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Review
. 2021 Apr 1;57(4):328.
doi: 10.3390/medicina57040328.

Colonic Stenting in the Emergency Setting

Mario Morino  1 , Alberto Arezzo  1 , Francesca Farnesi  1 , Edoardo Forcignanò  1
Affiliations
Review

Colonic Stenting in the Emergency Setting

Mario Morino et al. Medicina (Kaunas). .

Abstract

Nowadays, colorectal cancer (CRC) is the third most frequent cancer, and about a third of patients with CRC presents themselves with symptoms of large bowel obstruction. Historically, surgical resection was the treatment of choice for colonic obstruction, but this kind of approach is burdened by a high risk of postoperative morbidity and mortality. In recent times, the use of a colonic stent has been proposed to overcome the obstruction and transform an emergency surgical case into an elective one to avoid emergency surgery complications. Endoscopic stenting is the first-line treatment option in the palliative management of colonic obstruction, and there is sufficient scientific evidence to support this approach. However, endoscopic stent used as a bridge to surgery is not yet widely adopted because the concern was raised about the long-term survival and cancer safety of this approach. The recent scientific evidence has shown that this approach improves the short-term outcomes, such as postoperative complications and the stoma rate, without differences in long-term outcomes compared to emergency surgery. Therefore, the European Society for Gastrointestinal Endoscopy in 2020 has reconsidered stenting as a bridge to surgery as a valid alternative to emergency surgery.

Keywords: colonic obstruction; colonic stent; colorectal cancer.

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Conflict of interest statement

The authors declare no conflict of interest.

References

    1. Siegel R.L., Miller K.D., Jemal A. Cancer statistics. CA Cancer J. Clin. 2020;70:7–30. doi: 10.3322/caac.21590. - DOI - PubMed
    1. Henley S.J., Ward E.M., Scott S., Ma J., Anderson R.N., Firth A.U., Thomas C.C., Islami F., Weir H.K., Lewis D.R., et al. Annual report to the nation on the status of cancer, part I: National cancer statistics. Cancer. 2020;126:2225–2249. doi: 10.1002/cncr.32802. - DOI - PMC - PubMed
    1. Vuik F.E., Nieuwenburg S.A., Bardou M., Lansdorp-Vogelaar I., Dinis-Ribeiro M., Bento M.J., Zadnik V., Pellisé M., Esteban L., Kaminski M.F., et al. Increasing incidence of colorectal cancer in young adults in Europe over the last 25 years. Gut. 2019;68:1820–1826. doi: 10.1136/gutjnl-2018-317592. - DOI - PMC - PubMed
    1. Markogiannakis H., Messaris E., Dardamanis D., Pararas N., Tzertzemelis D., Giannopoulos P., Larentzakis A., Lagoudianakis E., Manouras A., Bramis I. Acute mechanical bowel obstruction: Clinical presentation, aetiology, management and outcome. World J. Gastroenterol. 2007;13:432–437. doi: 10.3748/wjg.v13.i3.432. - DOI - PMC - PubMed
    1. van Hooft J.E., Veld J.V., Arnold D., Beets-Tan R.G.H., Everett S., Götz M., van Halsema E.E., Hill J., Manes G., Meisner S., et al. Self-expandable metal stents for obstructing colonic and extracolonic cancer: European Society of Gastrointestinal Endoscopy (ESGE) Guideline—Update 2020. Endoscopy. 2020;52:389–407. doi: 10.1055/a-1140-3017. - DOI - PubMed

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