Short-Term Outcomes of Self-Expandable Metallic Stent versus Decompression Tube for Malignant Colorectal Obstruction: A Meta-Analysis of Clinical Data

Purpose: To compare the short-term outcomes between self-expandable metallic stent (SEMS) and decompression tubes (DT) for malignant colorectal obstruction. Methods: A comprehensive literature search was performed from inception to 2018/12/6 covering Pubmed, Embase, and Cochrane library. Methodologi...

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Main Authors: Fu-Gang Wang, Ri-Xing Bai, Ming Yan, Mao-Min Song, Wen-Mao Yan
Format: Article
Language:English
Published: Taylor & Francis Group 2020-09-01
Series:Journal of Investigative Surgery
Subjects:
Online Access:http://dx.doi.org/10.1080/08941939.2019.1566419
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author Fu-Gang Wang
Ri-Xing Bai
Ming Yan
Mao-Min Song
Wen-Mao Yan
author_facet Fu-Gang Wang
Ri-Xing Bai
Ming Yan
Mao-Min Song
Wen-Mao Yan
author_sort Fu-Gang Wang
collection DOAJ
description Purpose: To compare the short-term outcomes between self-expandable metallic stent (SEMS) and decompression tubes (DT) for malignant colorectal obstruction. Methods: A comprehensive literature search was performed from inception to 2018/12/6 covering Pubmed, Embase, and Cochrane library. Methodological assessments of eligible studies were performed by using Newcastle-Ottawa Scale (NOS). The Revman software (version 5.3) was used in our statistical analysis. Results: Totally 7 cohort studies were enrolled in our meta-analysis. All the 7 eligible studies proved to be high quality according to the NOS scale. Patients receiving SEMS had higher clinical success rates, higher laparoscopic surgery rates, and higher primary anastomosis rates compared with patients receiving DT. Conclusions: Based on evidence from eastern countries, SEMS placement is an effective procedure that treats malignant colorectal obstruction. Compared with DT placement, patients receiving SEMS may benefit from higher clinical success rates, higher laparoscopic surgery rates, and higher primary anastomosis rates.
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spelling doaj.art-e827111c1f2b4852b170c7811226d5212023-09-15T10:07:29ZengTaylor & Francis GroupJournal of Investigative Surgery0894-19391521-05532020-09-0133876277010.1080/08941939.2019.15664191566419Short-Term Outcomes of Self-Expandable Metallic Stent versus Decompression Tube for Malignant Colorectal Obstruction: A Meta-Analysis of Clinical DataFu-Gang Wang0Ri-Xing Bai1Ming Yan2Mao-Min Song3Wen-Mao Yan4Capital Medical UniversityCapital Medical UniversityCapital Medical UniversityCapital Medical UniversityCapital Medical UniversityPurpose: To compare the short-term outcomes between self-expandable metallic stent (SEMS) and decompression tubes (DT) for malignant colorectal obstruction. Methods: A comprehensive literature search was performed from inception to 2018/12/6 covering Pubmed, Embase, and Cochrane library. Methodological assessments of eligible studies were performed by using Newcastle-Ottawa Scale (NOS). The Revman software (version 5.3) was used in our statistical analysis. Results: Totally 7 cohort studies were enrolled in our meta-analysis. All the 7 eligible studies proved to be high quality according to the NOS scale. Patients receiving SEMS had higher clinical success rates, higher laparoscopic surgery rates, and higher primary anastomosis rates compared with patients receiving DT. Conclusions: Based on evidence from eastern countries, SEMS placement is an effective procedure that treats malignant colorectal obstruction. Compared with DT placement, patients receiving SEMS may benefit from higher clinical success rates, higher laparoscopic surgery rates, and higher primary anastomosis rates.http://dx.doi.org/10.1080/08941939.2019.1566419self-expandable metallic stentdecompression tubecolorectal cancerbowel obstructionanastomotic leakagecolonoscopy
spellingShingle Fu-Gang Wang
Ri-Xing Bai
Ming Yan
Mao-Min Song
Wen-Mao Yan
Short-Term Outcomes of Self-Expandable Metallic Stent versus Decompression Tube for Malignant Colorectal Obstruction: A Meta-Analysis of Clinical Data
Journal of Investigative Surgery
self-expandable metallic stent
decompression tube
colorectal cancer
bowel obstruction
anastomotic leakage
colonoscopy
title Short-Term Outcomes of Self-Expandable Metallic Stent versus Decompression Tube for Malignant Colorectal Obstruction: A Meta-Analysis of Clinical Data
title_full Short-Term Outcomes of Self-Expandable Metallic Stent versus Decompression Tube for Malignant Colorectal Obstruction: A Meta-Analysis of Clinical Data
title_fullStr Short-Term Outcomes of Self-Expandable Metallic Stent versus Decompression Tube for Malignant Colorectal Obstruction: A Meta-Analysis of Clinical Data
title_full_unstemmed Short-Term Outcomes of Self-Expandable Metallic Stent versus Decompression Tube for Malignant Colorectal Obstruction: A Meta-Analysis of Clinical Data
title_short Short-Term Outcomes of Self-Expandable Metallic Stent versus Decompression Tube for Malignant Colorectal Obstruction: A Meta-Analysis of Clinical Data
title_sort short term outcomes of self expandable metallic stent versus decompression tube for malignant colorectal obstruction a meta analysis of clinical data
topic self-expandable metallic stent
decompression tube
colorectal cancer
bowel obstruction
anastomotic leakage
colonoscopy
url http://dx.doi.org/10.1080/08941939.2019.1566419
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