Stent

scholarly journals Fluoroscopic Stenting as a Bridge to Surgery versus Emergency Management for Malignant Obstruction of the Colon

2020 ◽  
Vol 2020 ◽  
pp. 1-10
Author(s):  
Fan Xue ◽  
Feng Lin ◽  
Jun Zhou ◽  
Ning Feng ◽  
You-Gang Cui ◽  
...  
Keyword(s):  
Emergency Surgery ◽  
Clinical Success ◽  
Colonic Obstruction ◽  
Laparoscopic Approach ◽  
Metallic Stent ◽  
Bridge To Surgery ◽  
Success Rates ◽  
Clinicopathologic Characteristics ◽  
Sems Group ◽  
Malignant Colonic Obstruction

Aim. To investigate the feasibility of a SEMS (self-expandable metallic stent) as a bridge to surgery for malignant colonic obstruction. Methods. We retrospectively reviewed 83 patients that were in accordance with inclusion criteria; of these, 33 patients that underwent fluoroscopy-guided SEMS placement followed by elective curative resection were classified as a SEMS group and 50 patients, who received emergency surgery (ES), were classified as an ES group. The clinicopathological characteristics, surgery-related parameters, complications, and three-year survival rate were compared between the two groups. Results. No significant differences between the two groups were observed in any of the clinicopathologic characteristics except for higher preoperative absolute neutrophil count in the ES group (P<0.001). Compared to the ES group, the SEMS group has significantly more cases, which featured a laparoscopic approach (72.7% vs. 14.0%, P<0.001), lower overall stoma rate (0% vs. 34.0%, P<0.001), and lower overall postoperative morbidity (27.3% vs. 56.0%, P=0.010). The oncological outcomes did not differ significantly between the two groups in terms of three-year overall survival (P=0.125). The technical and clinical success rates of stent placement were 91.7% and 100%, respectively. Conclusion. Patients treated with the stent-surgery approach had significant short-term superiorities and similar long-term outcomes, compared to patients who had emergency surgery alone. The SEMS is, therefore, safe and feasible as a bridge to surgery for malignant colonic obstruction.

Bridge to Surgery Stenting in Patients with Malignant Colonic Obstruction Using the WallFlex Colonic Stent: Report of a Prospective Multicenter Registry

2008 ◽  
Vol 67 (5) ◽  
pp. AB307 ◽  
Author(s):  
Javier JiméNez-PéRez ◽  
Juan Antonio Casellas ◽  
Jesus García-Cano ◽  
Alberto Alvarez ◽  
Javier Barcenilla ◽  
...  
Keyword(s):  
Colonic Obstruction ◽  
Bridge To Surgery ◽  
Malignant Colonic Obstruction ◽  
Colonic Stent ◽  
Multicenter Registry

Palliation of Malignant Colonic Obstruction By Ultraflex™ Precision Colonic Stent Placement: A Prospective Multicenter Study

2007 ◽  
Vol 65 (5) ◽  
pp. AB262
Author(s):  
Alessandro Repici ◽  
Diego Fregonese ◽  
Guido Costamagna ◽  
Remi Dumas ◽  
Georg F. Kaehler ◽  
...  
Keyword(s):  
Multicenter Study ◽  
Stent Placement ◽  
Colonic Obstruction ◽  
Prospective Multicenter Study ◽  
Malignant Colonic Obstruction ◽  
Colonic Stent

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

2014 ◽  
Vol 2014 ◽  
pp. 1-11 ◽  
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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