Retrospective Study
Copyright ©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Apr 28, 2019; 25(16): 1975-1985
Published online Apr 28, 2019. doi: 10.3748/wjg.v25.i16.1975
Comparison of decompression tubes with metallic stents for the management of right-sided malignant colonic obstruction
Yoshiyuki Suzuki, Konosuke Moritani, Yuki Seo, Takayuki Takahashi
Yoshiyuki Suzuki, Konosuke Moritani, Yuki Seo, Takayuki Takahashi, Department of Surgery, Ashikaga Red Cross Hospital, Tochigi 326-0843, Japan
Author contributions: Suzuki Y, Moritani K, Seo Y, and Takahashi T designed the report; Suzuki Y and Moritani K analyzed the data and wrote the paper; all authors checked the draft and approved the final version of the manuscript.
Institutional review board statement: The study was reviewed and approved by the Ashikaga Red Cross Hospital Institutional Review Board.
Informed consent statement: Patients were not required to give informed consent to the study because the analysis used anonymous clinical data that were obtained after each patient agreed to treatment by written consent.
Conflict-of-interest statement: There is no conflict of interest.
Data sharing statement: No additional data are available.
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:
Corresponding author: Yoshiyuki Suzuki, MD, Doctor, Department of Surgery, Ashikaga Red Cross Hospital, 284-1, Yobe-cho, Ashikaga-shi, Tochigi 326-0843, Japan.
Telephone: +81-284-210121 Fax: +81-284-220225
Received: December 4, 2018
Peer-review started: December 6, 2018
First decision: January 11, 2019
Revised: January 25, 2019
Accepted: January 28, 2019
Article in press: January 28, 2019
Published online: April 28, 2019
Core Tip

Core tip: Patients with malignant colonic obstructions typically undergo emergency surgery, which is associated with high rates of mortality and morbidity. To overcome this, bridges to surgery have been proposed, but their efficacy in patients with right-sided malignant colonic obstructions remains unclear, mainly because obstructions are less common in patients with right- than left-sided colon cancer. We compared two bridges to surgery: Decompression tubes and self-expandable metallic stents. The short-term outcomes of the two groups did not differ, but the overall survival and disease-free survival rates were better in the former patients, suggesting that decompression tube placement may be optimal.