Palliative treatment for incurable malignant colorectal obstructions: A meta-analysis

World Journal of Gastroenterology

Volumn 19, Issue 33, 2013, Pages 5565-5574

  Zhao, Xiao Dan ^a   Cai, Bao Bao ^a   Cao, Ri Sheng ^a   Shi, Rui Hua ^a  

^a THE FIRST AFFILIATED HOSPITAL OF NANJING MEDICAL UNIVERSITY   (China)

Author keywords

Incurable malignant colorectal obstruction; Largebowel obstruction; Palliative surgery; Self expandable metal stents; Treatment outcomes

Indexed keywords

ANASTOMOSIS LEAKAGE; ARTICLE; CANCER PALLIATIVE THERAPY; COLORECTAL CANCER; COLOSTOMY; HOSPITALIZATION; HUMAN; INTESTINE PERFORATION; LENGTH OF STAY; META ANALYSIS; MORTALITY; OCCLUSION; OUTCOME ASSESSMENT; OVERALL SURVIVAL; QUALITY CONTROL; RANDOMIZED CONTROLLED TRIAL (TOPIC); SCORING SYSTEM; SELF EXPANDING STENT; SENSITIVITY ANALYSIS; STOMA; SURGICAL INFECTION; SURVIVAL TIME; TIME TO TREATMENT;

INCURABLE MALIGNANT COLORECTAL OBSTRUCTION; LARGE-BOWEL OBSTRUCTION; PALLIATIVE SURGERY; SELF-EXPANDABLE METAL STENTS; TREATMENT OUTCOMES;

COLORECTAL NEOPLASMS; DIGESTIVE SYSTEM SURGICAL PROCEDURES; HUMANS; INTESTINAL OBSTRUCTION; PALLIATIVE CARE; PROSTHESIS IMPLANTATION; PUBLICATION BIAS; RISK ASSESSMENT; STENTS; TREATMENT OUTCOME;

EID: 84883509833     PISSN: 10079327     EISSN: 22192840     Source Type: Journal    
DOI: 10.3748/wjg.v19.i33.5565     Document Type: Article

References (47)

