Endoscopic stenting as bridge-to-surgery (BTS) in left-sided obstructing colorectal cancer: Experience with conformable stents

Andrea Parodi, Antonella De Ceglie, Luca De Luca, Rita Conigliaro, Riccardo Naspetti, Paola Arpe, Gianni Coccia, Massimo Conio

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Compared to emergency surgery, self-expandable metallic stents are effective and safe when used as bridge-to-surgery (BTS) in operable patients with acute colorectal cancer obstruction. In this study, we report data on the new conformable colonic stents. Objectives: To evaluate clinical effectiveness of conformable stents as BTS in patients with acute colorectal cancer obstruction. Design: This was a retrospective study. Settings: The study was conducted at six Italian Endoscopic Units. Patients: Data about patients with acute malignant colorectal obstruction were collected between 2007 and 2012. Main outcome measures: All patients were treated with conformable stents as BTS. Technical success, clinical success, rate of primary anastomosis and colostomy, early and late complications were evaluated. Results: Data about 88 patients (62 males) were reviewed in this study. Conformable SEMS were correctly deployed in 86 out of 88 patients, with resolution of obstruction in all treated patients. Tumor resection with primary anastomosis was possible in all patients. A temporary colostomy was performed in 40. Early complications did not occur. Late complications occurred in 11 patients. Stent migration was significantly higher in patients treated with partially-covered stents compared to the uncovered group (35% vs. 0%, P

Original languageEnglish
JournalClinics and Research in Hepatology and Gastroenterology
DOIs
Publication statusAccepted/In press - 2016

ASJC Scopus subject areas

  • Gastroenterology

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