Systematic review of self‐expanding stents in the management of benign colorectal obstruction

Currie, Andrew; Christmas, Colleen; Aldean, Hannah; Mobasheri, M.; Bloom, I. T. M.

doi:10.1111/codi.12389

Cited by 55 publications

(42 citation statements)

References 37 publications

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“…It is clear from our data that stenting in benign disease is associated with higher complication rate, specifically with a perforation rate of 11.1 % compared to 2.8 % in malignant lesions. This correlation has been elucidated by previous authors [9]. 77.6 % of procedures in our cohort were performed with simultaneous fluoroscopic/ endoscopic guidance.…”

Section: Discussionsupporting

confidence: 75%

Technical and Clinical Outcomes Following Colonic Stenting: A Seven-Year Analysis of 268 Procedures

Little

Oakley

Briggs

et al. 2016

Cardiovasc Intervent Radiol

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Section: Discussionsupporting

confidence: 75%

Technical and Clinical Outcomes Following Colonic Stenting: A Seven-Year Analysis of 268 Procedures

Little

Oakley

Briggs

et al. 2016

Cardiovasc Intervent Radiol

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“…Conventional approaches involve antibiotics, bowel rest, percutaneous drainage of collections and surgical drainage with stoma creation in the context of excessive peritoneal contamination [17]. An increasing number of reports indicate the efficacy of self-expandable metallic stents in the treatment of malign and benign obstructive colorectal diseases and postoperative fistulas [18][19][20][21]. DiMaio et al [10] concluded after their small case series that they had an 80% stenting success rate following lower digestive tract surgery.…”

Section: Discussionmentioning

confidence: 99%

“…DiMaio et al [10] concluded after their small case series that they had an 80% stenting success rate following lower digestive tract surgery. Fistulas which develop after cancer surgery are associated with a low quality of life and increasing hospital stay and cost [18]. Lamazza et al [22] reported that they had successfully treated 8 of 10 fistula patients after colorectal surgery.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic approach to anastomotic leaks: partially covered self-expandable stents. A single center’s experience

Aday¹,

Duman²,

Deđer³

et al. 2017

Arch Med Sci Civil Dis

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A b s t r a c tIntroduction: Anastomotic leakage is an important and undesirable major complication after upper and lower gastrointestinal surgery. This complication can lead to significant morbidity and mortality and prolonged hospital stay. The objective of this study was to evaluate the safety and technical and clinical outcomes of temporary partially covered self-expandable metallic stent (PCSEMS) placement for treating anastomotic leaks after gastrointestinal tract surgery. Material and methods: Medical records of 9 patients who had undergone partial covered self-expandable esophageal or colonic stenting either for colorectal anastomotic leak or esophageal anastomotic leak in Kartal Kosuyolu Higher Specialty Training and Research Hospital between April 2012 and October 2015 were collected. Living patients were recalled for the policlinic follow-up and recent status was recorded. Results: The mean age was 57 (37-78) years. Six of the patients were male and 3 of them female. Stents were successfully placed in all patients in the fistula localization on the first attempt. Stent migration was encountered in 3 patients and restenting was performed in 2 of these patients. No complications were seen related to the indwelling stents. Stent treatment failure occurred in 2 of the 9 patients. The mean removal time of the stent was 43 (5-70) days and it was not possible to get the stent out in 1 patient. Conclusions: Endoscopic stenting is a minimally invasive and highly effective procedure that gives promise for the treatment of fistula after digestive surgery in the future.

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“…On the other hand, in their systematic review, Jones et al [34] found that endoluminal self-expanding stents caused more cases of perforation, stent migration, and recurrent obstruction in benign colorectal obstructions compared to stenting malignant cases. However, these stents when used as a bridge to elective surgery avoided stoma in 43% of patients with diverticulitis [51]. …”

Section: Surgical Approachmentioning

confidence: 99%

Recurrent Acute Diverticulitis: When to Operate?

et al. 2018

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Objective: Recurrent acute diverticulitis carries a major burden to any form of health care. Patients present repeatedly to medical centers with a multitude of symptoms and may require different modalities of treatment with significant morbidities and impact on quality of life. Methods: We therefore wanted to identify factors that would imply the need and time of surgery versus conservative management. The literature was thoroughly searched for major studies tackling this topic. Furthermore, studies reporting on decision making based on quality of life were included. Risks of developing recurrent diverticulitis and the potential need of surgery were identified. Relevant surgical details that would decrease recurrence were also denoted. Results: Surgery has been the mainstay of treatment for quite some time. However, the paradigms of treatment have changed over the last few years, especially when long-term population studies confirmed that not all patients require surgical treatment with its associated risk of morbidity. Conclusion: Treatment now has to be patient-tailored with special attention to the subgroup of high-risk patients. These patients must be adequately selected, identifying the impact of the disease on the quality of life and weighing in the risks of the surgical intervention.

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Systematic review of self‐expanding stents in the management of benign colorectal obstruction

Abstract: Complication rates in stenting for benign colorectal obstruction are higher than for malignant obstruction. On the basis of limited published evidence, stenting cannot be recommended for benign colorectal obstruction.

Cited by 55 publications

References 37 publications

Technical and Clinical Outcomes Following Colonic Stenting: A Seven-Year Analysis of 268 Procedures

Technical and Clinical Outcomes Following Colonic Stenting: A Seven-Year Analysis of 268 Procedures

Endoscopic approach to anastomotic leaks: partially covered self-expandable stents. A single center’s experience

Recurrent Acute Diverticulitis: When to Operate?

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