1. Deans GT, Krukowski ZH, Irwin ST. Malignant obstruction of the left colon. Br J Surg 1994; 81: 1270-1276 [PMID: 7953385 DOI: 10.1002/bjs.1800810905]
2. Liu SK, Church JM, Lavery IC, Fazio VW. Operation in patients with incurable colon cancer--is it worthwhile? Dis Colon Rectum 1997; 40: 11-14 [PMID: 9102251 DOI: 10.1007/ BF02055675]
3. Riedl S, Wiebelt H, Bergmann U, Hermanek P. [Postoperative complications and fatalities in surgical therapy of colon carcinoma. Results of the German multicenter study by the Colorectal Carcinoma Study Group]. Chirurg 1995; 66: 597-606 [PMID: 7664589]
4. Bhardwaj R, Parker MC. Palliative therapy of colorectal carcinoma: stent or surgery? Colorectal Dis 2003; 5: 518-521 [PMID: 12925093 DOI: 10.1046/j.1463-1318.2003.00519.x]
5. Wong RW, Rappaport WD, Witzke DB, Putnam CW, Hunter GC. Factors influencing the safety of colostomy closure in the elderly. J Surg Res 1994; 57: 289-292 [PMID: 8028338 DOI: 10.1006/jsre.1994.1147]
6. Nagula S, Ishill N, Nash C, Markowitz AJ, Schattner MA, Temple L, Weiser MR, Thaler HT, Zauber A, Gerdes H. Quality of life and symptom control after stent placement or surgical palliation of malignant colorectal obstruction. J Am Coll Surg 2010; 210: 45-53 [PMID: 20123331 DOI: 10.1016/ j.jamcollsurg.2009.09.039]
7. Dohmoto M. New method: endoscopic implantation of rectal stent in palliative treatment of malignant stenosis. Endosc Dig 1991; 3: 1507-1512
8. Wells GA, Shea B, O'Connell D, Robertson J, Peterson J, Welch V, Losos M, Tugwell P. The Newcastle-Ottawa Scale (NOS) for assessing the quality if nonrandomized studies in meta-analyses. 2009-10-19. Available from: URL: http: // www.ohri.ca/programs/clinical epidemiology/oxford.htm
9. Jadad AR, Moore RA, Carroll D, Jenkinson C, Reynolds DJ, Gavaghan DJ, McQuay HJ. Assessing the quality of reports of randomized clinical trials: is blinding necessary? Control Clin Trials 1996; 17: 1-12 [PMID: 8721797 DOI: 10.1016/0197-2456(95)00134-4]
10. Law WL, Choi HK, Chu KW. Comparison of stenting with emergency surgery as palliative treatment for obstructing primary left-sided colorectal cancer. Br J Surg 2003; 90: 1429-1433 [PMID: 14598426 DOI: 10.1002/bjs.4311]
11. Carne PW, Frye JN, Robertson GM, Frizelle FA. Stents or open operation for palliation of colorectal cancer: a retrospective, cohort study of perioperative outcome and longterm survival. Dis Colon Rectum 2004; 47: 1455-1461 [PMID: 15486741 DOI: 10.1007/s10350-004-0624-x]
12. Johnson R, Marsh R, Corson J, Seymour K. A comparison of two methods of palliation of large bowel obstruction due to irremovable colon cancer. Ann R Coll Surg Engl 2004; 86: 99-103 [PMID: 15005927 DOI: 10.1308/003588404322827473]
13. Tomiki Y, Watanabe T, Ishibiki Y, Tanaka M, Suda S, Yamamoto T, Sakamoto K, Kamano T. Comparison of stent placement and colostomy as palliative treatment for inoperable malignant colorectal obstruction. Surg Endosc 2004; 18: 1572-1577 [PMID: 15931483 DOI: 10.1007/s00464-004-8106-8]
14. Ptok H, Marusch F, Steinert R, Meyer L, Lippert H, Gastinger I. Incurable stenosing colorectal carcinoma: endoscopic stent implantation or palliative surgery? World J Surg 2006; 30: 1481-1487 [PMID: 16850152 DOI: 10.1007/s00268-005-0513-z]
15. Faragher IG, Chaitowitz IM, Stupart DA. Long-term results of palliative stenting or surgery for incurable obstructing colon cancer. Colorectal Dis 2008; 10: 668-672 [PMID: 18266885 DOI: 10.1111/j.1463-1318.2007.01446.x]
16. Vemulapalli R, Lara LF, Sreenarasimhaiah J, Harford WV, Siddiqui AA. A comparison of palliative stenting or emergent surgery for obstructing incurable colon cancer. Dig Dis Sci 2010; 55: 1732-1737 [PMID: 19693667 DOI: 10.1007/ s10620-009-0945-7]
17. Súarez J, Jiménez J, Vera R, Tarifa A, Balén E, Arrazubi V, Vila J, Lera JM. Stent or surgery for incurable obstructive colorectal cancer: an individualized decision. Int J Colorectal Dis 2010; 25: 91-96 [PMID: 19859722 DOI: 10.1007/s00384-009-0814-z]
