{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T04:14:51Z","timestamp":1783397691785,"version":"3.54.6"},"reference-count":24,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T00:00:00Z","timestamp":1778630400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T00:00:00Z","timestamp":1783382400000},"content-version":"vor","delay-in-days":55,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Fundaci\u00f3 Instituci\u00f3 dels Centres de Recerca de Catalunya"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Tech Coloproctol"],"published-print":{"date-parts":[[2026,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Self-expandable metal stents (SEMS) are recommended as a first-line treatment for malignant colonic obstruction in palliative patients. However, published outcomes remain controversial. This study aimed to evaluate the morbidity associated with SEMS placement in patients with tumor-related colonic obstruction in a palliative setting. Secondary objectives included long-term outcomes and the impact on subsequent oncological treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective study was conducted on 146 consecutive palliative oncological patients treated at a tertiary center between 2008 and 2023. Patients were categorized into three groups based on the cause of palliation: unresectable stage IV colon cancer (Group I), colon cancer with comorbidities and poor performance status (Group II), and extrinsic compression from extracolonic malignancies (Group III).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Clinical resolution of obstruction was achieved in &gt; 80% of patients, with significant differences among groups (88% in Group I, 79% in Group II, and 59% in Group III;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.009). Early morbidity occurred in 38% of cases and severe complications (\u2265\u2009Clavien-Dindo III) in 31%. Morbidity was more frequent in Group III (65%). Thirty-day mortality was 15%. Only 12% of patients resumed chemotherapy after SEMS placement, with a median delay of 34\u00a0days. Median overall survival after SEMS placement was 4\u00a0months. Over 95% of patients died because of disease progression.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>SEMS placement in palliative patients is effective in relieving obstruction but carries a high risk of complications, especially in extracolonic malignancies.\u00a0Less than a third of patients continue oncological treatment after stenting, highlighting the need for careful patient selection.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s10151-026-03332-6","type":"journal-article","created":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T18:56:37Z","timestamp":1778698597000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Self-expandable metal stent (SEMS) placement for malignant colonic obstruction in palliative patients: post-procedural morbidity and long-term outcomes"],"prefix":"10.1007","volume":"30","author":[{"given":"M.","family":"Serrano-Navidad","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Kreisler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Alba","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Biondo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,5,13]]},"reference":[{"key":"3332_CR1","first-page":"389","volume":"52","author":"JE Van Hooft","year":"2020","unstructured":"Van Hooft JE, Veld JV, Arnold D, Beets-Tan RGH, Everett S, G\u00f6tz M et al (2020) Self-expandable metal stents for obstructing colonic and extracolonic cancer: European Society of Gastrointestinal Endoscopy (ESGE) Guideline - Update 2020 Endoscopy. Georg Thieme Verlag 52:389\u2013407","journal-title":"Georg Thieme Verlag"},{"issue":"12","key":"3332_CR2","doi-asserted-by":"publisher","first-page":"1187","DOI":"10.1016\/j.ejso.2010.09.005","volume":"36","author":"R Frago","year":"2010","unstructured":"Frago R, Kreisler E, Biondo S, Salazar R, Dominguez J, Escalante E (2010) Outcomes in the management of obstructive unresectable stage IV colorectal cancer. Eur J Surg Oncol [Internet]. 36(12):1187\u20131194","journal-title":"Eur J Surg Oncol [Internet]."