Strong recommendation, high quality evidence.ģ ESGE recommends colonic stenting as the preferred treatment for palliation of malignant colonic obstruction.Ĥ ESGE suggests consideration of colonic stenting for malignant obstruction of the proximal colon either as a bridge to surgery or in a palliative setting. Strong recommendation, low quality evidence.Ģ ESGE recommends stenting as a bridge to surgery to be discussed, within a shared decision-making process, as a treatment option in patients with potentially curable left-sided obstructing colon cancer as an alternative to emergency resection. ESGE does not recommend prophylactic stent placement. The following recommendations should only be applied after a thorough diagnostic evaluation including a contrast- enhanced computed tomography (CT) scan.ġ ESGE recommends colonic stenting to be reserved for patients with clinical symptoms and radiological signs of malignant large-bowel obstruction, without signs of perforation. Tanis, Geoffroy Vanbiervliet, Alberto Arezzo van Halsema1, James Hill, Gianpiero Manes, SorenMeisner, Eduardo Rodrigues-Pinto, Charles Sabbagh, Jo Vandervoort, Pieter J.
Beets-Tan, Simon Everett, Martin Götz, Emo E.
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