18. Lee HJ, Hong SP, Cheon JH, Kim TI, Min BS, Kim NK, Kim WH. Long-term outcome of palliative therapy for malignant colorectal obstruction in patients with unresectable metastatic colorectal cancers: endoscopic stenting versus surgery. Gastrointest Endosc 2011; 73: 535-542 [PMID: 21257165 DOI: 10.1016/j.gie.2010.10.052]
19. Lee WS, Baek JH, Kang JM, Choi S, Kwon KA. The outcome after stent placement or surgery as the initial treatment for obstructive primary tumor in patients with stage IV colon cancer. Am J Surg 2012; 203: 715-719 [PMID: 22265203 DOI: 10.1016/j.amjsurg.2011.05.015]
20. Xinopoulos D, Dimitroulopoulos D, Theodosopoulos T, Tsamakidis K, Bitsakou G, Plataniotis G, Gontikakis M, Kontis M, Paraskevas I, Vassilobpoulos P, Paraskevas E. Stenting or stoma creation for patients with inoperable malignant colonic obstructions? Results of a study and costeffectiveness analysis. Surg Endosc 2004; 18: 421-426 [PMID: 14735348 DOI: 10.1007/s00464-003-8109-x]
21. Fiori E, Lamazza A, De Cesare A, Bononi M, Volpino P, Schillaci A, Cavallaro A, Cangemi V. Palliative management of malignant rectosigmoidal obstruction. Colostomy vs. endoscopic stenting. A randomized prospective trial. Anticancer Res 2004; 24: 265-268 [PMID: 15015606]
22. van Hooft JE, Fockens P, Marinelli AW, Timmer R, van Berkel AM, Bossuyt PM, Bemelman WA. Early closure of a multicenter randomized clinical trial of endoscopic stenting versus surgery for stage IV left-sided colorectal cancer. Endoscopy 2008; 40: 184-191 [PMID: 18322873 DOI: 10.1055/ s-2007-995426]
23. Nugent KP, Daniels P, Stewart B, Patankar R, Johnson CD. Quality of life in stoma patients. Dis Colon Rectum 1999; 42: 1569-1574 [PMID: 10613475 DOI: 10.1007/BF02236209]
24. Park JJ, Del Pino A, Orsay CP, Nelson RL, Pearl RK, Cintron JR, Abcarian H. Stoma complications: the Cook County Hospital experience. Dis Colon Rectum 1999; 42: 1575-1580 [PMID: 10613476 DOI: 10.1007/BF02236210]
25. Zhang Y, Shi J, Shi B, Song CY, Xie WF, Chen YX. Selfexpanding metallic stent as a bridge to surgery versus emergency surgery for obstructive colorectal cancer: a metaanalysis. Surg Endosc 2012; 26: 110-119 [PMID: 21789642 DOI: 10.1007/s00464-011-1835-6]
26. Ye GY, Cui Z, Chen L, Zhong M. Colonic stenting vs emergent surgery for acute left-sided malignant colonic obstruction: a systematic review and meta-analysis. World J Gastroenterol 2012; 18: 5608-5615 [PMID: 23112555 DOI: 10.3748/wjg.v18.i39.5608]
27. Cennamo V, Luigiano C, Coccolini F, Fabbri C, Bassi M, De Caro G, Ceroni L, Maimone A, Ravelli P, Ansaloni L. Meta-analysis of randomized trials comparing endoscopic stenting and surgical decompression for colorectal cancer obstruction. Int J Colorectal Dis 2013; 28: 855-863 [PMID: 23151813]
28. Cirocchi R, Farinella E, Trastulli S, Desiderio J, Listorti C, Boselli C, Parisi A, Noya G, Sagar J. Safety and efficacy of endoscopic colonic stenting as a bridge to surgery in the management of intestinal obstruction due to left colon and rectal cancer: a systematic review and meta-analysis. Surg Oncol 2013; 22: 14-21 [PMID: 23183301 DOI: 10.1016/ j.suronc.2012.10.003]
29. Khot UP, Lang AW, Murali K, Parker MC. Systematic review of the efficacy and safety of colorectal stents. Br J Surg 2002; 89: 1096-1102 [PMID: 12190673 DOI: 10.1046/ j.1365-2168.2002.02148.x]
30. Watt AM, Faragher IG, Griffin TT, Rieger NA, Maddern GJ. Self-expanding metallic stents for relieving malignant colorectal obstruction: a systematic review. Ann Surg 2007; 246: 24-30 [PMID: 17592286 DOI: 10.1097/01. sla.0000261124.72687.72]
31. Sebastian S, Johnston S, Geoghegan T, Torreggiani W, Buckley M. Pooled analysis of the efficacy and safety of selfexpanding metal stenting in malignant colorectal obstruction. Am J Gastroenterol 2004; 99: 2051-2057 [PMID: 15447772 DOI: 10.1111/j.1572-0241.2004.40017.x]
32. Siddiqui A, Khandelwal N, Anthony T, Huerta S. Colonic stent versus surgery for the management of acute malignant colonic obstruction: a decision analysis. Aliment Pharmacol Ther 2007; 26: 1379-1386 [PMID: 17848183 DOI: 10.1111/ j.1365-2036.2007.03513.x]
