Bridge to surgery in patients with obstructive colorectal cancer Comparison of covered and uncovered stents


COD: 02_2017_14_2575 Categorie: ,

Gianpasquale Gallo, Michele Ammendola, Rosario Colace, Rosario Sacco, Giuseppe Sammarco

Ann. Ital. Chir., 2017 88, 2: 178-182

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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
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
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.