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Canadian Journal of Gastroenterology and Hepatology
Volume 2016, Article ID 1945172, 8 pages
http://dx.doi.org/10.1155/2016/1945172
Research Article

Colonic Stents for Colorectal Cancer Are Seldom Used and Mainly for Palliation of Obstruction: A Population-Based Study

1Department of Surgery, University of Toronto, Toronto, ON, Canada
2Department of Medicine, University of Toronto, Toronto, ON, Canada
3Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada
4Department of Radiation Oncology, University of Toronto, Toronto, ON, Canada

Received 17 February 2014; Accepted 18 May 2015

Copyright © 2016 Anna M. Borowiec et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Linked References

  1. Canadian Cancer Society, Toronto: Canadian Cancer Statistics SCc-uM, 2011, http://publications.gc.ca/collections/collection_2011/statcan/CS2-37-2011-eng.pdf.
  2. National Cancer Institute, Surveillance Epidemiology and End Results, c197502008, National Cancer Institute, Bethesda, Md, USA, 2011, http://seer.cancer.gov/.
  3. R. K. S. Phillips, R. Hittinger, J. S. Fry, and L. P. Fielding, “Malignant large bowel obstruction,” British Journal of Surgery, vol. 72, no. 4, pp. 296–302, 1985. View at Publisher · View at Google Scholar · View at Scopus
  4. J. Mella, A. Biffin, A. G. Radcliffe, J. D. Stamatakis, and R. J. C. Steele, “Population-based audit of colorectal cancer management in two UK health regions,” British Journal of Surgery, vol. 84, no. 12, pp. 1731–1736, 1997. View at Publisher · View at Google Scholar · View at Scopus
  5. J. W. Serpell, F. T. McDermott, H. Katrivessis, and E. S. R. Hughes, “Obstructing carcinomas of the colon,” British Journal of Surgery, vol. 76, no. 9, pp. 965–969, 1989. View at Publisher · View at Google Scholar · View at Scopus
  6. G. I. Minopoulos, N. Lyratzopoulos, H. I. Efremidou, K. Romanidis, I. Koujoumtzi, and K. J. Manolas, “Emergency operations for carcinoma of the colon,” Techniques in Coloproctology, vol. 8, supplement 1, pp. S235–S237, 2004. View at Publisher · View at Google Scholar · View at Scopus
  7. T. T. Irvin and M. G. Greaney, “The treatment of colonic cancer presenting with intestinal obstruction,” British Journal of Surgery, vol. 64, no. 10, pp. 741–744, 1977. View at Publisher · View at Google Scholar · View at Scopus
  8. N. S. Runkel, P. Schlag, V. Schwarz, and C. Herfarth, “Outcome after emergency surgery for cancer of the large intestine,” British Journal of Surgery, vol. 78, no. 2, pp. 183–188, 1991. View at Publisher · View at Google Scholar · View at Scopus
  9. P. P. Tekkis, R. Kinsman, M. R. Thompson, and J. D. Stamatakis, “The association of coloproctology of Great Britain and Ireland study of large bowel obstruction caused by colorectal cancer,” Annals of Surgery, vol. 240, no. 1, pp. 76–81, 2004. View at Publisher · View at Google Scholar · View at Scopus
  10. N. M. Koruth, D. C. Hunter, Z. H. Krukowski, and N. A. Matheson, “Immediate resection in emergency large bowel surgery: a 7 year audit,” British Journal of Surgery, vol. 72, no. 9, pp. 703–707, 1985. View at Publisher · View at Google Scholar · View at Scopus
  11. P. Spinelli, M. Dal Fante, and A. Mancini, “Self-expanding mesh stent for endoscopic palliation of rectal obstructing tumors: a preliminary report,” Surgical Endoscopy, vol. 6, no. 2, pp. 72–74, 1992. View at Publisher · View at Google Scholar · View at Scopus
  12. M. Dohmoto, M. Hünerbein, and P. M. Schlag, “Application of rectal stents for palliation of obstructing rectosigmoid cancer,” Surgical Endoscopy, vol. 11, no. 7, pp. 758–761, 1997. View at Publisher · View at Google Scholar · View at Scopus
