Colonic stentingvsemergent surgery for acute left-sided malignant colonic obstruction: A systematic review and meta-analysis
نویسندگان
چکیده
منابع مشابه
Invited 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...
متن کاملThe Safety and Efficiency of Surgery with Colonic Stents in Left-Sided Malignant Colonic Obstruction: A Meta-Analysis
Objective. This meta-analysis is aimed at assessing the safety and efficiency of colonic self-expanding metallic stents (SEMS) used as a bridge to surgery in the management of left-sided malignant colonic obstruction (LMCO). Methods. A systematic search was conducted in PubMed, Web of Knowledge, OVID, Google Scholar, CNKI, and WANGFANG for relevant randomized trials comparing colonic stenting u...
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 کاملColonic 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 کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: World Journal of Gastroenterology
سال: 2012
ISSN: 1007-9327
DOI: 10.3748/wjg.v18.i39.5608