Colonic acute malignant obstructions: effectiveness of self-expanding metallic stent as bridge to surgery

Consolo, Pierluigi; Giacobbe, G; Cintolo, Marcello; Tortora, A.; Famà, Fausto; Gioffré-Florio, Maria; Pallio, Socrate

doi:10.5152/tjg.2016.0249

Cited by 15 publications

(13 citation statements)

References 21 publications

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“…Among them, after full text review, 17 studies were included for the analysis: 5 RCTs (21-25), 3 prospective comparative cohort studies (16,26,27) and 9 retrospective comparative cohort studies (13)(14)(15)(28)(29)(30)(31)(32)(33). Five studies did not report followup data (34)(35)(36)(37)(38), 2 studies reported short-term outcomes of other included trials (39,40) and were also excluded. A retrospective comparative cohort study reported unclear data about long-term follow up, therefore it was decided to exclude it from the analysis (41).…”

Section: Selected Studiesmentioning

confidence: 99%

Long-term oncologic outcomes of stent as a bridge to surgery versus emergency surgery in malignant left side colonic obstructions: a meta-analysis

Ceresoli¹,

Allievi²,

Catena³

et al. 2017

J. Gastrointest. Oncol.

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Section: Selected Studiesmentioning

confidence: 99%

Long-term oncologic outcomes of stent as a bridge to surgery versus emergency surgery in malignant left side colonic obstructions: a meta-analysis

Ceresoli¹,

Allievi²,

Catena³

et al. 2017

J. Gastrointest. Oncol.

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“…Frederico et al explored the outcome of an emergency surgery including bowel obstruction of CRC, suggesting that it has been possible to respect the principles of the radical resection in the emergency surgery for CRC [25]. In addition, colonic stents and stoma are also a bridge from emergency surgery to elective resection [26,27]. Patients with signi cant response to conversion chemotherapy can be converted from unresectable to resectable status.…”

Section: Validation For Nomogram Modelmentioning

confidence: 99%

A Nomogram Model for Predicting Prognosis of Obstructive Colorectal Cancer

Liu

Jia

et al. 2021

Preprint

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Background: The prognosis of obstructive colorectal cancer (oCRC) is worse than non-obstructive CRC, but the individualized prediction model for the prognosis of oCRC patients has not been established. The aim of this study was to select prognostic predictors to built a Nomogram model to predic the prognosis of oCRC patients. Methods: A retrospective study was conducted on 181 oCRC partients between February 2012 to December 2017 from three medical hospitals. 129 patients in one of the hospitals were assigned to the training chort.Univariate and multivariate analysis were used to select independent prognostic indicators in a training cohort and a Nomogram model was constructed. 52 patients foom another two hospital were used as the testing cohort to validate the model.Results: Multivariate analysis illustrated the CEA [p=0.037, HR=2.872 (1.065-7.740)], N stage [N1 vs. N0, p=0.028, HR=3.187 (1.137-8.938) ; N2 vs. N0, p=0.010, HR=4.098 (1.393-12.051)] and surgical procedure [p=0.002, HR=0.299 (0.139-0.643)] were independent prognostic factors for OS of oCRC patients. These factors were used to construct the Nomogram model. Both internal and external validation shows it relatively accuracy.Conclusions: CEA, N stage and surgical procedure were independent prognostic factors for OS of oCRC patients, Which can be visually exhibited by Nomogram model.

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“…A multitude of reports with variable results have attempted to assess the effectiveness of SEMS in managing acute malignant colonic obstruction [1,2,5,[9][10][11]. Most reports have proven SEMS to be at least non-inferior to primary resection, with some even reporting more favorable outcomes with SEMS when it came to short-term survival.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness and early postoperative outcomes of palliative endoluminal stenting versus Hartmann’s procedure in acute malignant bowel obstruction in high-risk patients

et al. 2022

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The emergency intervention for acute malignant left-sided colonic obstruction remains controversial. Conflicting reports exist regarding the efficacy and safety of endoscopic placement of self-expandable metallic stents (SEMS) vs. primary surgery. Most reports focus on SEMS insertion as a bridge to surgery.Methods: An observational nonrandomized study at a single center in Cairo, Egypt included 65 highrisk patients (American Society of Anesthesiologists physical status classification ≥ III, age > 60 years) with acute malignant metastatic (stage IV) colonic obstruction. Twenty-nine patients underwent primary surgery (Hartmann's procedure, HP), and 35 patients underwent SEMS insertion.Results: All cases that underwent SEMS insertion were technically successful. The 2 procedures were comparable in clinical success rates but a statistically significant difference existed between them regarding the duration of postoperative hospital stay in the HP and SEMS group (7.7 ± 3.1 days vs. 3.5 ± 0.6 days, retrospectively; P < 0.001), the interval before regaining oral feeding (41.8 ± 26.8 hours vs. 27.6 ± 18.5 hours, retrospectively; P = 0.015), and the duration of intensive care unit (ICU) admission (5.0 ± 1.7 days vs. 1.5 ± 0.7 days, retrospectively; P = 0.035). Six patients (20.7%) in the HP group and 2 patients (5.7%) in the SEMS group required postoperative ICU admission. Conclusion:SEMS placement provides comparable efficacy and safety to HP in managing acute malignant obstruction of the rectosigmoid region in high-risk individuals, with faster recovery and less hospital and ICU admission time.

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Colonic acute malignant obstructions: effectiveness of self-expanding metallic stent as bridge to surgery

Cited by 15 publications

References 21 publications

Long-term oncologic outcomes of stent as a bridge to surgery versus emergency surgery in malignant left side colonic obstructions: a meta-analysis

Long-term oncologic outcomes of stent as a bridge to surgery versus emergency surgery in malignant left side colonic obstructions: a meta-analysis

A Nomogram Model for Predicting Prognosis of Obstructive Colorectal Cancer

Effectiveness and early postoperative outcomes of palliative endoluminal stenting versus Hartmann’s procedure in acute malignant bowel obstruction in high-risk patients

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