SynthesisInternational journal of surgical oncology2017
Endoscopic Stenting as Bridge to Surgery versus Emergency Resection for Left-Sided Malignant Colorectal Obstruction: An Updated Meta-Analysis.
Synthesis in International journal of surgical oncology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 10 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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
60 citing papers in PubMed, 10 syntheses or guidelines pooled it.
- Short-term and three-year long-term outcomes of laparoscopic surgery versus open surgery for obstructive colorectal cancer following self-expandable metallic stent placement: a meta-analysis.Surgical endoscopy · 2024Pooled it
- The use of self-expanding metallic stents in the management of benign colonic obstruction: a systematic review and meta-analysis.Techniques in coloproctology · 2024Pooled it
- Colonic stent as a bridge to surgery versus emergency resection for right-sided malignant large bowel obstruction: a meta-analysis.Surgical endoscopy · 2022Pooled it
- Controversies of colonic stenting in obstructive left colorectal cancer: a critical analysis with meta-analysis and meta-regression.International journal of colorectal disease · 2021Pooled 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
- Current Status of the Self-Expandable Metal Stent as a Bridge to Surgery Versus Emergency Surgery in Colorectal Cancer: Results from an Updated Systematic Review and Meta-Analysis of the Literature.Medicina (Kaunas, Lithuania) · 2021Pooled it
- Comparison of colonic stents, stomas and resection for obstructive left colon cancer: a meta-analysis.Techniques in coloproctology · 2020Pooled 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
- Is bridge to surgery stenting a safe alternative to emergency surgery in malignant colonic obstruction: a meta-analysis of randomized control trials.Surgical endoscopy · 2019Pooled it
- 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
- From Recognition to Prevention: Modern Approaches to Complication Reduction in Colorectal Surgery.Journal of clinical medicine · 2026Review
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- Clinical outcomes of endoscopic stent in curative and palliative management of malignant colonic obstruction: a retrospective cohort study.BMC gastroenterology · 2025Article
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- Article
- Oncologic investigation of the interval from stent placement to surgery in patients with obstructive colorectal cancer.Surgery today · 2024Article
- Malignant Acute Colonic Obstruction: Multidisciplinary Approach for Endoscopic Management.Cancers · 2024Review
- The use of colonic stents as a bridge to surgery in malignant colonic obstruction - A dual trust experience over 10 years.The Ulster medical journal · 2024Review
- Danish guidelines for treating acute colonic obstruction caused by colorectal cancer-a review.Frontiers in surgery · 2024Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionEmergency resection represents the traditional treatment for left-sided malignant obstruction. However, the placement of self-expanding metallic stents and delayed surgery has been proposed as an alternative approach. The aim of the current meta-analysis was to review the available evidence, with particular interest for the short-term outcomes, including a recent multicentre RCT.
methodsWe considered randomized controlled trials comparing stenting as a bridge to surgery and emergency surgery for the management of left-sided malignant large bowel obstruction, performing a systematic review in MEDLINE, PubMed database, and the Cochrane libraries.
resultsWe initially identified a total of 2543 studies. After the elimination of duplicates and the screening of titles and abstracts, seven studies, for a total of 448 patients, were considered. The current meta-analysis revealed no difference in the mortality rate between the stent group and the emergency surgery group; the postoperative complication rate (37.84% versus 54.87%,
conclusionColonic stenting as a bridge to surgery appears to be a safe approach to malignant large bowel obstruction. Possible advantages of this treatment can be identified in a reduced incidence of postoperative complications and a lower stoma rate. Further RCTs considering long-term outcomes and cost-effectiveness analysis are needed.
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Registered trials
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