Preoperative stents for the treatment of obstructing left-sided colon cancer: a national analysis.

ABSTRACT:

Background

Given the risks associated with urgent colectomy for large bowel obstruction, preoperative colonic stenting has been utilized for decompression and optimization prior to surgery. This study examined national trends in the use of colonic stenting as a bridge to resection for malignant large bowel obstruction and evaluated outcomes relative to immediate colectomy.

Methods

Adults undergoing colonic stenting or colectomy for malignant, left/sigmoid large bowel obstruction were identified in the 2010-2016 Nationwide Readmissions Database. Patients were classified as immediate resection (IR) or delayed resection (DR) if undergoing colonic stenting prior to colectomy. Generalized linear models were used to evaluate the impact of resection strategy on ostomy creation, in-

SUBMITTER: Hadaya J 

PROVIDER: S-EPMC10017588 | biostudies-literature | 2023 Mar

REPOSITORIES: biostudies-literature