Stenting versus surgery in obstructed malignant colorectal cancer-a review of short and long-term results

Dedrick Kok Hong Chan; Ker-Kan Tan

doi:10.21037/jgo.2020.01.08

Stenting versus surgery in obstructed malignant colorectal cancer-a review of short and long-term results

J Gastrointest Oncol. 2020 Jun;11(3):486-490. doi: 10.21037/jgo.2020.01.08.

Authors

Dedrick Kok Hong Chan^{1

2}, Ker-Kan Tan^{1

2}

Affiliations

¹ Division of Colorectal Surgery, University Surgical Cluster, National University Health System, Singapore, Singapore.
² Department of Surgery, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.

Abstract

Obstructed colorectal cancers (CRCs) continue to be challenging to manage. Apart from surgical resection, the use of self-expanding metallic stents (SEMS) has become increasingly popular. SEMS could potentially allow for the conversion of an emergency operation into a semi-elective procedure, allow for the optimization of the patient's physiology, avoid the requirement for a stoma, as well as allow for a minimally-invasive approach to be adopted. This review article therefore highlights the evidence available in the literature pertaining to the use of SEMS in obstructed CRCs.

Keywords: Stenting; bowel obstruction; colorectal cancer (CRC); outcomes.

Publication types

Review