Intestine and Lower Gastrointestinal Tract ·
Colonic obstruction management redefined: SEMS trumps surgery.
Using self-expanding metal stents (SEMS) as bridge-to-surgery improved outcomes for obstructive left colon cancer.
- One-year stoma rates were lower with SEMS (44.4%) compared to emergency surgery (73.4%).
- Fewer readmissions (4.2% vs 15.9%) and faster chemotherapy initiation (76.1% vs 55.8%) were noted with SEMS.
Consider SEMS for selected patients to reduce stoma rates and enhance quality of life post-treatment.
- Major morbidity and mortality rates were similar in both groups.
Journal Article by Giordano A, Mastronardi M (…) Podda M et 12 al. in Surg Endosc
© 2026. The Author(s).
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