Evidence map›Paper›PMID 38398212›Full record

ReviewCancers2024

Malignant Acute Colonic Obstruction: Multidisciplinary Approach for Endoscopic Management.

Aurelio Mauro, Davide Scalvini, Sabrina Borgetto, Paola Fugazzola, Stefano Mazza, Ilaria Perretti, Anna Gallotti, Anna Pagani, Luca Ansaloni, Andrea Anderloni

Abstract readReview
In one paragraph

Review in Cancers, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Remodeling of Colonic Self-Expandable Nitinol Stent Using Low Power Argon Plasma Coagulation: A Brief Report.JGH open : an open access journal of gastroenterology and hepatology · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Aurelio MauroGastroenterology and Endoscopy Unit, Fondazione IRCCS Policlinico San Matteo, Viale Camillo Golgi 19, 27100 Pavia, Italy.ORCID 0000-0002-8475-5464
Davide ScalviniGastroenterology and Endoscopy Unit, Fondazione IRCCS Policlinico San Matteo, Viale Camillo Golgi 19, 27100 Pavia, Italy.
Sabrina BorgettoMedical Oncology Unit, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy.
Paola FugazzolaDepartment of General Surgery, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy.
Stefano MazzaGastroenterology and Endoscopy Unit, Fondazione IRCCS Policlinico San Matteo, Viale Camillo Golgi 19, 27100 Pavia, Italy.ORCID 0000-0002-9068-3209
Ilaria PerrettiInstitute of Radiology, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy.ORCID 0009-0005-7288-9253
Anna GallottiInstitute of Radiology, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy.ORCID 0000-0003-1978-643X
Anna PaganiMedical Oncology Unit, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy.
Luca AnsaloniDepartment of General Surgery, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy.ORCID 0000-0001-6427-0307
Andrea AnderloniGastroenterology and Endoscopy Unit, Fondazione IRCCS Policlinico San Matteo, Viale Camillo Golgi 19, 27100 Pavia, Italy.ORCID 0000-0002-1021-0031

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients presenting with acute colonic obstruction are usually evaluated in the emergency department and multiple specialties are involved in the patients' management. Pre-treatment evaluation is essential in order to establish the correct endoscopic indication for stent implantation. Contrast-enhanced imaging could allow the exclusion of benign causes of colonic obstruction and evaluation of the length of malignant stricture. Endoscopic stenting is the gold standard of treatment for palliative indications whereas there are still concerns about its use as a bridge to surgery. Different meta-analyses showed that stenting as a bridge to surgery improves short-term surgical outcomes but has no role in improving long-term outcomes. Multidisciplinary evaluation is also essential in patients that may be started on or are currently receiving antiangiogenic agents because endoscopic stenting may increase the risk of perforation. Evidence in the literature is weak and based on retrospective data. Here we report on how to correctly evaluate a patient with acute colonic malignant obstruction in collaboration with other essential specialists including a radiologist, surgeon and oncologist, and how to optimize the technique of endoscopic stenting.

Indexed as

acute colonic obstructionantiangiogenic agentsbridge to surgerycolorectal cancerCT scanendoscopic stentself-expandable metal stent

Identifiers

PMID38398212
PMCPMC10887189

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.