دورية أكاديمية
أعرض في EDS

The use of self-expanding metallic stents in the management of benign colonic obstruction: a systematic review and meta-analysis.

التفاصيل البيبلوغرافية
العنوان: The use of self-expanding metallic stents in the management of benign colonic obstruction: a systematic review and meta-analysis.
المؤلفون: Fardanesh A; Department of General Surgery, Royal London Hospital, Bart's Health NHS Foundation Trust, London, England, UK., George J; Department of General Surgery, Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust, Sheffield, England, UK. jayan.george@aol.com.; Division of Clinical Medicine, University of Sheffield, Sheffield, England, UK. jayan.george@aol.com., Hughes D; Department of UGI Surgery, Royal Berkshire NHS Foundation Trust, Reading, England, UK., Stavropoulou-Tatla S; Department of Plastic Surgery, St George's University Hospitals NHS Foundation Trust, London, England, UK., Mathur P; Department of General Surgery, Royal Free London NHS Foundation Trust, Royal Free Hospital, London, England, UK.
المصدر: Techniques in coloproctology [Tech Coloproctol] 2024 Jul 19; Vol. 28 (1), pp. 85. Date of Electronic Publication: 2024 Jul 19.
نوع المنشور: Systematic Review; Journal Article; Meta-Analysis
اللغة: English
بيانات الدورية: Publisher: Springer-Verlag Italia Country of Publication: Italy NLM ID: 9613614 Publication Model: Electronic Cited Medium: Internet ISSN: 1128-045X (Electronic) Linking ISSN: 11236337 NLM ISO Abbreviation: Tech Coloproctol Subsets: MEDLINE
أسماء مطبوعة: Publication: <2001->: Milano, Italy : Springer-Verlag Italia
Original Publication: Rome : UCP Club,
مواضيع طبية MeSH: Intestinal Obstruction*/etiology , Intestinal Obstruction*/surgery , Self Expandable Metallic Stents* , Colonic Diseases*/surgery , Colonic Diseases*/etiology, Humans ; Female ; Male ; Treatment Outcome ; Aged ; Middle Aged
مستخلص: Introduction: Patients presenting with large bowel obstruction (LBO) frequently undergo emergency surgery that is associated with significant morbidity. In malignant LBO, endoscopic approaches with placement is a self-expanding metal stent (SEMS), have been proposed to prevent emergency surgery and act as a bridge to an elective procedure-with the intention of avoiding a stoma and reducing morbidity. This systematic review aims to assess the quality and outcomes of data available on the use of SEMS in benign causes of colonic obstruction.
Methods: This systematic review was performed using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, and the protocol was registered on Prospero (ID: CRD42021239363). PUBMED, MEDLINE, HMIC, CINAHL, AMED, EMBASE, APA and Cochrane databases were searched. Studies were assessed for quality utilising the MINORS criteria. Pooled odds ratios with 95% confidence intervals (95% CI) were calculated using random effects models.
Results: Sixteen studies were included for analysis. 300 patients were included with an average age of 68, and a male predominance of 57%. The quality of the papers included were at risk of bias. The pooled rate of technical success of procedure was 94.4% (95% CI 90.5-96.8%) The pooled rate of clinical success was 77.6% (95% CI: 66.6-85.7%). Adverse effects were low, with perforation 8.8% (4.5-16.6%), recurrence 26.5% (17.2-38.5%) and stent migration 22.5% (14.1-33.8%).
Discussion: This systematic review demonstrated that SEMS for benign colonic obstruction can be a safe and successful procedure. The utilisation of SEMS in malignant disease as a bridge to surgery has been well documented. Whilst the limitations of the data interpreted are appreciated, we postulate that SEMS could be utilised to decompress patients acutely and allow pre-operative optimisation, leading to a more elective surgery with less subsequent morbidity.
(© 2024. The Author(s).)
References: Scand J Surg. 2015 Sep;104(3):146-53. (PMID: 25260783)
Singapore Med J. 2012 Jan;53(1):46-51. (PMID: 22252183)
Colorectal Dis. 2014 Apr;16(4):239-45. (PMID: 24033989)
Cochrane Database Syst Rev. 2019 Oct 3;10:ED000142. (PMID: 31643080)
Insights Imaging. 2019 Aug 28;10(1):80. (PMID: 31456127)
Colorectal Dis. 2006 Feb;8(2):102-11. (PMID: 16412069)
Colorectal Dis. 2011 Dec;13(12):e396-402. (PMID: 21801298)
Eur J Surg Oncol. 2020 Aug;46(8):1404-1414. (PMID: 32418754)
Gastrointest Endosc. 2017 Sep;86(3):416-426. (PMID: 28392363)
Endosc Int Open. 2018 May;6(5):E558-E567. (PMID: 29756013)
Int J Surg Oncol. 2017;2017:2863272. (PMID: 28761765)
Surg Endosc. 2008 Feb;22(2):454-62. (PMID: 17704890)
World J Emerg Surg. 2019 May 22;14:23. (PMID: 31139245)
BMJ. 2009 Jul 21;339:b2700. (PMID: 19622552)
Surg Endosc. 2015 May;29(5):1175-8. (PMID: 25149637)
ANZ J Surg. 2003 Sep;73(9):712-6. (PMID: 12956787)
Ann R Coll Surg Engl. 2018 Apr;100(4):301-307. (PMID: 29484943)
Br J Surg. 2022 Oct 14;109(11):1073-1080. (PMID: 35986684)
Endoscopy. 2013;45(1):35-41. (PMID: 23136012)
Surgery. 2005 Jan;137(1):42-7. (PMID: 15614280)
J Clin Gastroenterol. 2019 Sep;53(8):560-573. (PMID: 31149932)
Cardiovasc Intervent Radiol. 2011 Jun;34(3):462-73. (PMID: 21127865)
Endoscopy. 2002 Oct;34(10):823-30. (PMID: 12244506)
Dis Colon Rectum. 2015 Mar;58(3):358-62. (PMID: 25664716)
Am J Surg. 2021 Mar;221(3):594-597. (PMID: 33288223)
Crit Rev Oncol Hematol. 2020 Nov;155:103110. (PMID: 33038693)
Aliment Pharmacol Ther. 2009 Dec 1;30(11-12):1171-82. (PMID: 19681811)
Br J Surg. 2013 Jul;100(8):1094-9. (PMID: 23696424)
Gastrointest Endosc. 2014 Nov;80(5):747-61.e1-75. (PMID: 25436393)
Am J Surg. 2014 Jan;207(1):127-38. (PMID: 24124659)
Clin Endosc. 2013 Sep;46(5):472-5. (PMID: 24143305)
Gut Liver. 2015 Jan;9(1):73-9. (PMID: 25170060)
Curr Gastroenterol Rep. 2010 Oct;12(5):374-82. (PMID: 20703837)
Surg Endosc. 2007 Feb;21(2):225-33. (PMID: 17160651)
Gastrointest Endosc. 2004 Dec;60(6):865-74. (PMID: 15604999)
فهرسة مساهمة: Keywords: Benign; Benign colonic obstruction; Large bowel obstruction; Meta-analysis; Self-expanding metal stents; Stenting
تواريخ الأحداث: Date Created: 20240719 Date Completed: 20240719 Latest Revision: 20240727
رمز التحديث: 20240727
مُعرف محوري في PubMed: PMC11271435
DOI: 10.1007/s10151-024-02959-7
PMID: 39028327
قاعدة البيانات: MEDLINE
الوصف
تدمد:1128-045X
DOI:10.1007/s10151-024-02959-7