Colonic stent versus emergency surgery as treatment of malignant colonic obstruction in the palliative setting: a systematic review and meta-analysis

Endoscopy International Open
Igor Braga RibeiroEduardo Guimarães Hourneau de Moura

Abstract

Colorectal cancer (CRC) is the third most common malignancy and the third leading cause of cancer death worldwide. Malignant colonic obstruction (MCO) due to CRC occurs in 8 % to 29 % of patients.The aim of this study was to perform a systematic review and meta-analysis of RCTs comparing colonic SEMS versus emergency surgery (ES) for MCO in palliative patients. This was the first systematic review that included only randomized controlled trials in the palliative setting. A literature search was performed according to the PRISMA method using online databases with no restriction regarding idiom or year of publication. Data were extracted by two authors according to a predefined data extraction form. Primary outcomes were: mean survival, 30-day adverse events, 30-day mortality and length of hospital stay. Stoma formation, length of stay on intensive care unit (ICU), technical success and clinical success were recorded for secondary outcomes. Technical success (TS) was defined as successful stent placement across the stricture and its deployment. Clinical success (CS) was defined as adequate bowel decompression within 48 h of stent insertion without need for re-intervention. We analyzed data from four RCT studies totaling 125 patie...Continue Reading

Citations

Jul 10, 2019·Clinical Endoscopy·Diogo Turiani Hourneaux De MouraChristopher Thompson
Nov 23, 2019·Surgical Endoscopy·Vitor Massaro Takamatsu SagaeEduardo Guimarães Hourneaux de Moura
Apr 30, 2020·Annals of the Royal College of Surgeons of England·J LamY Salama
Aug 14, 2020·Surgical Endoscopy·Joon Seop LeeUNKNOWN Daegu-Gyeongbuk Gastrointestinal Study Group (DGSG)
Aug 29, 2019·Insights Into Imaging·Massimo TonoliniRaffaele Salerno
Dec 17, 2019·World Journal of Gastrointestinal Endoscopy·Aureo Augusto de Almeida DelgadoEduardo Guimarães Hourneaux de Moura
Jan 12, 2019·World Journal of Gastrointestinal Endoscopy·Hélcio Pedrosa BritoEduardo Guimarães Hourneaux de Moura
May 16, 2020·Gastroenterology Research and Practice·Bradley WallaceRaphael N Vuille-Dit-Bille
Feb 2, 2019·World Journal of Gastrointestinal Endoscopy·Giuseppe VanellaRocco Lapenta
Mar 29, 2019·World Journal of Gastrointestinal Endoscopy·Igor Braga RibeiroEduardo Guimarães Hourneaux de Moura
Jan 12, 2019·World Journal of Gastrointestinal Endoscopy·Rodrigo Silva de Paula RochaEduardo Guimarães Hourneaux de Moura
Jun 18, 2019·World Journal of Gastrointestinal Endoscopy·Diogo Turiani Hourneaux de MouraChristopher C Thompson
Dec 11, 2020·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Epifanio Silvino do Monte JuniorEduardo Guimarães Hourneaux de Moura
Jul 24, 2020·Annals of Oncology : Official Journal of the European Society for Medical Oncology·G ArgilesUNKNOWN ESMO Guidelines Committee
May 1, 2021·Medicina·Mario MorinoEdoardo Forcignanò
May 14, 2021·Visceral Medicine·Sebastian Belle

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