Critical appraisal of oncological safety of stent as bridge to surgery in left-sided obstructing colon cancer; a systematic review and meta-analysis

Traditionally, acute malignant colonic obstruction has been managed with emergency surgery (ES), either consisting of acute resection or decompressing stoma construction. Resection in the emergency setting might be associated with a substantial risk of mortality and morbidity rates, especially in patients with high operative risk (Tanis et al., 2015; Dohmoto, 1991; Vitale et al., 2006). This resulted in the search for alternative treatment approaches. In 1991, Dohmoto first proposed the placement of a self-expandable metallic stent (SEMS) to relief colonic obstruction (Saida et al., 1996).

Source: Critical Reviews in Oncology Hematology - September 3, 2018 Category: Cancer & Oncology Authors: Femke J. Amelung, Thijs A. Burghgraef, Pieter J. Tanis, Jeanin E. van Hooft, Frank ter Borg, Peter D. Siersema, Willem A. Bemelman, Esther C.J. Consten Source Type: research