{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T23:50:36Z","timestamp":1767916236498,"version":"3.49.0"},"reference-count":20,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2011,8,19]],"date-time":"2011-08-19T00:00:00Z","timestamp":1313712000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2011,10,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Self-expanding metallic stents (SEMS) may relieve colonic obstruction as definitive therapy or as a bridge to elective surgery.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>This was a retrospective longitudinal cohort study of patients undergoing insertion of SEMS for large bowel obstruction at one institution. Scrutiny of the radiology department's coding system allowed identification of all patients undergoing colonic stent insertion between 2002 and 2008. Data were extracted from patient case notes and investigation reports.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Eighty-two patients with a median age of 75 (interquartile range (i.q.r.) 43\u201394) years underwent stent insertion, 71 for palliation and 11 as a bridge to surgery. Obstruction was due to malignant disease in 67 patients and had a benign cause in 15. Median survival in the palliative setting was 103 (i.q.r. 44\u2013317) days. Complications occurred in 43 patients, of whom 22 underwent unplanned surgery. High-grade obstruction (relative risk (RR) 2\u00b705; P = 0\u00b7055) and benign disease (RR 3\u00b745; P &amp;lt; 0\u00b7001) were associated with risk of adverse events.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>SEMS should not be used for large bowel obstruction with benign pathology.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1002\/bjs.7644","type":"journal-article","created":{"date-parts":[[2011,8,19]],"date-time":"2011-08-19T19:20:37Z","timestamp":1313781637000},"page":"1625-1629","source":"Crossref","is-referenced-by-count":11,"title":["Self-expanding metallic stents for large bowel obstruction"],"prefix":"10.1093","volume":"98","author":[{"given":"C D","family":"Mackay","sequence":"first","affiliation":[{"name":"Department of General Surgery, Aberdeen Royal Infirmary, Aberdeen, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"W","family":"Craig","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Aberdeen Royal Infirmary, Aberdeen, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J K","family":"Hussey","sequence":"additional","affiliation":[{"name":"Department of Radiology, Aberdeen Royal Infirmary, Aberdeen, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M A","family":"Loudon","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Aberdeen Royal Infirmary, Aberdeen, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2011,8,19]]},"reference":[{"key":"2021070906422142800_bib1","doi-asserted-by":"crossref","first-page":"1270","DOI":"10.1002\/bjs.1800810905","article-title":"Malignant obstruction of the left colon","volume":"81","author":"Deans","year":"1994","journal-title":"Br J Surg"},{"key":"2021070906422142800_bib2","doi-asserted-by":"crossref","first-page":"296","DOI":"10.1002\/bjs.1800720417","article-title":"Malignant large bowel obstruction","volume":"72","author":"Phillips","year":"1985","journal-title":"Br J Surg"},{"key":"2021070906422142800_bib3","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1002\/bjs.1800830114","article-title":"Long term outcome following curative surgery for malignant large bowel obstruction","volume":"83","author":"Mulcahy","year":"1996","journal-title":"Br J Surg"},{"key":"2021070906422142800_bib4","first-page":"1507","article-title":"New method: endoscopic implantation of rectal stent in palliative treatment of malignant stenosis","volume":"3","author":"Dohmoto","year":"1991","journal-title":"Endoscopia Digestiva"},{"key":"2021070906422142800_bib5","doi-asserted-by":"crossref","first-page":"1429","DOI":"10.1002\/bjs.4311","article-title":"Comparison of stenting with emergency surgery as palliative treatment for obstructing primary left-sided colorectal cancer","volume":"90","author":"Law","year":"2003","journal-title":"Br J Surg"},{"key":"2021070906422142800_bib6","doi-asserted-by":"crossref","first-page":"518","DOI":"10.1046\/j.1463-1318.2003.00519.x","article-title":"Palliative therapy of colorectal carcinoma: stent or surgery?","volume":"5","author":"Bhardwaj","year":"2003","journal-title":"Colorectal Dis"},{"key":"2021070906422142800_bib7","doi-asserted-by":"crossref","first-page":"1096","DOI":"10.1046\/j.1365-2168.2002.02148.x","article-title":"Systematic review of the efficacy and safety of colorectal stents","volume":"89","author":"Khot","year":"2002","journal-title":"Br J Surg"},{"key":"2021070906422142800_bib8","first-page":"513","article-title":"Multivariate analysis of the morbidity and mortality from initial surgical management of obstructing carcinoma of the colon","volume":"174","author":"Leitman","year":"1992","journal-title":"Surg Gynecol Obstet"},{"key":"2021070906422142800_bib9","doi-asserted-by":"crossref","first-page":"1196","DOI":"10.1136\/bmj.327.7425.1196","article-title":"Operative mortality in colorectal cancer: prospective national surgery","volume":"327","author":"Tekkis","year":"2003","journal-title":"BMJ"},{"key":"2021070906422142800_bib10","first-page":"597","article-title":"[Postoperative complications and fatalities in surgical therapy of colon carcinoma. 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