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

Research output: Contribution to journalArticle

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 languageEnglish
JournalGastrointestinal Endoscopy
Volume79
Issue number6
DOIs
Publication statusPublished - 2014

Fingerprint

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 journalArticle

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, 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.
@article{1e4343fa41e74b78a712c4affaf75457,
title = "Perforation in colorectal stenting: A meta-analysis and a search for risk factors",
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 (",
author = "{Van Halsema}, {Emo E.} and {Van Hooft}, {Jeanin E.} and Small, {Aaron J.} and Baron, {Todd H.} and Jes{\'u}s Garc{\'i}a-Cano and Cheon, {Jae Hee} and Lee, {Moon Sung} and Kwon, {Se Hwan} and St{\'e}phanie Mucci-Hennekinne and Paul Fockens and Dijkgraaf, {Marcel G W} and Alessandro Repici",
year = "2014",
doi = "10.1016/j.gie.2013.11.038",
language = "English",
volume = "79",
journal = "Gastrointestinal Endoscopy",
issn = "0016-5107",
publisher = "Mosby Inc.",
number = "6",

}

TY - JOUR

T1 - Perforation in colorectal stenting

T2 - A meta-analysis and a search for risk factors

AU - Van Halsema, Emo E.

AU - Van Hooft, Jeanin E.

AU - Small, Aaron J.

AU - Baron, Todd H.

AU - García-Cano, Jesús

AU - Cheon, Jae Hee

AU - Lee, Moon Sung

AU - Kwon, Se Hwan

AU - Mucci-Hennekinne, Stéphanie

AU - Fockens, Paul

AU - Dijkgraaf, Marcel G W

AU - Repici, Alessandro

PY - 2014

Y1 - 2014

N2 - 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 (

AB - 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 (

UR - http://www.scopus.com/inward/record.url?scp=84901229304&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84901229304&partnerID=8YFLogxK

U2 - 10.1016/j.gie.2013.11.038

DO - 10.1016/j.gie.2013.11.038

M3 - Article

C2 - 24650852

AN - SCOPUS:84901229304

VL - 79

JO - Gastrointestinal Endoscopy

JF - Gastrointestinal Endoscopy

SN - 0016-5107

IS - 6

ER -