  13. E. Tejero, A. Mainar, L. Fernandez, R. Tobío, and M. A. De Gregorio, “New procedure for the treatment of colorectal neoplastic obstructions,” Diseases of the Colon & Rectum, vol. 37, no. 11, pp. 1158–1159, 1994. View at Publisher · View at Google Scholar · View at Scopus
  14. M. Karoui, A. Charachon, C. Delbaldo et al., “Stents for palliation of obstructive metastatic colon cancer: impact on management and chemotherapy administration,” Archives of Surgery, vol. 142, no. 7, pp. 619–623, 2007. View at Publisher · View at Google Scholar · View at Scopus
  15. B. V. M. Dasari, C. J. Tan, and K. Gardiner, “Systematic review and meta-analysis of randomized clinical trials of self-expanding metallic stents as a bridge to surgery versus emergency surgery for malignant left-sided large bowel obstruction,” British Journal of Surgery, vol. 99, no. 4, pp. 469–476, 2012. View at Google Scholar · View at Scopus
  16. A. Mainar, M. A. De Gregrio Ariza, E. Tejero et al., “Acute colorectal obstruction: treatment with self-expandable metallic stents before scheduled surgery—results of a multicenter study,” Radiology, vol. 210, no. 1, pp. 65–69, 1999. View at Publisher · View at Google Scholar · View at Scopus
  17. F. Camúñez, A. Echenagusía, G. Simó, F. Turégano, J. Vázquez, and I. Barreiro-Meiro, “Malignant colorectal obstruction treated by means of self-expanding metallic stents: effectiveness before surgery and in palliation,” Radiology, vol. 216, no. 2, pp. 492–497, 2000. View at Publisher · View at Google Scholar · View at Scopus
  18. K.-S. Ho, H.-M. Quah, J.-F. Lim, C.-L. Tang, and K.-W. Eu, “Endoscopic stenting and elective surgery versus emergency surgery for left-sided malignant colonic obstruction: a prospective randomized trial,” International Journal of Colorectal Disease, vol. 27, no. 3, pp. 355–362, 2012. View at Publisher · View at Google Scholar · View at Scopus
  19. S. Sebastian, S. Johnston, T. Geoghegan, W. Torreggiani, and M. Buckley, “Pooled analysis of the efficacy and safety of self-expanding metal stenting in malignant colorectal obstruction,” The American Journal of Gastroenterology, vol. 99, no. 10, pp. 2051–2057, 2004. View at Publisher · View at Google Scholar · View at Scopus
  20. A. J. Small, N. Coelho-Prabhu, and T. H. Baron, “Endoscopic placement of self-expandable metal stents for malignant colonic obstruction: long-term outcomes and complication factors,” Gastrointestinal Endoscopy, vol. 71, no. 3, pp. 560–572, 2010. View at Publisher · View at Google Scholar · View at Scopus
  21. J. Sagar, “Colorectal stents for the management of malignant colonic obstructions,” Cochrane Database of Systematic Reviews, vol. 11, Article ID CD007378, 2011. View at Google Scholar · View at Scopus
  22. I. A. Pirlet, K. Slim, F. Kwiatkowski, F. Michot, and B. L. Millat, “Emergency preoperative stenting versus surgery for acute left-sided malignant colonic obstruction: a multicenter randomized controlled trial,” Surgical Endoscopy and Other Interventional Techniques, vol. 25, no. 6, pp. 1814–1821, 2011. View at Publisher · View at Google Scholar · View at Scopus
  23. J. E. van Hooft, W. A. Bemelman, B. Oldenburg et al., “Colonic stenting versus emergency surgery for acute left-sided malignant colonic obstruction: a multicentre randomised trial,” The Lancet Oncology, vol. 12, no. 4, pp. 344–352, 2011. View at Publisher · View at Google Scholar · View at Scopus
  24. J. E. van Hooft, P. Fockens, A. W. Marinelli et al., “Early closure of a multicenter randomized clinical trial of endoscopic stenting versus surgery for stage IV left-sided colorectal cancer,” Endoscopy, vol. 40, no. 3, pp. 184–191, 2008. View at Publisher · View at Google Scholar · View at Scopus
  25. E. Fiori, A. Lamazza, A. De Cesare et al., “Palliative management of malignant rectosigmoidal obstruction. Colostomy vs. endoscopic stenting. A randomized prospective trial,” Anticancer Research, vol. 24, no. 1, pp. 265–268, 2004. View at Google Scholar · View at Scopus
