Short-term outcomes of a self-expandable metallic stent as a bridge to surgery vs. a transanal decompression tube for malignant large-bowel obstruction: a meta-analysis

Surgery Today
Akihisa MatsudaHiroshi Yoshida

Abstract

Preoperative intestinal decompression, using either a self-expandable metallic stent (SEMS) as a bridge to surgery (BTS) or a transanal decompression tube (TDT), provides an alternative to emergency surgery for malignant large-bowel obstruction (MLBO). We conducted this meta-analysis to compare the short-term outcomes of SEMS placement as a BTS vs. TDT placement for MLBO. We conducted a comprehensive electronic search of literature published up to March, 2018, to identify studies comparing the short-term outcomes of BTS vs. TDT. Decompression device-related and surgery-related variables were evaluated and a meta-analysis was performed using random-effects models to calculate odd ratios with 95% confidence intervals. We analyzed 14 nonrandomized studies with a collective total of 581 patients: 307 (52.8%) who underwent SEMS placement as a BTS and 274 (47.2%) who underwent TDT placement. The meta-analyses showed that the BTS strategy conferred significantly better technical and clinical success, helped to maintain quality of life by allowing free food intake and temporal discharge, promoted laparoscopic one-stage surgery without stoma creation, and had equivalent morbidity and mortality to TDT placement. Although the long-term ou...Continue Reading

References

Aug 1, 1992·The British Journal of Surgery·N W PearceS J Karran
Sep 1, 1986·Controlled Clinical Trials·R DerSimonian, N Laird
Sep 1, 1994·The British Journal of Surgery·G T DeansS T Irwin
Oct 6, 1997·BMJ : British Medical Journal·M EggerC Minder
Sep 6, 2003·BMJ : British Medical Journal·Julian P T HigginsDouglas G Altman
Jun 24, 2004·Annals of Surgery·Paris P TekkisUNKNOWN Association of Coloproctology of Great Britain, Ireland
Jun 3, 2008·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·M XuH Wang
Feb 4, 2011·Epidemiologic Perspectives & Innovations : EP+I·Joseph H Abramson
Feb 1, 2013·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Shuntaro YoshidaKazuhiko Koike
Sep 21, 2013·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Heather L Yeo, Sang W Lee
May 30, 2014·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Kohei ShigetaKiyoshi Kubochi
Oct 10, 2014·The British Journal of Surgery·D A M SloothaakUNKNOWN collaborative Dutch Stent-In study group
Sep 12, 2015·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Yuan-Shun XuYu-Fei Fu
Dec 4, 2015·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Hiroshi TakeyamaMasatoshi Inoue
Jan 27, 2016·World Journal of Gastroenterology : WJG·Eui Joo Kim, Yoon Jae Kim
Sep 25, 2016·The Journal of Surgical Research·Akihisa MatsudaEiji Uchida

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