ReviewSurgical endoscopy2026
Clinical spotlight review: best practices for the management of colorectal cancer in the emergency and acute care setting.
Review in Surgical endoscopy, 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
No grant is acknowledged in the PubMed record.
Abstract
backgroundColorectal cancer (CRC) is a leading cause of cancer mortality, and up to one-third of patients present with obstruction, perforation, or bleeding. Emergency presentation is associated with advanced stage, higher rates of open surgery and stoma formation, and worse survival. This review synthesizes current evidence and provides practical guidance for emergency and acute care management of CRC.
methodsWe conducted a comprehensive search of MEDLINE and EMBASE for English-language studies from 2000 through July 2025, including randomized trials, meta-analyses, and cohort studies. Data were synthesized by members of the SAGES Colorectal and Acute Care Surgery Committees to identify consensus practices and safe strategies across resource settings.
resultsContrast-enhanced CT is the diagnostic cornerstone; endoscopy adds diagnostic and therapeutic value when feasible. For right-sided cancers, oncologic right colectomy with primary anastomosis is generally safe in obstruction and selected perforations; diversion or staged surgery is preferred in unstable or contaminated fields. For left-sided obstruction, options include Hartmann's procedure, resection with primary anastomosis (± diversion), loop colostomy, or self-expandable metal stents (SEMS). SEMS provide effective decompression and enable minimally invasive interval resection with lower stoma rates when available. Perforation requires individualized strategies based on contamination; Hartmann's procedure and subtotal colectomy are commonly employed. In rectal cancer, emergency care should prioritize stabilization, decompression, biopsy, and facilitation of neoadjuvant therapy rather than immediate resection.
conclusionsOptimal emergency CRC care requires rapid diagnosis, oncologic principles, and individualized operative planning. Bridge-to-surgery strategies, selective diversion, and judicious use of minimally invasive techniques can reduce morbidity, expedite oncologic therapy, and improve outcomes.
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Identifiers
42209860What 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.