ArticleInternational journal of colorectal disease2017
Delay of surgery after stent placement for resectable malignant colorectal obstruction is associated with higher risk of recurrence.
Article in International journal of colorectal disease, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.
- Short-term outcomes of stents in obstructive rectal cancer: A systematic review and meta-analysis.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology AssociationPooled it
- Self-Expandable Metal Stent as a Bridge to Surgery for Left-Sided Acute Malignant Colorectal Obstruction: Optimal Timing for Elective Surgery.Computational and mathematical methods in medicine · 2022Trial
- Bridge-to-surgery in acute right-sided obstructing colon cancer: A survey of surgeons' perspectives on treatment strategies.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2026Article
- Self-expandable metal stents as a bridge to surgery for obstructive colorectal cancer: a propensity score-matched retrospective cohort study.International journal of colorectal disease · 2026Article
- Article
- Oncologic investigation of the interval from stent placement to surgery in patients with obstructive colorectal cancer.Surgery today · 2024Article
- Colon stenting as a bridge to surgery in obstructive colorectal cancer management.Clinical endoscopy · 2024Review
- Danish guidelines for treating acute colonic obstruction caused by colorectal cancer-a review.Frontiers in surgery · 2024Review
- The optimal surgery timing after stenting in colorectal cancer patients with malignant obstruction: additionally compared with emergency surgery.World journal of surgical oncology · 2023Article
- Safety of early surgery after self-expandable metallic stenting for obstructive left-sided colorectal cancer.Surgical endoscopy · 2023Article
- Current practice for the treatment of obstructive left-sided colon cancer in China: a nationwide cross-sectional survey.Surgery today · 2023Article
- Oncologic impact of colonic stents for obstructive left-sided colon cancer.World journal of clinical oncology · 2023Review
- Colonic stent for bridge to surgery for acute left-sided malignant colonic obstruction: A review of the literature after 2020.World journal of clinical oncology · 2022Review
- Safety and feasibility of neoadjuvant chemotherapy as a surgical bridge for acute left-sided malignant colorectal obstruction: a retrospective study.BMC cancer · 2022Article
- Differences in clinical outcomes according to the time interval between the bridge to surgery stenting and surgery for left-sided malignant colorectal obstruction.World journal of surgical oncology · 2022Article
- A longer interval after stenting compromises the short- and long-term outcomes after curative surgery for obstructive colorectal cancer.Surgery today · 2022Article
- Colonic Stent as Bridge to Surgery for Malignant Obstruction Induces Gene Expressional Changes Associated with a More Aggressive Tumor Phenotype.Annals of surgical oncology · 2021Article
- Early surgery after bridge-to-surgery stenting for malignant bowel obstruction is associated with better oncological outcomes.Surgical endoscopy · 2021Article
- Treatment outcome of laparoscopic surgery after self-expandable metallic stent insertion for obstructive colorectal cancer.International journal of clinical oncology · 2021Article
- Does preoperative stent positioning in obstructive left sided colon cancer increase the risk of perineural invasion?Updates in surgery · 2021Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSelf-expanding metal stents can be used as bridge to elective surgery for acute malignant colonic obstruction. However, the impact on long-term oncological outcome and the optimal timing of surgery are still unknown.
methodThis was a retrospective multicenter study performed at four colorectal centers. Patients undergoing stent placement as bridge to surgery, between January 2010 and December 2013, were included in the study. Primary outcomes were survival and recurrence rates along with location of the metastases. Additionally, we recorded time from stent placement to elective surgery. Secondary outcomes were postoperative complication rates. Complications were classified according to the Clavien-Dindo classification score. A logistic regression model was used to describe impact of delayed stent removal on risk of recurrence.
resultsThis study included 112 patients, with a median follow-up of 43 months. Survival rate was 70%. We found a recurrence rate of 37%, primarily local recurrences (17%). Procedure-related complications at the stent placement were seen in 18%, and complications after subsequent elective surgery were seen in 39%. A significantly higher risk of recurrence with increased time from stent placement to elective surgery (OR 5.1 [1.6-15.8], p = 0.005) was found.
conclusionDelay of elective surgery after stent placement may have a negative influence on long-term oncologic outcomes.
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