Journal article

Comparison of colonic stenting and open surgery for malignant large bowel obstruction

HS Tilney, RE Lovegrove, S Purkayastha, PS Sains, GK Weston-Petrides, AW Darzi, PP Tekkis, AG Heriot

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES | SPRINGER | Published : 2007

Abstract

BACKGROUND: Colonic stents potentially offer effective palliation for those with bowel obstruction attributable to incurable malignancy, and a "bridge to surgery" for those in whom emergency surgery would necessitate a stoma. The current study compared the outcomes of stents and open surgery in the management of malignant large bowel obstruction. METHODS: A literature search of the Medline, Ovid, Embase and Cochrane databases was performed to identify comparative studies reporting outcomes on colonic stenting and surgery for large bowel obstruction. Random effects meta-analytical techniques were applied to identify differences in outcomes between the two groups. Sensitivity analysis of high ..

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