title: Colonic stenting in acutely obstructed left-sided colon cancer Clinical evaluation and cost analysis.
abstract: OBJECTIVE
  This retrospective study aims to evaluate clinical and cost effectiveness of colonic stenting as a bridge to surgery and as a palliative treatment in acutely obstructed left-sided colon cancer.
  
  
  METHODS
  Onehundred fortyfour patients were collected between 2006 and 2012, with acute left-sided malignant colonic obstruction with no evidence of peritonitis: 96 patients underwent surgical treatment, 48 underwent decompressive stenting. For the stenting we used self-expandable metallic stent in nitinol.
  
  
  RESULTS
  Patients who had successful colonic stenting were 40, 8 underwent elective surgery within 10 days, 32 decompression stenting had only palliative intent. in 8/48 patients subjected to stenting decompression there was a technical failure (16%) and underwent emergency surgery. 40 patients had follow-up. at the time of observation 36 patients had a functioning stent, within 10 days 8 underwent elective definitive colonic resection with primary anastomosis trought videolaparoscopic thecnical, 4 (10%) had major complications and underwent emergency surgery. no patient of 40 in the stenting group required defunctioning stomas compared to 38 of 96 in emergency surgery group. we also compared the cost of decompressive stenting and emergency surgery treatment in acutely obstructed left-sided colon cancer referring to average cost of drg (1 and 2 code t-student test). the comparison of the average costs between decompressive stenting and emergency surgery was performed in the group of patients underwent palliative treatment separately from ones underwent radical treatment.
  
  
  CONCLUSIONS
  Colonic stenting followed by elective surgery may be safer and cost-effective, comparing to emergency surgery for left-sided malignant colonic obstruction.
  
  
  BACKGROUND
  Bowel obstruction, Colonic cancer, Colonic stenting.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Salamone
authors.forename: Nicolò
authors.initials: N
authors.lastname: Falco
authors.forename: Jenny
authors.initials: J
authors.lastname: Atzeni
authors.forename: Roberta
authors.initials: R
authors.lastname: Tutino
authors.forename: Leo
authors.initials: L
authors.lastname: Licari
authors.forename: Gaspare
authors.initials: G
authors.lastname: Gulotta
mesh_terms: D003082:Colectomy / Q000191:economics / Q000379:methods; D003110:Colonic Neoplasms / Q000150:complications / Q000191:economics / Q000601:surgery*; D003365:Costs and Cost Analysis; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007415:Intestinal Obstruction / Q000191:economics / Q000209:etiology / Q000601:surgery*; D007558:Italy; D008297:Male; D010166:Palliative Care / Q000191:economics; D012189:Retrospective Studies; D015607:Stents / Q000191:economics; D016896:Treatment Outcome