Colorectal stenting for colonic obstruction: The indications, complications, effectiveness and outcome—5-Year review

Athreya, Sriharsha; Moss, Jonathan; Urquhart, G. D. K.; Edwards, Richard; Downie, Andrew; Poon, F. W.

doi:10.1016/j.ejrad.2006.05.017

Cited by 84 publications

(65 citation statements)

References 19 publications

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“…A systematic review of 27 studies involving 325 patients with malignant colonic obstruction did not report any cases of gastrointestinal haemorrhage. 184 A third systematic review that included 54 publications, none of which were randomised, found no cases of gastrointestinal haemorrhage in 1192 patients- 185 A retrospective study of 102 stent placements revealed no haemorrhages, but 4 (4%) perforations, 186 and a multicentre prospective study of 44 stent placements revealed one case of haematoma which resolved spontaneously, and no perforations. 187 In a study of 463 colonic stent placements in 447 patients, there were only 2 (0.5%) cases of haemorrhage, but 15 (3.9%) perforations, 3 of which were fatal.…”

Section: Endoscopic Stent Insertionmentioning

confidence: 99%

Endoscopy in patients on antiplatelet or anticoagulant therapy, including direct oral anticoagulants: British Society of Gastroenterology (BSG) and European Society of Gastrointestinal Endoscopy (ESGE) guidelines

Vanbiervliet²,

et al. 2017

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Section: Endoscopic Stent Insertionmentioning

confidence: 99%

Endoscopy in patients on antiplatelet or anticoagulant therapy, including direct oral anticoagulants: British Society of Gastroenterology (BSG) and European Society of Gastrointestinal Endoscopy (ESGE) guidelines

Vanbiervliet²,

et al. 2017

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“…Iatrogenic fistulae are induced by surgical procedures, including augmentation cystoplasty [26], prostatectomy, rectal resections and laparoscopic inguinal hernia repair [3,27], or endoscopic procedures as colorectal stenting for malignant obstruction [28]. Iatrogenic EVF can represent a rare complication of indwelling urethral catheterisation, generally in patients with previous pelvic radiotherapy [29].…”

Section: Aetiologymentioning

confidence: 99%

Enterovesical fistulas: diagnosis and management

2010

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Enterovesical fistula (EVF) is an abnormal communication between the intestine and the bladder. It represents a rare complication of inflammatory or neoplastic disease, and traumatic or iatrogenic injuries. The most common aetiologies are diverticular disease and colorectal carcinoma. Over 75% of affected patients describe pathognomonic features of pneumaturia, faecaluria and recurrent urinary tract infections. The diagnosis of EVF can be challenging, and frequently patients are monitored for months before the condition is recognised and treated effectively. Diagnostic tools include laboratory tests, imaging studies and endoscopic procedures. Although conservative management can be attempted in selected patients, in most cases, the treatment is mainly based on surgical interventions. Recently, the laparoscopic approach to EVF has been shown to be safe and effective. Although it is a rare condition in a general surgery setting, EVF is a challenging condition leading to high morbidity and mortality rates.

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“…The majority of LBOs are due to neoplasms, most often colon cancer, which accounts for just over 50 % of LBOS. 2,3 In fact, around 10 % of colon cancers initially present with LBO.…”

Section: Etiologymentioning

confidence: 99%

“…In fact, one third of patients diagnosed with LBO on clinical exam and abdominal x-rays have colonic pseudo-obstruction, and one fifth of those initially diagnosed with colonic pseudo-obstruction actually have an underlying LBO. 2 CT scan can be helpful to distinguish this as patients with pseudo-obstruction or megacolon will not have a transition point or definitive area of caliber change.…”

Section: Differentialmentioning

confidence: 99%

Colorectal Emergencies: Review and Controversies in the Management of Large Bowel Obstruction

Yeo

Lee

2013

Journal of Gastrointestinal Surgery

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Introduction Traditionally, large bowel obstruction (LBO) has been managed as an operative emergency. Its causes and treatments are an important part of general surgical and colon and rectal surgery practices. Discussion While management has traditionally been emergent laparotomy with resection or removal of underlying pathology, newer methodologies and treatments over the last decade have required treating physicians to consider a number of other options, including nonoperative options such as stenting, when treating these patients. Conclusion Given these changes, treating a patient with LBO requires a thoughtful assessment and comprehensive understanding of underlying pathology, assessment of the patient's comorbidities and up-to-date knowledge of modern options for treatment.

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Colorectal stenting for colonic obstruction: The indications, complications, effectiveness and outcome—5-Year review

Cited by 84 publications

References 19 publications

Endoscopy in patients on antiplatelet or anticoagulant therapy, including direct oral anticoagulants: British Society of Gastroenterology (BSG) and European Society of Gastrointestinal Endoscopy (ESGE) guidelines

Endoscopy in patients on antiplatelet or anticoagulant therapy, including direct oral anticoagulants: British Society of Gastroenterology (BSG) and European Society of Gastrointestinal Endoscopy (ESGE) guidelines

Enterovesical fistulas: diagnosis and management

Colorectal Emergencies: Review and Controversies in the Management of Large Bowel Obstruction

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