33. Sagar J. Colorectal stents for the management of malignant colonic obstructions. Cochrane Database Syst Rev 2011; (11): CD007378 [PMID: 22071835]
34. Michel P, Roque I, Di Fiore F, Langlois S, Scotte M, Tenière P, Paillot B. Colorectal cancer with non-resectable synchronous metastases: should the primary tumor be resected? Gastroenterol Clin Biol 2004; 28: 434-437 [PMID: 15243315]
35. Eisenberger A, Whelan RL, Neugut AI. Survival and symptomatic benefit from palliative primary tumor resection in patients with metastatic colorectal cancer: a review. Int J Colorectal Dis 2008; 23: 559-568 [PMID: 18330581 DOI: 10.1007/s00384-008-0456-6]
36. Meisner S, González-Huix F, Vandervoort JG, Repici A, Xinopoulos D, Grund KE, Goldberg P, Registry Group TW. Self-Expanding Metal Stenting for Palliation of Patients with Malignant Colonic Obstruction: Effectiveness and Efficacy on 255 Patients with 12-Month's Follow-up. Gastroenterol Res Pract 2012; 2012: 296347 [PMID: 22761609 DOI: 10.1155/2012/296347]
37. Fernández-Esparrach G, Bordas JM, Giráldez MD, Ginès A, Pellisé M, Sendino O, Martínez-Pallí G, Castells A, Llach J. Severe complications limit long-term clinical success of selfexpanding metal stents in patients with obstructive colorectal cancer. Am J Gastroenterol 2010; 105: 1087-1093 [PMID: 19935785 DOI: 10.1038/ajg.2009.660]
38. Kim BK, Hong SP, Heo HM, Kim JY, Hur H, Lee KY, Cheon JH, Kim TI, Kim WH. Endoscopic stenting is not as effective for palliation of colorectal obstruction in patients with advanced gastric cancer as emergency surgery. Gastrointest Endosc 2012; 75: 294-301 [PMID: 22154416 DOI: 10.1016/ j.gie.2011.09.026]
39. Kim BC, Han KS, Hong CW, Sohn DK, Park JW, Park SC, Kim SY, Baek JY, Choi HS, Chang HJ, Kim DY, Oh JH. Clinical outcomes of palliative self-expanding metallic stents in patients with malignant colorectal obstruction. J Dig Dis 2012; 13: 258-266 [PMID: 22500788 DOI: 10.1111/ j.1751-2980.2012.00564.x]
40. Kim JY, Kim SG, Im JP, Kim JS, Jung HC. Comparison of treatment outcomes of endoscopic stenting for colonic and extracolonic malignant obstruction. Surg Endosc 2013; 27: 272-277 [PMID: 22773238 DOI: 10.1007/s00464-012-2439-5]
41. Tilney HS, Lovegrove RE, Purkayastha S, Sains PS, Weston-Petrides GK, Darzi AW, Tekkis PP, Heriot AG. Comparison of colonic stenting and open surgery for malignant large bowel obstruction. Surg Endosc 2007; 21: 225-233 [PMID: 17160651 DOI: 10.1007/s00464-005-0644-1]
42. Osman HS, Rashid HI, Sathananthan N, Parker MC. The cost effectiveness of self-expanding metal stents in the management of malignant left-sided large bowel obstruction. Colorectal Dis 2000; 2: 233-237 [DOI: 10.1046/ j.1463-1318.2000.00140.x]
43. Athreya S, Moss J, Urquhart G, Edwards R, Downie A, Poon FW. Colorectal stenting for colonic obstruction: the indications, complications, effectiveness and outcome--5 year review. Eur J Radiol 2006; 60: 91-94 [PMID: 16806783 DOI: 10.1016/j.ejrad.2006.05.017]
44. Park S, Cheon JH, Park JJ, Moon CM, Hong SP, Lee SK, Kim TI, Kim WH. Comparison of efficacies between stents for malignant colorectal obstruction: a randomized, prospective study. Gastrointest Endosc 2010; 72: 304-310 [PMID: 20561619 DOI: 10.1016/j.gie.2010.02.046]
45. Park JK, Lee MS, Ko BM, Kim HK, Kim YJ, Choi HJ, Hong SJ, Ryu CB, Moon JH, Kim JO, Cho JY, Lee JS. Outcome of palliative self-expanding metal stent placement in malignant colorectal obstruction according to stent type and manufacturer. Surg Endosc 2011; 25: 1293-1299 [PMID: 20976501 DOI: 10.1007/s00464-010-1366-6]
46. Suh JP, Kim SW, Cho YK, Park JM, Lee IS, Choi MG, Chung IS, Kim HJ, Kang WK, Oh ST. Effectiveness of stent placement for palliative treatment in malignant colorectal obstruction and predictive factors for stent occlusion. Surg Endosc 2010; 24: 400-406 [PMID: 19551432 DOI: 10.1007/ s00464-009-0589-x]
47. Small AJ, Coelho-Prabhu N, Baron TH. Endoscopic placement of self-expandable metal stents for malignant colonic obstruction: long-term outcomes and complication factors. Gastrointest Endosc 2010; 71: 560-572 [PMID: 20189515 DOI: 10.1016/j.gie.2009.10.012]