},{"issue":"1","key":"3332_CR3","first-page":"74","volume":"172","author":"M Hidalgo-Pujol","year":"2022","unstructured":"Hidalgo-Pujol M, Biondo S, Die Trill J, Vigorita V, Paniagua Garcia-Se\u00f1orans M, Pascual Miguel\u00e1\u00f1ez I et al (2022) Upfront surgery versus self-expanding metallic stent as bridge to surgery in left-sided colonic cancer obstruction: A multicenter observational study. Surg (United States) 172(1):74\u201382","journal-title":"Surg (United States)"},{"key":"3332_CR4","first-page":"1507","volume":"3","author":"M Dohmoto","year":"1991","unstructured":"Dohmoto M (1991) New method: endoscopic implantation of rectal stent in palliative treatment of malignant stenosis. Endosc Dig [Internet] 3:1507\u20131512","journal-title":"Endosc Dig [Internet]"},{"issue":"6","key":"3332_CR5","doi-asserted-by":"publisher","first-page":"1580","DOI":"10.1007\/s00464-014-3845-7","volume":"29","author":"MW van den Berg","year":"2015","unstructured":"van den Berg MW, Ledeboer M, Dijkgraaf MGW, Fockens P, ter Borg F, van Hooft JE (2015) Long-term results of palliative stent placement for acute malignant colonic obstruction. Surg Endosc 29(6):1580\u20131585","journal-title":"Surg Endosc"},{"key":"3332_CR6","doi-asserted-by":"publisher","first-page":"103110","DOI":"10.1016\/j.critrevonc.2020.103110","volume":"155","author":"J Veld","year":"2020","unstructured":"Veld J, Umans D, van Halsema E, Amelung F, Fernandes D, Lee MS et al (2020) Self-expandable metal stent (SEMS) placement or emergency surgery as palliative treatment for obstructive colorectal cancer: a systematic review and meta-analysis. Crit Rev Oncol Hematol 155:103110","journal-title":"Crit Rev Oncol Hematol"},{"issue":"1","key":"3332_CR7","first-page":"1","volume":"17","author":"PM Cardoso","year":"2025","unstructured":"Cardoso PM, Rodrigues-Pinto E (2025) Self-expandable metal stents for obstructing colon cancer and extracolonic cancer: a review of latest evidence. Cancers (Basel) 17(1):1\u201314","journal-title":"Cancers (Basel)"},{"key":"3332_CR8","doi-asserted-by":"publisher","first-page":"127","DOI":"10.1016\/j.amjsurg.2013.07.027","volume":"207","author":"R Frago","year":"2014","unstructured":"Frago R, Ramirez E, Millan M, Kreisler E, Del Valle E, Biondo S (2014) Current management of acute malignant large bowel obstruction: a systematic review. Am J Surg 207:127\u2013138","journal-title":"Am J Surg"},{"issue":"7","key":"3332_CR9","doi-asserted-by":"publisher","first-page":"448","DOI":"10.1016\/j.ciresp.2011.04.004","volume":"89","author":"R Frago","year":"2011","unstructured":"Frago R, Kreisler E, Biondo S, Alba E, Dom\u00ednguez J, Golda T et al (2011) Complications of distal intestinal occlusion treatment with endoluminal implants. Cir Esp 89(7):448\u2013455","journal-title":"Cir Esp"},{"issue":"5","key":"3332_CR10","doi-asserted-by":"publisher","first-page":"373","DOI":"10.1016\/0021-9681(87)90171-8","volume":"40","author":"ME Charlson","year":"1987","unstructured":"Charlson ME, Pompei P, Ales KL, MacKenzie CR (1987) A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis 40(5):373\u2013383","journal-title":"J Chronic Dis"},{"key":"3332_CR11","first-page":"61","volume":"14","author":"FI Mahoney","year":"1965","unstructured":"Mahoney FI, Barthel DW (1965) Functional evaluation: the Barthel Index. Md State Med J 14:61\u201365","journal-title":"Md State Med J"},{"issue":"6","key":"3332_CR12","doi-asserted-by":"publisher","first-page":"649","DOI":"10.1097\/00000421-198212000-00014","volume":"5","author":"MM Oken","year":"1982","unstructured":"Oken MM, Creech RH, Tormey DC, Horton J, Davis TE, McFadden ET et al (1982) Toxicity and response criteria of the Eastern Cooperative Oncology Group. Am J Clin Oncol 5(6):649\u2013655","journal-title":"Am J Clin Oncol"},{"issue":"4","key":"3332_CR13","doi-asserted-by":"publisher","first-page":"M139","DOI":"10.1093\/geronj\/46.4.M139","volume":"46","author":"V Crooks","year":"1991","unstructured":"Crooks V, Waller S, Smith T, Hahn TJ (1991) The use of the Karnofsky Performance Scale in determining outcomes and risk in geriatric outpatients. J Gerontol 46(4):M139\u2013M144","journal-title":"J Gerontol"},{"issue":"2","key":"3332_CR14","doi-asserted-by":"publisher","first-page":"205","DOI":"10.1097\/01.sla.0000133083.54934.ae","volume":"240","author":"D Dindo","year":"2004","unstructured":"Dindo D, Demartines N, Clavien PA (2004) Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg 240(2):205\u2013213","journal-title":"Ann Surg"},{"key":"3332_CR15","doi-asserted-by":"crossref","unstructured":"Faraz SBS, Salem SB, Schattner M, Mendelsohn R, Markowitz A, Ludwig E, et al. (2021) Predictors of clinical outcome of colonic stents in patients with malignant large-bowel obstruction due to extracolonic malignancy. 87(5):1310\u20137.","DOI":"10.1016\/j.gie.2017.12.017"},{"issue":"3","key":"3332_CR16","doi-asserted-by":"publisher","first-page":"675","DOI":"10.1016\/j.gie.2008.09.009","volume":"69","author":"RN Keswani","year":"2009","unstructured":"Keswani RN, Azar RR, Edmundowicz SA, Zhang Q, Ammar T (2009) Stenting for malignant colonic obstruction\u202f: a comparison of efficacy and complications in colonic versus extracolonic malignancy. Gastrointest Endosc [Internet] 69(3):675\u2013680. https:\/\/doi.org\/10.1016\/j.gie.2008.09.009","journal-title":"Gastrointest Endosc [Internet]"},{"key":"3332_CR17","unstructured":"Hospital SN. Comparison of the efficacy of self \u2011 expandable metallic stents in colorectal obstructions caused by extracolonic malignancy and colorectal cancer. 