Zahid A, Young CJ. How to decide on stent insertion or surgery in colorectal obstruction? World J Gastrointest Surg 2016; 8(1): 84-89 [PMID: 26843916 DOI: 10.4240/wjgs.v8.i1.84]
Corresponding Author of This Article
Christopher John Young, MBBS, MS, FRACS, FACS, Clinical Associate Professor, RPAH Medical Centre, Suite 415/100 Carillon Ave, Newtown, Sydney, NSW 2110, Australia. cyoungnsw@aol.com
Research Domain of This Article
Surgery
Article-Type of This Article
Minireviews
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Surg. Jan 27, 2016; 8(1): 84-89 Published online Jan 27, 2016. doi: 10.4240/wjgs.v8.i1.84
How to decide on stent insertion or surgery in colorectal obstruction?
Assad Zahid, Christopher John Young
Assad Zahid, Christopher John Young, Department of Colorectal Surgery, Royal Prince Alfred Hospital, Camperdown, Sydney, NSW 2050, Australia
Assad Zahid, Christopher John Young, Discipline of Surgery, University of Sydney, Sydney, NSW 2006, Australia
Christopher John Young, RPAH Medical Centre, Newtown, Sydney, NSW 2042, Australia
Author contributions: All authors equally contributed to this paper with conception and design of the study, literature review and analysis, drafting and critical revision and editing, and final approval of the final version.
Conflict-of-interest statement: There is no conflict of interest associated with any of the senior author or other coauthors contributed their efforts in this manuscript.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Christopher John Young, MBBS, MS, FRACS, FACS, Clinical Associate Professor, RPAH Medical Centre, Suite 415/100 Carillon Ave, Newtown, Sydney, NSW 2110, Australia. cyoungnsw@aol.com
Telephone: +61-2-95153204 Fax: +61-2-95153222
Received: June 30, 2015 Peer-review started: July 5, 2015 First decision: October 13, 2015 Revised: November 6, 2015 Accepted: December 1, 2015 Article in press: December 2, 2015 Published online: January 27, 2016
Core Tip
Core tip: Despite the accumulation of data on stent insertion, the choice of stent or surgery as the most appropriate modality in the management of colorectal obstruction presents a constant decision dilemma. When cure is possible we want that, but with minimal morbidity. In a group of patients who are prone to higher rates of morbidity and mortality, this can be problematic and full of uncertainty. This review takes an approach to review the primary and secondary outcomes established in the literature regarding the use of stent or surgery in colorectal obstruction, and then create discourse and a structured approach in regards to synthesising the data and applying it when deciding the appropriate application of stent or surgery in colorectal obstruction.
