1 Mar 2017Article
Bridge to surgery in patients with obstructive colorectal cancer Comparison of covered and uncovered stents
Gianpasquale Gallo 1Michele Ammendola 1Rosario Colace 1Rosario Sacco 1Giuseppe Sammarco 1
Affiliations
Article Info
1 Department of Medical and Surgical Sciences, Clinical Surgery Unit, University of Catanzaro “Magna Graecia” Medical School, Catanzaro, Italy
Ann. Ital. Chir., 2017, 88(2), 178-182;
Published: 1 Mar 2017
Copyright © 2017 Annali Italiani di Chirurgia
This work is licensed under a Creative Commons Attribution 4.0 International License.
Abstract
AIM: Placement of self-expandable metallic stent has been used for bridge to surgery in the treatment of colorectal obstruction. Our aim was to compare technical success and complication rates of covered and uncovered inserted stents in colorectal malignant obstruction patients. MATERIAL OF STUDY: A series of 24 obstruction colorectal cancer patients were selected and included in the study for endoscopic stenting as a bridge to surgery: group 1 (patients with covered stents, n =12); group 2 (patients with uncovered stents, n=12). Technical success and complication rates of all procedures were compared between covered and uncovered stents. RESULTS: Stent placement was technically successful in all patients with no procedure-related complications. No significant differences between the two groups were found (p-value > 0.05). Complications were observed after the technical success. CONCLUSIONS: Our preliminary data suggest that self-expandable metallic stent is a safe and efficacy approach in patients with malignant colorectal obstruction for bridge to surgery and there are not differences in the use of covered or uncovered stents due to low complication rates and positive outcomes in both groups.
Keywords
- Bridge to Surgery
- Colorectal Cancer
- Emergency Obstruction
- Stents