ArticleSurgical endoscopy2014
Long-term oncologic outcomes of endoscopic stenting as a bridge to surgery for malignant colonic obstruction: comparison with emergency surgery.
Article in Surgical endoscopy, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 4 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed, 4 syntheses or guidelines pooled it, 46 citations in OpenAlex.
- Management of left-sided malignant colorectal obstructions with curative intent: a network meta-analysis.Surgical endoscopy · 2023Pooled it
- Comparison of the prognosis of four different treatment strategies for acute left malignant colonic obstruction: a systematic review and network meta-analysis.World journal of emergency surgery : WJES · 2021Pooled it
- Long-term outcomes of stent-related perforation in malignant colon obstruction: a systematic review and meta-analysis.International journal of colorectal disease · 2020Pooled it
- Long-term tumour outcomes of self-expanding metal stents as 'bridge to surgery' for the treatment of colorectal cancer with malignant obstruction: a systematic review and meta-analysis.International journal of colorectal disease · 2019Pooled it
- Transforming outcomes: the pivotal role of self-expanding metal stents in right- and left-sided malignant colorectal obstructions-bridge to surgery: a comprehensive review and meta-analysis.Clinical endoscopy · 2025Article
- Colonic stenting as a bridge to surgery for obstructive colon cancer: is it safe in the long term?Surgical endoscopy · 2022Article
- Which prognostic factors are important for long-term outcomes in symptomatic obstructive colon cancer? A multi-institutional retrospective cohort study.Journal of minimally invasive surgery · 2021Article
- Fluoroscopic Stenting as a Bridge to SurgeryEmergency medicine international · 2020Article
- Endoscopic stenting in colorectal cancer.Journal of gastrointestinal oncology · 2019Review
- Better recurrence-free survival after stent bridge to surgery compared to emergency surgery for obstructive left-sided colonic cancer in patients with stage III status of the American Joint Committee on Cancer (AJCC): a bicentric retrospective study.International journal of colorectal disease · 2019Article
- Colonic stenting as a bridge to surgery in malignant large bowel obstruction: oncological outcomes.International journal of colorectal disease · 2019Article
- Self-expandable metal stent placement versus emergency resection for malignant proximal colon obstructions.Surgical endoscopy · 2017Article
- Long-term oncologic outcomes of stent as a bridge to surgery versus emergency surgery in malignant left side colonic obstructions: a meta-analysis.Journal of gastrointestinal oncology · 2017Article
- Delay of surgery after stent placement for resectable malignant colorectal obstruction is associated with higher risk of recurrence.International journal of colorectal disease · 2017Article
- Deviating colostomy construction versus stent placement as bridge to surgery for malignant left-sided colonic obstruction.Surgical endoscopy · 2016Article
- Comparison of through-the-scope stent insertion with standard stent insertion for the management of malignant colorectal obstruction: a prospective study.Techniques in coloproctology · 2016Article
- Laparoscopic approach in gastrointestinal emergencies.World journal of gastroenterology · 2016Review
- Long-term outcomes after stenting as a "bridge to surgery" for the management of acute obstruction secondary to colorectal cancer.World journal of gastrointestinal oncology · 2016Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSelf-expandable metallic stents (SEMS) are now regarded as an effective and safe intervention for malignant colorectal obstruction (MCO). However, manipulation of the tumor might lead to the spillage of tumor cells and result in distant metastases. We aimed to compare the long-term oncologic outcomes of SEMS as a bridge to surgery with those of emergency surgery for MCO.
methodsBetween June 2005 and December 2011, 60 patients who underwent elective curative resection after endoscopic SEMS insertion were included in the "SEMS group". The SEMS group was matched to 180 patients who underwent emergency curative surgery for MCO during the same period ["Emergency surgery (ES) group"]. The clinicopathologic characteristics, recurrence-free survival (RFS), and overall survival (OS) were compared between the two groups.
resultsThere were no significant differences in demographics, tumor stage, location, and histology between the SEMS group and the ES group. The median follow-up times were 41.4 months (IQR, 22.2-60.0 months) for the SEMS group and 45.0 months (IQR, 20.9-68.1 months) for the ES group. The proportions of patients who received postoperative adjuvant chemotherapy were comparable (SEMS group vs. ES group, 68.3 % vs. 77.8 %; P = 0.210). The long-term prognosis did not significantly differ between two groups in either the 5-year RFS rate (79.6 % vs. 70.2 %; P = 0.218) or the 5-year OS rate (97.8 % vs. 94.3 %; P = 0.469).
conclusionsLong-term oncologic outcomes of SEMS insertion as a bridge to surgery were comparable to those of primary curative surgery.
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Registered trials
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