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Conference Paper: Long-term outcomes of stenting as a bridge to surgery for acute left-sided malignant colonic obstruction

TitleLong-term outcomes of stenting as a bridge to surgery for acute left-sided malignant colonic obstruction
Authors
Issue Date2013
PublisherSaunders.
Citation
The 2013 Digestive Disease Week (DDW 2013), Orlando, FL.., 18-21 May 2013, In Gastroenterology, 2013, v. 144, n. 5 suppl. 1, p. S-1118-S-1119, abstract Tu1525 How to Cite?
AbstractINTRODUCTION: Stenting as a bridge to surgery has been increasingly applied in cases of acute left-sided colonic obstruction. This study aims to evaluate both the short and long-term outcomes associated with colonic stenting as a bridge to surgery in patients with obstructing adenocarcinoma of the colon. METHODS: Patients with potentially curable acute left-sided colonic obstruction treated with stenting as a bridge to surgery (28) or with emergency surgical resection (39) from January 1998 to December 2008 were identified using a prospectively maintained database. Short-term data on post-operative mortality, morbidity, necessity of intensive care, and length of hospital stay were compared. Disease-free and overall survival data were also analyzed. RESULTS: Patients within the two study arms had similar demographic profiles. Patients receiving preoperative stenting had a higher likelihood of a laparoscopic resection (P,0.001). Further, the emergency surgery group had a higher rate of postoperative complications (P=0.024), rate of ICU admission (P=0.013), and longer total length of stay (9 vs. 12 days, P=0.001). With a median follow-up of 26.5 and 31.3 months for the stenting and surgical resection groups respectively, there was no difference in overall and disease-free survival (overall survival = 30 vs 31 months, P=0.858; DFS = 13 vs 12 months, P=0.989). As well, there was no difference in the rate of systemic recurrences (8 vs. 13, P=0.991). CONCLUSION: Stenting as a bridge to surgery is a safe treatment strategy in the management of patients with acute left-sided colonic obstruction with improved shortterm outcomes and comparable long-term oncologic results. Further studies are necessary to fully address the utility of colonic stenting as a bridge to curative surgery and to establish its definitive role as a treatment strategy.
DescriptionPoster Abstracts: Tu525
Persistent Identifierhttp://hdl.handle.net/10722/187012

 

DC FieldValueLanguage
dc.contributor.authorQuereshy, FAen_US
dc.contributor.authorPoon, TCJen_US
dc.contributor.authorLaw, WLen_US
dc.date.accessioned2013-08-20T12:26:40Z-
dc.date.available2013-08-20T12:26:40Z-
dc.date.issued2013en_US
dc.identifier.citationThe 2013 Digestive Disease Week (DDW 2013), Orlando, FL.., 18-21 May 2013, In Gastroenterology, 2013, v. 144, n. 5 suppl. 1, p. S-1118-S-1119, abstract Tu1525en_US
dc.identifier.urihttp://hdl.handle.net/10722/187012-
dc.descriptionPoster Abstracts: Tu525-
dc.description.abstractINTRODUCTION: Stenting as a bridge to surgery has been increasingly applied in cases of acute left-sided colonic obstruction. This study aims to evaluate both the short and long-term outcomes associated with colonic stenting as a bridge to surgery in patients with obstructing adenocarcinoma of the colon. METHODS: Patients with potentially curable acute left-sided colonic obstruction treated with stenting as a bridge to surgery (28) or with emergency surgical resection (39) from January 1998 to December 2008 were identified using a prospectively maintained database. Short-term data on post-operative mortality, morbidity, necessity of intensive care, and length of hospital stay were compared. Disease-free and overall survival data were also analyzed. RESULTS: Patients within the two study arms had similar demographic profiles. Patients receiving preoperative stenting had a higher likelihood of a laparoscopic resection (P,0.001). Further, the emergency surgery group had a higher rate of postoperative complications (P=0.024), rate of ICU admission (P=0.013), and longer total length of stay (9 vs. 12 days, P=0.001). With a median follow-up of 26.5 and 31.3 months for the stenting and surgical resection groups respectively, there was no difference in overall and disease-free survival (overall survival = 30 vs 31 months, P=0.858; DFS = 13 vs 12 months, P=0.989). As well, there was no difference in the rate of systemic recurrences (8 vs. 13, P=0.991). CONCLUSION: Stenting as a bridge to surgery is a safe treatment strategy in the management of patients with acute left-sided colonic obstruction with improved shortterm outcomes and comparable long-term oncologic results. Further studies are necessary to fully address the utility of colonic stenting as a bridge to curative surgery and to establish its definitive role as a treatment strategy.-
dc.languageengen_US
dc.publisherSaunders.-
dc.relation.ispartofGastroenterologyen_US
dc.titleLong-term outcomes of stenting as a bridge to surgery for acute left-sided malignant colonic obstructionen_US
dc.typeConference_Paperen_US
dc.identifier.emailQuereshy, FA: fayez.quereshy@utoronto.caen_US
dc.identifier.emailPoon, TCJ: tcjensen@hku.hken_US
dc.identifier.emailLaw, WL: lawwl@hkucc.hku.hken_US
dc.identifier.authorityPoon, TCJ=rp01603en_US
dc.identifier.authorityLaw, WL=rp00436en_US
dc.identifier.doi10.1016/S0016-5085(13)64172-4-
dc.identifier.hkuros219382en_US
dc.identifier.volume144-
dc.identifier.issue5 suppl. 1-
dc.identifier.spageS-1118, abstract Tu1525-
dc.identifier.epageS-1119-
dc.publisher.placeUnited States-

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