Perforation in colorectal stenting: A meta-analysis and a search for risk factors

Emo E. Van Halsema; Jeanin E. Van Hooft; Aaron J. Small; Todd H. Baron; Jesús García-Cano; Jae Hee Cheon; Moon Sung Lee; Se Hwan Kwon; Stéphanie Mucci-Hennekinne; Paul Fockens; Marcel G W Dijkgraaf; Alessandro Repici

doi:10.1016/j.gie.2013.11.038

Perforation in colorectal stenting: A meta-analysis and a search for risk factors

Emo E. Van Halsema, Jeanin E. Van Hooft, Aaron J. Small, Todd H. Baron, Jesús García-Cano, Jae Hee Cheon, Moon Sung Lee, Se Hwan Kwon, Stéphanie Mucci-Hennekinne, Paul Fockens, Marcel G W Dijkgraaf, Alessandro Repici

Istituto Clinico Humanitas

Research output: Contribution to journal › Article

Abstract

Background Recent studies suggest that there is a substantial risk of perforation after colorectal stent placement. Objective To identify risk factors for perforation from colonic stenting. Design A meta-analysis of 86 studies published between 2005 and 2011. Setting Multicenter review. Patients All patients who underwent colorectal stent placement. Intervention Colorectal stent placement. Main Outcome Measurements The occurrence of perforation with subgroup analyses for stent design, stricture etiology, stricture dilation, and concomitant chemotherapy, including the use of bevacizumab. Results A total of 4086 patients underwent colorectal stent placement; perforation occurred in 207. Meta-analysis revealed an overall perforation rate of 7.4%. Of the 9 most frequently used stent types, the WallFlex, the Comvi, and the Niti-S D-type had a higher perforation rate (>10%). A lower perforation rate (

Original language	English
Journal	Gastrointestinal Endoscopy
Volume	79
Issue number	6
DOIs	https://doi.org/10.1016/j.gie.2013.11.038
Publication status	Published - 2014

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Stents

Meta-Analysis

Pathologic Constriction

Dilatation

Drug Therapy

ASJC Scopus subject areas

Gastroenterology
Radiology Nuclear Medicine and imaging
Medicine(all)

Cite this

Van Halsema, E. E., Van Hooft, J. E., Small, A. J., Baron, T. H., García-Cano, J., Cheon, J. H., ... Repici, A. (2014). Perforation in colorectal stenting: A meta-analysis and a search for risk factors. Gastrointestinal Endoscopy, 79(6). https://doi.org/10.1016/j.gie.2013.11.038

Perforation in colorectal stenting : A meta-analysis and a search for risk factors. / Van Halsema, Emo E.; Van Hooft, Jeanin E.; Small, Aaron J.; Baron, Todd H.; García-Cano, Jesús; Cheon, Jae Hee; Lee, Moon Sung; Kwon, Se Hwan; Mucci-Hennekinne, Stéphanie; Fockens, Paul; Dijkgraaf, Marcel G W; Repici, Alessandro.

In: Gastrointestinal Endoscopy, Vol. 79, No. 6, 2014.

Research output: Contribution to journal › Article

Van Halsema, EE, Van Hooft, JE, Small, AJ, Baron, TH, García-Cano, J, Cheon, JH, Lee, MS, Kwon, SH, Mucci-Hennekinne, S, Fockens, P, Dijkgraaf, MGW & Repici, A 2014, 'Perforation in colorectal stenting: A meta-analysis and a search for risk factors', Gastrointestinal Endoscopy, vol. 79, no. 6. https://doi.org/10.1016/j.gie.2013.11.038

Van Halsema EE, Van Hooft JE, Small AJ, Baron TH, García-Cano J, Cheon JH et al. Perforation in colorectal stenting: A meta-analysis and a search for risk factors. Gastrointestinal Endoscopy. 2014;79(6). https://doi.org/10.1016/j.gie.2013.11.038

Van Halsema, Emo E. ; Van Hooft, Jeanin E. ; Small, Aaron J. ; Baron, Todd H. ; García-Cano, Jesús ; Cheon, Jae Hee ; Lee, Moon Sung ; Kwon, Se Hwan ; Mucci-Hennekinne, Stéphanie ; Fockens, Paul ; Dijkgraaf, Marcel G W ; Repici, Alessandro. / Perforation in colorectal stenting : A meta-analysis and a search for risk factors. In: Gastrointestinal Endoscopy. 2014 ; Vol. 79, No. 6.

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abstract = "Background Recent studies suggest that there is a substantial risk of perforation after colorectal stent placement. Objective To identify risk factors for perforation from colonic stenting. Design A meta-analysis of 86 studies published between 2005 and 2011. Setting Multicenter review. Patients All patients who underwent colorectal stent placement. Intervention Colorectal stent placement. Main Outcome Measurements The occurrence of perforation with subgroup analyses for stent design, stricture etiology, stricture dilation, and concomitant chemotherapy, including the use of bevacizumab. Results A total of 4086 patients underwent colorectal stent placement; perforation occurred in 207. Meta-analysis revealed an overall perforation rate of 7.4{\%}. Of the 9 most frequently used stent types, the WallFlex, the Comvi, and the Niti-S D-type had a higher perforation rate (>10{\%}). A lower perforation rate (",

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AU - Baron, Todd H.

AU - García-Cano, Jesús

AU - Cheon, Jae Hee

AU - Lee, Moon Sung

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10.1016/j.gie.2013.11.038