Self-expandable metal stents for relieving malignant colorectal obstruction: short-term safety and efficacy within 30 days of stent procedure in 447 patients

Endoscopy in patients on antiplatelet or anticoagulant therapy, including direct oral anticoagulants: British Society of Gastroenterology (BSG) and European Society of Gastrointestinal Endoscopy (ESGE) guidelines

“…187 In a study of 463 colonic stent placements in 447 patients, there were only 2 (0.5%) cases of haemorrhage, but 15 (3.9%) perforations, 3 of which were fatal. 188 In a RCT of colonic stenting versus emergency surgery in the context of acute malignant colonic obstruction there were no instances of haemorrhage in the stenting group, but 6/47 (13%) perforations. 189 …”

Radiological Position and Clinical Outcome of Preoperative Self-Expanding Metal Stents for Obstructing Colonic Cancer: A Single-Centre Cohort Study

“…Difficult procedures like stent placement in right-sided obstructions (26.8% of stent were placed proximal to the splenic flexure) were not excluded and looking at our technical success rate of 92% this was quite successful. Other studies showing lower complication rates often exclude difficult endoscopic stents placement in the right-sided colon [8,13]. Looking at our complications, 8 out of the 22 complications can be seen as minor complications.…”

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

“…Also Meisner et al (15) reported a similar complication rate within the first 30 days (7%), whereas Gajendran et al (16) described, on 16 patients who underwent SEMS insertion, no immediate complications (<24 hours), two stent stenosis, due to stent kinking, in the first 7 days, and two stent migrations, which occurred after 34 and 91 days. No perforation or rectal bleeding occurred.…”