Colonic stenting no better than emergency surgery?

Long-term outcomes of palliative colonic stenting versus emergency surgery for acute proximal malignant colonic obstruction: a multicenter trial

Background and study aims Long-term data are limited regarding clinical outcomes of self-expanding metal stents as an alternative for surgery in the treatment of acute proximal MBO. The aim of this study was to compare the long-term outcomes of stenting to surgery for palliation in patients with incurable obstructive CRC for lesions proximal to the splenic flexure. Patients and methods Retrospe...

Dolev-Yao is no better than Machiavelli

Colonic stenting: an alternative to surgery in the elderly.

This case report describes the management of a frail older patient presenting with a rare case of an obstructing right-sided colonic lesion, combined with complex co-morbidities. The report briefly discusses use of colonic stenting in right colonic lesions as well as palliative management of colonic tumours in general.

Colonic stenting as bridge to surgery versus emergency surgery for management of acute left-sided malignant colonic obstruction: a multicenter randomized trial (Stent-in 2 study)

BACKGROUND Acute left-sided colonic obstruction is most often caused by malignancy and the surgical treatment is associated with a high mortality and morbidity rate. Moreover, these operated patients end up with a temporary or permanent stoma. Initial insertion of an enteral stent to decompress the obstructed colon, allowing for surgery to be performed electively, is gaining popularity. In unco...

No More Debate Over Left Main Stenting Versus Bypass Surgery.

SEE PAGE 318 T raditionally, left main coronary artery disease had been regarded as a dominion of the cardiac surgeons on the basis of results from the classic trial comparing medical treatment and bypass surgery (1,2). However, several brave pioneers in interventional cardiology have continued to evaluate the performance of “less invasive” coronary stenting for the left main coronary artery st...