Copyright
©2013 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Gastroenterol. Nov 7, 2013; 19(41): 7138-7145
Published online Nov 7, 2013. doi: 10.3748/wjg.v19.i41.7138
Published online Nov 7, 2013. doi: 10.3748/wjg.v19.i41.7138
Complications and survival in patients undergoing colonic stenting for malignant obstruction
Majid A Almadi, Nahla Azzam, Othman Alharbi, Alabbas H Mohammed, Nazia Sadaf, Abdulrahman M Aljebreen, Division of Gastroenterology, King Khalid University Hospital, King Saud University, Riyadh 11461, Saudi Arabia
Majid A Almadi, Division of Gastroenterology, The McGill University Health Center, Montreal General Hospital, McGill University, Montreal, H3G 1A4, Canada
Author contributions: Almadi MA, Azzam N, Alharbi O, and Aljebreen AM all contributed towards the article’s conception and design, acquisition of data, drafting of the article, and final approval of the version to be published; Mohammed AH and Sadaf N contributed towards data collection, drafting and revising the article critically for important intellectual content, and final approval of the version to be published.
Supported by The Deanship of Scientific Research at King Saud University funded this research through the Research Group Project, No. RGP-VPP-279
Correspondence to: Majid A Almadi, MBBS, FRCPC, MSc, Assistant Professor of Medicine, Division of Gastroenterology, King Khalid University Hospital, King Saud University, P.O. Box 2925 (59), Riyadh 11461, Saudi Arabia. maalmadi@ksu.edu.sa
Telephone: +966-1-4679167 Fax: +966-1-4671217
Received: April 13, 2013
Revised: July 22, 2013
Accepted: August 4, 2013
Published online: November 7, 2013
Revised: July 22, 2013
Accepted: August 4, 2013
Published online: November 7, 2013
Core Tip
Core tip: Despite the debate as to whether there is an added benefit from the use of self-expandable metal stents (SEMS), when compared to surgery, as an initial management strategy in patients with malignant colorectal obstruction, this study found that SEMS insertion for malignant colonic obstruction is a safe option with an acceptable risk profile. We could not identify factors that would predict the development of complications or factors that might impact long-term survival. Nonetheless, based on current guidelines, SEMS insertion for malignant colorectal obstruction is the best option for palliation or as a bridge to surgery when technical skills for such a procedure are available.