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World J Gastroenterol. May 28, 2014; 20(20): 6309-6313
Published online May 28, 2014. doi: 10.3748/wjg.v20.i20.6309
Published online May 28, 2014. doi: 10.3748/wjg.v20.i20.6309
Outcomes after stenting for malignant large bowel obstruction without radiologist support
Rao Khalid Mehmood, Jody Parker, Fayyaz Akbar, Eays Qasem, Department of Surgery, Betsi Cadwaladr University Health Board, Rhyl, North Wales LL18 5UJ, United Kingdom
Patricia Kirkbride, Muhammad Zeeshan, Ernest Jehangir, North Cumbria University Hospitals NHS Trusts, West Cumberland Hospital, Whitehaven CA28 8JX, United Kingdom
Shakil Ahmed, The Royal Liverpool and Broadgreen University Hospitals NHS Trust, Prescot Street, Liverpool L7 8XP, United Kingdom
Author contributions: Mehmood RK designed the proforma for data collection, analysed the data, wrote the abstract and collected relevant articles; Parker J analysed the data, wrote and revised the article and collected relevant articles; Kirkbride P collected the data; Ahmed S and Zeeshan M editing the manuscript; Akbar F and Qasem E coordinated the collection of relevant articles; Jehangir E performed the procedures and supervised the article.
Correspondence to: Rao Khalid Mehmood, Consultant Surgeon, Department of Surgery, Betsi Cadwaladr University Health Board, Ysbyty Glan Clwyd, Rhyl, Denbighshire LL18 5UJ, United Kingdom. raodilmeer@yahoo.com
Telephone: +44-1745-583910 Fax: +44-1745-534688
Received: October 7, 2013
Revised: February 23, 2014
Accepted: March 19, 2014
Published online: May 28, 2014
Revised: February 23, 2014
Accepted: March 19, 2014
Published online: May 28, 2014
Core Tip
Core tip: There is now a good amount of evidence showing that colonic stents are a safe management option for obstruction secondary to colonic malignancy despite other safety concerns in the literature. Despite guideline recommendations that they should be performed as a joint procedure with both an endoscopist and radiologist, limitations of everyday practice may restrict this. Our data shows that procedures can be performed just as safely by only an endoscopist with good success rates and few complications. This may help improve availability of such procedures and reduced financial costs.