2021;"},{"key":"3332_CR18","doi-asserted-by":"publisher","first-page":"355","DOI":"10.5946\/ce.2013.46.4.355","volume":"46","author":"KJ Lee","year":"2013","unstructured":"Lee KJ, Kim SW, Kim TI, Lee JH, Lee BI, Keum B et al (2013) Evidence-based recommendations on colorectal stenting\u202f: a report from the stent study group of the korean society of gastrointestinal endoscopy. Clin Endoscopy 46:355\u2013367","journal-title":"Clin Endoscopy"},{"key":"3332_CR19","doi-asserted-by":"publisher","first-page":"630","DOI":"10.1002\/jgh3.12800","volume":"6","author":"S Pattarajierapan","year":"2022","unstructured":"Pattarajierapan S, Manomayangoon C, Tipsuwannakul P, Khomvilai S (2022) Comparison of colonic stenting and stoma creation as palliative treatment for incurable malignant colonic obstruction. JGH Open 6:630\u2013636","journal-title":"JGH Open"},{"issue":"2","key":"3332_CR20","doi-asserted-by":"publisher","first-page":"230","DOI":"10.1016\/j.clinre.2015.09.004","volume":"40","author":"N C\u00e9z\u00e9","year":"2016","unstructured":"C\u00e9z\u00e9 N, Charachon A, Locher C, Aparicio T, Mitry E, Barbieux J et al (2016) Safety and efficacy of palliative systemic chemotherapy combined with colorectal self-expandable metallic stents in advanced colorectal cancer: a multicenter study. Clin Res Hepatol Gastroenterol [Internet] 40(2):230\u2013238","journal-title":"Clin Res Hepatol Gastroenterol [Internet]"},{"issue":"8","key":"3332_CR21","doi-asserted-by":"publisher","first-page":"1891","DOI":"10.1007\/s10620-013-2876-6","volume":"59","author":"S Jin","year":"2014","unstructured":"Jin S, Sang M, Kim W, Lim B, in LC hyun. (2014) Palliative stent for malignant colonic obstruction by extracolonic malignancy: a comparison with colorectal cancer. Digestive Diseases Sci 59(8):1891\u20131897","journal-title":"Digestive Diseases Sci"},{"key":"3332_CR22","doi-asserted-by":"crossref","unstructured":"Ishibashi R, Sasaki T, Isayama H, Matsuzawa T, Kuwai T. A Japanese Prospective , Multicenter Study of Colonic Stenting for Palliation Using a High Axial Force Self-Expandable Metal Stent for Malignant Large Bowel Obstruction in 200 Patients. 2023;","DOI":"10.20944\/preprints202305.1721.v1"},{"issue":"9","key":"3332_CR23","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1093\/bjs\/znaf117","volume":"112","author":"Group CC","year":"2025","unstructured":"Group CC (2025) Covered versus uncovered endoluminal stenting in the acute management of obstructing colorectal cancer in the palliative setting\u202f: randomized clinical trial ( CReST2 ). Br J Surg 112(9):1\u201314. https:\/\/doi.org\/10.1093\/bjs\/znaf117","journal-title":"Br J Surg"},{"key":"3332_CR24","doi-asserted-by":"publisher","first-page":"821","DOI":"10.3390\/cancers16040821","volume":"16","author":"A Mauro","year":"2024","unstructured":"Mauro A, Scalvini D, Borgetto S, Fugazzola P, Mazza S, Perretti I et al (2024) Malignant acute colonic obstruction: multidisciplinary approach for endoscopic management. Cancers (Basel) 16:821","journal-title":"Cancers (Basel)"}],"container-title":["Techniques in Coloproctology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10151-026-03332-6","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10151-026-03332-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10151-026-03332-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T03:22:00Z","timestamp":1783394520000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10151-026-03332-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,13]]},"references-count":24,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,12]]}},"alternative-id":["3332"],"URL":"https:\/\/doi.org\/10.1007\/s10151-026-03332-6","relation":{"has-preprint":[{"id-type":"doi","id":"10.21203\/rs.3.rs-8254343\/v1","asserted-by":"object"}]},"ISSN":["1123-6337","1128-045X"],"issn-type":[{"value":"1123-6337","type":"print"},{"value":"1128-045X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,13]]},"assertion":[{"value":"1 December 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 March 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"13 May 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors confirm there is no known conflict of interest associated with this publication.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"All the investigators conducted the study following the principles of the Declaration of Helsinki of 1975 (as revised in 2008).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Yes.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"Yes.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}}],"article-number":"98"}}