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Conference Paper: Long-term outcomes of stenting as a bridge to surgery for acute left-sided malignant colonic obstruction
Title | Long-term outcomes of stenting as a bridge to surgery for acute left-sided malignant colonic obstruction |
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Authors | |
Issue Date | 2013 |
Publisher | Saunders. |
Citation | The 54th Annual Meeting of the Society for Surgery of the Alimentary Tract - Digestive Disease Week (DDW 2013), Orlando, FL.., 18-21 May 2013, In Gastroenterology, 2013, v. 144, n. 5 suppl. 1, p. S-1118-S-1119, abstract Tu1525 How to Cite? |
Abstract | INTRODUCTION: Stenting as a bridge to surgery has been increasingly applied in cases of acute left-sided colonic obstruction. This study aims to evaluate both the short and long-term outcomes associated with colonic stenting as a bridge to surgery in patients with obstructing adenocarcinoma of the colon. METHODS: Patients with potentially curable acute left-sided colonic obstruction treated with stenting as a bridge to surgery (28) or with emergency surgical resection (39) from January 1998 to December 2008 were identified using a prospectively maintained database. Short-term data on post-operative mortality, morbidity, necessity of intensive care, and length of hospital stay were compared. Disease-free and overall survival data were also analyzed. RESULTS: Patients within the two study arms had similar demographic profiles. Patients receiving preoperative stenting had a higher likelihood of a laparoscopic resection (P,0.001). Further, the emergency surgery group had a higher rate of postoperative complications (P=0.024), rate of ICU admission (P=0.013), and longer total length of stay (9 vs. 12 days, P=0.001). With a median follow-up of 26.5 and 31.3 months for the stenting and surgical resection groups respectively, there was no difference in overall and disease-free survival (overall survival = 30 vs 31 months, P=0.858; DFS = 13 vs 12 months, P=0.989). As well, there was no difference in the rate of systemic recurrences (8 vs. 13, P=0.991). CONCLUSION: Stenting as a bridge to surgery is a safe treatment strategy in the management of patients with acute left-sided colonic obstruction with improved shortterm outcomes and comparable long-term oncologic results. Further studies are necessary to fully address the utility of colonic stenting as a bridge to curative surgery and to establish its definitive role as a treatment strategy. |
Description | Poster Abstracts: Tu525 |
Persistent Identifier | http://hdl.handle.net/10722/187012 |
DC Field | Value | Language |
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dc.contributor.author | Quereshy, FA | en_US |
dc.contributor.author | Poon, TCJ | en_US |
dc.contributor.author | Law, WL | en_US |
dc.date.accessioned | 2013-08-20T12:26:40Z | - |
dc.date.available | 2013-08-20T12:26:40Z | - |
dc.date.issued | 2013 | en_US |
dc.identifier.citation | The 54th Annual Meeting of the Society for Surgery of the Alimentary Tract - Digestive Disease Week (DDW 2013), Orlando, FL.., 18-21 May 2013, In Gastroenterology, 2013, v. 144, n. 5 suppl. 1, p. S-1118-S-1119, abstract Tu1525 | en_US |
dc.identifier.uri | http://hdl.handle.net/10722/187012 | - |
dc.description | Poster Abstracts: Tu525 | - |
dc.description.abstract | INTRODUCTION: Stenting as a bridge to surgery has been increasingly applied in cases of acute left-sided colonic obstruction. This study aims to evaluate both the short and long-term outcomes associated with colonic stenting as a bridge to surgery in patients with obstructing adenocarcinoma of the colon. METHODS: Patients with potentially curable acute left-sided colonic obstruction treated with stenting as a bridge to surgery (28) or with emergency surgical resection (39) from January 1998 to December 2008 were identified using a prospectively maintained database. Short-term data on post-operative mortality, morbidity, necessity of intensive care, and length of hospital stay were compared. Disease-free and overall survival data were also analyzed. RESULTS: Patients within the two study arms had similar demographic profiles. Patients receiving preoperative stenting had a higher likelihood of a laparoscopic resection (P,0.001). Further, the emergency surgery group had a higher rate of postoperative complications (P=0.024), rate of ICU admission (P=0.013), and longer total length of stay (9 vs. 12 days, P=0.001). With a median follow-up of 26.5 and 31.3 months for the stenting and surgical resection groups respectively, there was no difference in overall and disease-free survival (overall survival = 30 vs 31 months, P=0.858; DFS = 13 vs 12 months, P=0.989). As well, there was no difference in the rate of systemic recurrences (8 vs. 13, P=0.991). CONCLUSION: Stenting as a bridge to surgery is a safe treatment strategy in the management of patients with acute left-sided colonic obstruction with improved shortterm outcomes and comparable long-term oncologic results. Further studies are necessary to fully address the utility of colonic stenting as a bridge to curative surgery and to establish its definitive role as a treatment strategy. | - |
dc.language | eng | en_US |
dc.publisher | Saunders. | - |
dc.relation.ispartof | Gastroenterology | en_US |
dc.title | Long-term outcomes of stenting as a bridge to surgery for acute left-sided malignant colonic obstruction | en_US |
dc.type | Conference_Paper | en_US |
dc.identifier.email | Quereshy, FA: fayez.quereshy@utoronto.ca | en_US |
dc.identifier.email | Poon, TCJ: tcjensen@hku.hk | en_US |
dc.identifier.email | Law, WL: lawwl@hkucc.hku.hk | en_US |
dc.identifier.authority | Poon, TCJ=rp01603 | en_US |
dc.identifier.authority | Law, WL=rp00436 | en_US |
dc.description.nature | link_to_OA_fulltext | - |
dc.identifier.doi | 10.1016/S0016-5085(13)64172-4 | - |
dc.identifier.hkuros | 219382 | en_US |
dc.identifier.volume | 144 | - |
dc.identifier.issue | 5 suppl. 1 | - |
dc.identifier.spage | S-1118, abstract Tu1525 | - |
dc.identifier.epage | S-1119 | - |
dc.publisher.place | United States | - |