PWE-218 Experience of colonic stenting in a district general hospital

Endoscopic stenting of acutely obstructing colorectal cancer: a 10‐year review from a tertiary referral centre

“…The number of cases that are currently being managed at our Trust per annum is relatively small, but this mirrors previous case series’ in the literature, and would further support centralization of such a service. This is contradictory to the view of Krishnan et al . who feel that all hospitals with an acute surgical take should offer SEMS insertion for obstructing CRCs.…”

“…Insertion of SEMS for acutely obstructing distal CRCs is a cost‐effective and safe therapeutic option with a relatively low complication rate, and a lower 30‐day mortality rate than that of emergency resection, which is widely quoted in the literature at 15–30% . Stenting increases the chance of avoiding a potentially permanent stoma in the acute situation, offers acceptable palliation and allows a proportion of patients to undergo planned surgery at a later date, often without a permanent stoma .…”