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
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