Colonic stenting versus emergency surgery for acute left-sided malignant colonic obstruction: a multicentre randomised trial
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چکیده
منابع مشابه
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...
متن کاملLong-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...
متن کاملColonic stent vs. emergency surgery for management of acute left-sided malignant colonic obstruction: a decision analysis.
BACKGROUND Acute colonic obstruction because of malignancy is often a surgical emergency. Surgical decompression with colostomy with or without resection and eventual re-anastomosis is the traditional treatment of choice. Endoscopic colonic stent insertion effectively decompresses the obstructed colon, allowing for surgery to be performed electively. This study sought to determine the cost-effe...
متن کاملColonic stent versus surgery for the management of acute malignant colonic obstruction: a decision analysis.
BACKGROUND Acute colonic obstruction because of advanced colonic malignancy is a surgical emergency. AIM To compare the clinical outcomes and cost-effectiveness of endoscopic self-expanding metal stent (SEMS) vs. surgery for emergent management of acute malignant colonic obstruction in patients with metastatic colorectal cancer over a 6-month period. METHODS Decision analysis was used to ca...
متن کاملInvited commentary: Left-sided malignant colonic obstruction: a systematic review.
Acute colonic obstruction is frequently caused by colorectal cancer and is a common emergent clinical issue for the surgeon. The appropriate management of the patient will depend on his/her overall condition and the pathologic stage of the tumor. The availability of qualified specialists to offer a full range of options is also an important issue. Traditionally, the surgical issues have resolve...
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ژورنال
عنوان ژورنال: The Lancet Oncology
سال: 2011
ISSN: 1470-2045
DOI: 10.1016/s1470-2045(11)70035-3