![](/images/graphics-bg.png)
Endoscopic Stenting as Bridge to Surgery versus Emergency Resection for Left-Sided Malignant Colorectal Obstruction: An Updated Meta-Analysis
المؤلفون المشاركون
Allievi, Niccolò
Ceresoli, Marco
Fugazzola, Paola
Ansaloni, Luca
Coccolini, Federico
Montori, Giulia
المصدر
International Journal of Surgical Oncology
العدد
المجلد 2017، العدد 2017 (31 ديسمبر/كانون الأول 2017)، ص ص. 1-11، 11ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2017-07-05
دولة النشر
مصر
عدد الصفحات
11
التخصصات الرئيسية
الملخص EN
Introduction.
Emergency 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.
Methods.
We 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.
Results.
We 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%, P=0.02), the stoma rate (28.8% versus 46.02%, P<0.0001), and the incidence of wound infection (8.11% versus 15.49%, P=0.01) were reduced after stent as a bridge to surgery.
Conclusion.
Colonic 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.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Allievi, Niccolò& Ceresoli, Marco& Fugazzola, Paola& Montori, Giulia& Coccolini, Federico& Ansaloni, Luca. 2017. Endoscopic Stenting as Bridge to Surgery versus Emergency Resection for Left-Sided Malignant Colorectal Obstruction: An Updated Meta-Analysis. International Journal of Surgical Oncology،Vol. 2017, no. 2017, pp.1-11.
https://search.emarefa.net/detail/BIM-1169692
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Allievi, Niccolò…[et al.]. Endoscopic Stenting as Bridge to Surgery versus Emergency Resection for Left-Sided Malignant Colorectal Obstruction: An Updated Meta-Analysis. International Journal of Surgical Oncology No. 2017 (2017), pp.1-11.
https://search.emarefa.net/detail/BIM-1169692
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Allievi, Niccolò& Ceresoli, Marco& Fugazzola, Paola& Montori, Giulia& Coccolini, Federico& Ansaloni, Luca. Endoscopic Stenting as Bridge to Surgery versus Emergency Resection for Left-Sided Malignant Colorectal Obstruction: An Updated Meta-Analysis. International Journal of Surgical Oncology. 2017. Vol. 2017, no. 2017, pp.1-11.
https://search.emarefa.net/detail/BIM-1169692
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1169692
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
![](/images/ebook-kashef.png)
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر
![](/images/kashef-image.png)