Joyce V Veld, Femke J Amelung, Wernard A A Borstlap, Emo E van Halsema, Esther C J Consten, Peter D Siersema, Frank Ter Borg, Edwin S van der Zaag, Johannes H W de Wilt, Paul Fockens, Wilhelmus A Bemelman, Jeanin E van Hooft, Pieter J Tanis
IMPORTANCE: Bridge to elective surgery using self-expandable metal stent (SEMS) placement is a debated alternative to emergency resection for patients with left-sided obstructive colon cancer because of oncologic concerns. A decompressing stoma (DS) might be a valid alternative, but relevant studies are scarce. OBJECTIVE: To compare DS with SEMS as a bridge to surgery for nonlocally advanced left-sided obstructive colon cancer using propensity score matching. DESIGN, SETTING, AND PARTICIPANTS: This national, population-based cohort study was performed at 75 of 77 hospitals in the Netherlands...
March 1, 2020: JAMA Surgery