{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T02:27:29Z","timestamp":1740104849309,"version":"3.37.3"},"reference-count":39,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2022,1,31]],"date-time":"2022-01-31T00:00:00Z","timestamp":1643587200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Surgical Oncology"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Using a self\u2010expanding metal stent as a bridge to surgery (BTS) is considered a reasonable strategy for patients with acute malignant large bowel obstruction. Since postoperative complications have a negative impact on patient survival, we aim to clarify the predictors of complications in patients undergoing BTS using a self\u2010expanding metal stent.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a retrospective review of 61 patients with colorectal cancer (CRC) who underwent stenting as a BTS at our institution. We analyzed the association of postoperative complications with clinicopathologic, surgical, and patient factors, and with the prestenting or preoperative laboratory data.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Both postoperative complications in general and severe complications were significantly associated with a longer stenotic\u2010section length (<jats:italic>p<\/jats:italic>\u2009=\u20090.007 and <jats:italic>p<\/jats:italic>\u2009=\u20090.003), lower preoperative hemoglobin levels (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001 and <jats:italic>p<\/jats:italic>\u2009=\u20090.081), and lower prestenting hemoglobin levels (<jats:italic>p<\/jats:italic>\u2009=\u20090.006 and <jats:italic>p<\/jats:italic>\u2009=\u20090.042). Multivariate logistic regression analysis showed that lower prestenting (&lt;13.0\u2009g\/dl) and preoperative (&lt;11.5\u2009g\/dl) hemoglobin levels were independent predictive factors for postoperative complications (odds ratio [OR]: 4.15; 95% confidence interval [CI]: 1.07\u201318.90; <jats:italic>p<\/jats:italic>\u2009=\u20090.040; and OR: 4.93; 95% CI: 1.35\u201320.28; <jats:italic>p<\/jats:italic>\u2009=\u20090.016). A stenotic\u2010section length of 5.0\u2009cm or greater was predictive of severe complications (OR: 25.67; 95% CI: 1.95\u20131185.00; <jats:italic>p<\/jats:italic>\u2009=\u20090.011).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our data suggest that lower hemoglobin levels before stenting and a longer length of the stenotic section of bowel might predict postoperative complications in patients with CRC undergoing BTS for obstruction.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jso.26803","type":"journal-article","created":{"date-parts":[[2022,1,31]],"date-time":"2022-01-31T16:18:34Z","timestamp":1643645914000},"page":"982-990","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["What are the factors predictive of postoperative complications in patients with colorectal cancer undergoing stenting as a bridge to surgery?"],"prefix":"10.1002","volume":"125","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1915-0407","authenticated-orcid":false,"given":"Yuki","family":"Adachi","sequence":"first","affiliation":[{"name":"Department of Surgery Saiseikai Kumamoto Hospital Kumamoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryuma","family":"Tokunaga","sequence":"additional","affiliation":[{"name":"Department of Surgery Saiseikai Kumamoto Hospital Kumamoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katsutaka","family":"Matsumoto","sequence":"additional","affiliation":[{"name":"Department of Surgery Saiseikai Kumamoto Hospital Kumamoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yosuke","family":"Nakao","sequence":"additional","affiliation":[{"name":"Department of Surgery Saiseikai Kumamoto Hospital Kumamoto 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