Uncovered versus covered stent in management of large bowel obstruction due to colorectal malignancy: a systematic review and meta-analysis

Purpose To compare outcomes of uncovered stent and covered stent in management of large bowel obstruction secondary to colorectal malignancy. Methods We conducted a search of electronic databases identifying studies comparing outcomes of uncovered and covered stents in management of large bowel obst...

Full description

Saved in:
Bibliographic Details
Published in:International journal of colorectal disease 2019-05, Vol.34 (5), p.773-785
Main Authors: Mashar, Meghavi, Mashar, Ruchir, Hajibandeh, Shahab
Format: Article
Language:English
Subjects:
Aged
Analysis
Colorectal cancer
Colorectal Neoplasms - complications
Colorectal Neoplasms - surgery
Female
Gastroenterology
Gastrointestinal diseases
Hepatology
Humans
Implants
Internal Medicine
Intestinal obstruction
Intestinal Obstruction - etiology
Intestinal Obstruction - surgery
Intestine
Male
Malignancy
Management
Medical research
Medicine
Medicine & Public Health
Medicine, Experimental
Meta-analysis
Middle Aged
Migration
Postoperative Complications - etiology
Proctology
Publication Bias
Review
Risk factors
Stent (Surgery)
Stents
Surgery
Systematic review
Treatment Outcome
Tumors
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Purpose To compare outcomes of uncovered stent and covered stent in management of large bowel obstruction secondary to colorectal malignancy. Methods We conducted a search of electronic databases identifying studies comparing outcomes of uncovered and covered stents in management of large bowel obstruction secondary to colorectal malignancy. The Cochrane risk-of-bias tool and the Newcastle–Ottawa scale were used to assess the included studies. Random or fixed effects modelling were applied as appropriate to calculate pooled outcome data. Results One randomised controlled trial (RCT) and nine observational studies, enrolling 753 patients, were identified. Uncovered stent was associated with lower risks of complications (RR 0.57 95% CI 0.44–0.74, P  
ISSN:0179-1958
1432-1262
DOI:10.1007/s00384-019-03277-3