Results of a National Survey on the Use of Stents for the Treatment of Colonic Obstruction

• Published in: Cirugia española (English ed.) 2020-11, Vol.98 (9), p.533-539
• Main Authors: Alonso-Hernández, Natalia, Segura-Sampedro, Juan José, Soldevila Verdeguer, Carla María, Ochogavía Seguí, Aina, Olea Martinez-Mediero, Jose Manuel, Fernández Isart, Myriam, Gamundi Cuesta, Margarita, González-Argente, Xavier Francesc
• Format: Article
• Language: English
• Subjects: Actitud del personal sanitario; Attitude of health personnel; Cirugía obstrucción intestinal; Colonic neoplasm complications; Complicaciones neoplasias colon; Efectos adversos stent colon; Encuestas y cuestionarios; Intestinal obstruction surgery; Stents adverse effects; Surveys and questionnaires
• ISSN: 2173-5077; 2173-5077
• DOI: 10.1016/j.cireng.2020.10.002

[Display omitted] We distributed a survey in order to determine the current indications for the use of colonic stents to treat colonic obstruction in Spain and its compliance with international guidelines. Descriptive study of a survey distributed by the Spanish Association of Surgeons (Asociación Española de Cirujanos), the Catalan Society of Surgery (Societat Catalana de Cirurgia) and the Spanish Society of Digestive Endoscopy (Sociedad Española de Endoscopia Digestiva). 340 valid responses were received: 25% from gastrointestinal specialists, and 75% from general surgeons. During the last year, 44.4% of respondents assessed between 10 and 20 COC. Of these, 52.2% indicated less than 5 stents/year, 75% of which were indicated as a prior step to preferential surgery and only 25% were performed with palliative intent. 55.3% of the participants reported knowing the official guidelines, and 64% of respondents would use the stent as a step prior to surgery in elderly patients with localized disease. 75.9% would place stents as palliative therapy in young patients with carcinomatosis, and 61.8% would use them in stage IV malignancies under treatment with chemotherapy. Only 18.1% knew of the risk of colon perforation after stent placement in patients undergoing treatment with antiangiogenics. In Spain, the indication for colonic stents is reserved for selected cases and varies according to the specialty and the years of experience of the respondent. The compliance with international guidelines of most respondents is moderate. It is important to insist on the high risk of perforation after angiogenics, which is unknown to most surgeons. Difundimos una encuesta con el objetivo de conocer las indicaciones actuales para la utilización del stent de colon para el tratamiento de la obstrucción colónica en España y su adecuación a las guías internacionales. Estudio descriptivo de una encuesta distribuida por la Asociación Española de Cirujanos, la Societat Catalana de Cirurgia y la Sociedad Española de Endoscopia Digestiva. Se recibieron 340 respuestas válidas, un 25% de médicos digestólogos, y el 75% de cirujanos generales. Durante el último año el 44,4% de los encuestados valoró entre 10 a 20COC. Un 52,2% indicó menos de 5 stents/año, y de estos el 75% se indicó como paso previo a una cirugía preferente y solo el 25% se realizó con intención paliativa. Un 55,3% de los participantes refirió conocer las guías oficiales. El 64% de los encuestados utilizaría el stent como