SynthesisWorld journal of surgical oncology2026
Initial management strategies for right-sided malignant colonic obstruction: a systematic review and bayesian network meta-analysis.
Synthesis in World journal of surgical oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
Abstract
backgroundRight-sided malignant colonic obstruction (RMCO) remains challenging, as the evidence is more limited than for left-sided disease. Although primary resection is the standard approach, emergency surgery carries higher perioperative risks, increasing interest in bridge-to-surgery (BTS) strategies. However, their optimal role remains uncertain. We conducted a systematic review and Bayesian network meta-analysis to compare initial management strategies for RMCO and evaluate short- and long-term outcomes.
methodsA comprehensive search of PubMed, Embase, and the Cochrane Library was performed, with a last update in October 2025. Comparative studies including patients with potentially curable RMCO who underwent either immediate surgery or a BTS approach (stent, decompression stoma, or decompression tube) were eligible. A Bayesian random-effects network meta-analysis was conducted. The primary outcome was overall postoperative morbidity; secondary outcomes included postoperative mortality, stoma formation after resection, and overall survival (OS) rate.
resultsA total of 18 retrospective non-randomized cohort studies including 7,205 patients met the inclusion criteria. Stenting was associated with a significantly lower postoperative mortality as compared to immediate surgery (6.6 vs. 0.9%; RR: 0.33; 95% CrI: 0.10–0.75) and with a significantly lower rate of stoma formation after resection (11.8 vs. 2.3%; RR: 0.41; 95% CrI: 0.21–0.78). No significant differences were observed among treatment strategies in overall postoperative morbidity or OS rate.
conclusionsStenting as a bridge to surgery (BTS) was associated with a lower postoperative mortality and a lower rate of stoma formation as compared to immediate surgery. These findings suggest that stenting may serve as a viable alternative for patients at high risk of postoperative mortality.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.