A meta-analysis of endoscopic stenting as bridge to surgery versus emergency surgery for left-sided colorectal cancer obstruction

Antonella De Ceglie, Rosa Filiberti, Todd H. Baron, Marcello Ceppi, Massimo Conio

Research output: Contribution to journalArticle

Abstract

The best approach to resolve colonic obstruction in patients with left-sided colon cancer is not established.In this meta-analysis the efficacy of stenting as bridge-to-surgery was compared to emergency surgery for the management of left-sided colonic obstruction. Fourteen studies (randomized and non controlled studies) were identified, including 405 patients in the stent group and 471 in the emergency group. The difference between proportions was evaluated as effect size (ESi). There was large heterogeneity among the studies.Stenting offered advantages over emergency surgery in terms of increase in primary anastomosis (ES. = 25.1%, p

Original languageEnglish
Pages (from-to)387-403
Number of pages17
JournalCritical Reviews in Oncology/Hematology
Volume88
Issue number2
DOIs
Publication statusPublished - Nov 2013

Keywords

  • Bridge to surgery
  • Colorectal cancer
  • Emergency surgery
  • Obstruction
  • SEMS
  • Stent

ASJC Scopus subject areas

  • Oncology
  • Hematology
  • Geriatrics and Gerontology

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