Systematic review of self-expanding stents in the management of benign colorectal obstruction

被引:45
作者
Currie, A. [1 ]
Christmas, C. [2 ]
Aldean, H. [1 ]
Mobasheri, M. [1 ]
Bloom, I. T. M. [1 ]
机构
[1] Kingston Hosp, Dept Colorectal Surg, Kingston Upon Thames KT2 7QB, Surrey, England
[2] Univ Cambridge, Inst Publ Hlth, Cambridge, England
关键词
Benign disease; colorectal obstruction; stent; efficacy; safety; MALIGNANT COLONIC OBSTRUCTION; LARGE-BOWEL OBSTRUCTION; QUALITY-OF-LIFE; METALLIC STENTS; EMERGENCY-SURGERY; EXPERIENCE; STRICTURES; PLACEMENT; STENOSIS; OUTCOMES;
D O I
10.1111/codi.12389
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
AimColorectal obstruction due to benign disease is likely to become more prevalent. Self-expanding stents have been shown to be effective in reducing morbidity and allowing one-stage resection or improved palliation in colorectal cancer. This review assessed the use of self-expanding stents in benign colorectal obstruction. MethodA systematic review was performed using PubMed, Embase and the Cochrane Library. Keywords included: benign disease' colorectal obstruction', stent', endoprosthesis' and prosthesis' Original articles from all relevant listings were sourced. These were hand searched for further articles of relevance. The main outcome measures assessed were technical and clinical success, perforation, reobstruction and stoma avoidance in the bridge to surgery population. ResultsThe search strategy identified 130 articles; the 21 included studies yielded a pooled analysis of 122 patients. Diverticulitis was the predominant aetiology (66/122, 54%). Technical success was achieved in 115/122 (94%) and clinical success in 108/120 (87%) patients. Overall, the perforation rate was 12% (15/122) and the reobstruction rate was 14% (17/122). A stoma was avoided in 48% (23/48) of bridge to surgery patients. Perforation and stoma avoidance in the bridge to surgery group were worse with an aetiology of diverticulitis. ConclusionComplication rates in stenting for benign colorectal obstruction are higher than for malignant obstruction. On the basis of limited published evidence, stenting cannot be recommended for benign colorectal obstruction.
引用
收藏
页码:239 / 245
页数:7
相关论文
共 38 条
  • [1] Community experience of colonic stenting in patients with acute large bowel obstructions
    Arya, Naveen
    Bair, Douglas
    Arya, Praag
    Pham, Joe
    [J]. CANADIAN JOURNAL OF SURGERY, 2011, 54 (04) : 282 - 285
  • [2] Colorectal stenting for colonic obstruction: The indications, complications, effectiveness and outcome - 5-Year review
    Athreya, S.
    Moss, J.
    Urquhart, G.
    Edwards, R.
    Downie, A.
    Poon, F. W.
    [J]. EUROPEAN JOURNAL OF RADIOLOGY, 2006, 60 (01) : 91 - 94
  • [3] Expandable metal stents for the treatment of colonic obstruction: techniques and outcomes
    Baron, TH
    Dean, PA
    Yates, MR
    Canon, C
    Koehler, RE
    [J]. GASTROINTESTINAL ENDOSCOPY, 1998, 47 (03) : 277 - 286
  • [4] Update on the indications and use of colonic stents
    Bonin E.A.
    Baron T.H.
    [J]. Current Gastroenterology Reports, 2010, 12 (5) : 374 - 382
  • [5] Treatment of benign colorectal strictures by temporary stenting with self-expanding stents
    Dai, YiYang
    Chopra, Sascha S.
    Wysocki, Wojciech M.
    Hunerbein, Michael
    [J]. INTERNATIONAL JOURNAL OF COLORECTAL DISEASE, 2010, 25 (12) : 1475 - 1479
  • [6] Delaunay-Tardy K, 2003, GASTROEN CLIN BIOL, V27, P610
  • [7] Self-expanding metallic stents in the treatment of benign colorectal disease: indications and outcomes
    Forshaw, MJ
    Sankararajah, D
    Stewart, M
    Parker, MC
    [J]. COLORECTAL DISEASE, 2006, 8 (02) : 102 - 111
  • [8] Management of benign rectal strictures - A review of present therapeutic procedures
    Garcea, G
    Sutton, CD
    Lloyd, TD
    Jameson, J
    Scott, A
    Kelly, MJ
    [J]. DISEASES OF THE COLON & RECTUM, 2003, 46 (11) : 1451 - 1460
  • [9] Stent placement for benign colonic stenosis: case report, review of the literature, and animal pilot data
    Geiger, Timothy M.
    Miedema, Brent W.
    Tsereteli, Zurab
    Sporn, Emanuel
    Thaler, Klaus
    [J]. INTERNATIONAL JOURNAL OF COLORECTAL DISEASE, 2008, 23 (10) : 1007 - 1012
  • [10] Diverticular disease hospital admissions are increasing, with poor outcomes in the elderly and emergency admissions
    Jeyarajah, S.
    Faiz, O.
    Bottle, A.
    Aylin, P.
    Bjarnason, I.
    Tekkis, P. P.
    Papagrigoriadis, S.
    [J]. ALIMENTARY PHARMACOLOGY & THERAPEUTICS, 2009, 30 (11-12) : 1171 - 1182