Colonic Stents as a Bridge to Surgery Compared with Immediate Resection in Patients with Malignant Large Bowel Obstruction in a NY State Database.

摘要: There is controversy surrounding the efficacy and safety of colonic stents as a bridge to surgery compared with immediate resection in patients presenting an acute malignant large bowel obstruction. Retrospective longitudinal cohort study using NYS SPARCS Database. Patients obstruction who either had stent followed by elective within 3 weeks (bridge surgery) or underwent between October 2009 June 2016 state New York were included. The primary outcome was rate stoma creation at index resection. Secondary outcomes 90-day readmission, reoperation, procedural complications, discharge disposition. A total 3059 included, n = 2917 (95.4%) 142 (4.6%) surgery. We analyzed 139 propensity score-matched groups. group less likely than those get time (OR 0.33, 95% CI 0.18–0.60). They also be discharged rehabilitation facility require home health aide upon 0.36, 0.22–0.61). no differences rates complications Colonic stenting leads creation, significant quality life advantage, should counseled regarding these potential benefits when technology available.