title: Colonic stent as bridge to surgery in patients with obstructive left-sided colon cancer.
abstract: OBJECTIVE
  We assessed the optimal time interval between endoscopic stenting and subsequent surgery in patients with obstructive left-sided colon cancer.
  
  
  METHODS
  We reviewed the medical records of patients who underwent endoscopic colonic stenting for obstructive left-sided colon cancer between January 2009 and January 2012. Patients who had successful endoscopic intervention as a bridge to surgery were included in the study. Other variables studied were the duration between endoscopic stenting and surgery, the reobstruction rate, the stoma creation rate, the anastomotic leak rate, and the in-hospital mortality rate.
  
  
  RESULTS
  The medical records of 53 patients who underwent endoscopic stenting for obstructive left-sided colon cancer were reviewed, and 43 were included in the study. The median duration between endoscopic stenting and surgery was 7 days (range, 5-33).
  
  
  CONCLUSIONS
  A median duration of 7 to 9 days after endoscopic stenting in patients with obstructive left-sided colon cancer is enough time to subsequently perform a safe surgical procedure. Extending this duration may expose the patient to the risk of reobstruction and emergency surgery.
authors.affiliation: General Surgery Clinics, Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey.
authors.forename: Mehmet
authors.initials: M
authors.lastname: Abdussamet Bozkurt
authors.affiliation: General Surgery Clinics, Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey.
authors.forename: Murat
authors.initials: M
authors.lastname: Gonenc
authors.affiliation: General Surgery Clinics, Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey.
authors.forename: Selin
authors.initials: S
authors.lastname: Kapan
authors.affiliation: General Surgery Clinics, Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey.
authors.forename: Ali
authors.initials: A
authors.lastname: Kocatasş
authors.affiliation: General Surgery Clinics, Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey.
authors.forename: Baha
authors.initials: B
authors.lastname: Temizgönül
authors.affiliation: General Surgery Clinics, Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey.
authors.forename: Halil
authors.initials: H
authors.lastname: Alis
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical / Q000379:methods; D003106:Colon / Q000601:surgery*; D003110:Colonic Neoplasms / Q000150:complications / Q000401:mortality / Q000601:surgery*; D003113:Colonoscopy / Q000379:methods*; D005260:Female; D017052:Hospital Mortality / Q000639:trends; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology / Q000401:mortality / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D015607:Stents; D014421:Turkey / Q000453:epidemiology
keywords: Bridge to surgery; Emergency colorectal surgery; Endoscopic stenting; Large bowel obstruction