  26. S. C. Robles, L. D. Marrett, E. Aileen Clarke, and H. A. Risch, “An application of capture-recapture methods to the estimation of completeness of cancer registration,” Journal of Clinical Epidemiology, vol. 41, no. 5, pp. 495–501, 1988. View at Publisher · View at Google Scholar · View at Scopus
  27. M. E. Charlson, P. Pompei, K. L. Ales, and C. R. MacKenzie, “A new method of classifying prognostic comorbidity in longitudinal studies: development and validation,” Journal of Chronic Diseases, vol. 40, no. 5, pp. 373–383, 1987. View at Publisher · View at Google Scholar · View at Scopus
  28. R. A. Deyo, D. C. Cherkin, and M. A. Ciol, “Adapting a clinical comorbidity index for use with ICD-9-CM administrative databases,” Journal of Clinical Epidemiology, vol. 45, no. 6, pp. 613–619, 1992. View at Publisher · View at Google Scholar · View at Scopus
  29. J. R. Ouellette, D. G. Small, and P. M. Termuhlen, “Evaluation of Charlson-Age Comorbidity Index as predictor of morbidity and mortality in patients with colorectal carcinoma,” Journal of Gastrointestinal Surgery, vol. 8, no. 8, pp. 1061–1067, 2004. View at Publisher · View at Google Scholar · View at Scopus
  30. R. Nenshi, N. Baxter, E. Kennedy et al., “Surgery for colorectal cancer,” in Cancer Surgery in Ontario: ICES Atlas, D. R. Urbach, M. Simunovic, and S. E. Schultz, Eds., Institute for Clinical Evaluative Science, Toronto, Canada, 2008. View at Google Scholar
  31. L. Rabeneck, L. F. Paszat, D. M. Rothwell, and J. He, “Temporal trends in new diagnoses of colorectal cancer with obstruction, perforation, or emergency admission in Ontario: 1993–2001,” The American Journal of Gastroenterology, vol. 100, no. 3, pp. 672–676, 2005. View at Publisher · View at Google Scholar · View at Scopus
  32. H. Putter, M. Fiocco, and R. B. Gekus, “Tutorial in biostatistics: competing risks and multi-state models,” Statistics in Medicine, vol. 26, no. 11, pp. 2389–2430, 2007. View at Publisher · View at Google Scholar · View at Scopus
  33. P. McCullagh and J. L. Nelder, Generalized Lineal Models, Monographs on Statistics and Applied Probability, Chapman & Hall/CRC, 2nd edition, 1989.
  34. R Development Core Team, A Language and Environment for Statistical Computing, R Foundation for Statistical Computing, Vienna, Austria, 2009, http://www.R-project.org.
  35. H. Singh, S. Latosinsky, B. M. R. Spiegel, and L. E. Targownik, “The cost-effectiveness of colonic stenting as a bridge to curative surgery in patients with acute left-sided malignant colonic obstruction: a Canadian perspective,” Canadian Journal of Gastroenterology, vol. 20, no. 12, pp. 779–785, 2006. View at Google Scholar · View at Scopus
  36. A. Siddiqui, N. Khandelwal, T. Anthony, and S. Huerta, “Colonic stent versus surgery for the management of acute malignant colonic obstruction: a decision analysis,” Alimentary Pharmacology and Therapeutics, vol. 26, no. 10, pp. 1379–1386, 2007. View at Publisher · View at Google Scholar · View at Scopus
  37. W. L. Law, H. K. Choi, and K. W. Chu, “Comparison of stenting with emergency surgery as palliative treatment for obstructing primary left-sided colorectal cancer,” British Journal of Surgery, vol. 90, no. 11, pp. 1429–1433, 2003. View at Publisher · View at Google Scholar · View at Scopus
  38. D. Xinopoulos, D. Dimitroulopoulos, T. Theodosopoulos et al., “Stenting or stoma creation for patients with inoperable malignant colonic obstructions? Results of a study and cost-effectiveness analysis,” Surgical Endoscopy and Other Interventional Techniques, vol. 18, no. 3, pp. 421–426, 2004. View at Publisher · View at Google Scholar · View at Scopus