{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,25]],"date-time":"2026-04-25T15:35:26Z","timestamp":1777131326765,"version":"3.51.4"},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endoscopy"],"published-print":{"date-parts":[[2020,5]]},"abstract":"<jats:title>Main Recommendations<\/jats:title><jats:p>The following recommendations should only be applied after a thorough diagnostic evaluation including a contrast-enhanced computed tomography (CT) scan.<\/jats:p><jats:p>\n          1 ESGE recommends colonic stenting to be reserved for patients with clinical symptoms and radiological signs of malignant large-bowel obstruction, without signs of perforation. ESGE does not recommend prophylactic stent placement.<\/jats:p><jats:p>Strong recommendation, low quality evidence.<\/jats:p><jats:p>\n          2 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.<\/jats:p><jats:p>Strong recommendation, high quality evidence.<\/jats:p><jats:p>\n          3 ESGE recommends colonic stenting as the preferred treatment for palliation of malignant colonic obstruction.<\/jats:p><jats:p>Strong recommendation, high quality evidence.<\/jats:p><jats:p>\n          4 ESGE suggests consideration of colonic stenting for malignant obstruction of the proximal colon either as a bridge to surgery or in a palliative setting.<\/jats:p><jats:p>Weak recommendation, low quality evidence.<\/jats:p><jats:p>\n          5 ESGE suggests a time interval of approximately 2 weeks until resection when colonic stenting is performed as a bridge to elective surgery in patients with curable left-sided colon cancer.<\/jats:p><jats:p>Weak recommendation, low quality evidence.<\/jats:p><jats:p>\n          6 ESGE recommends that colonic stenting should be performed or directly supervised by an operator who can demonstrate competence in both colonoscopy and fluoroscopic techniques and who performs colonic stenting on a regular basis.<\/jats:p><jats:p>Strong recommendation, low quality evidence.<\/jats:p><jats:p>\n          7 ESGE suggests that a decompressing stoma as a bridge to elective surgery is a valid option if the patient is not a candidate for colonic stenting or when stenting expertise is not available.<\/jats:p><jats:p>Weak recommendation, low quality evidence.<\/jats:p>","DOI":"10.1055\/a-1140-3017","type":"journal-article","created":{"date-parts":[[2020,4,7]],"date-time":"2020-04-07T22:58:36Z","timestamp":1586300316000},"page":"389-407","source":"Crossref","is-referenced-by-count":305,"title":["Self-expandable metal stents for obstructing colonic and extracolonic cancer: European Society of Gastrointestinal Endoscopy (ESGE) Guideline \u2013 Update 2020"],"prefix":"10.1055","volume":"52","author":[{"given":"Jeanin E.","family":"van Hooft","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Amsterdam UMC, University of Amsterdam, Cancer Center Amsterdam, The Netherlands"}]},{"given":"Joyce V.","family":"Veld","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Amsterdam UMC, University of Amsterdam, Cancer Center Amsterdam, The Netherlands"},{"name":"Department of Surgery, Amsterdam UMC, University of Amsterdam, Cancer Center Amsterdam, The Netherlands"}]},{"given":"Dirk","family":"Arnold","sequence":"additional","affiliation":[{"name":"Department of Oncology, Hematology and Palliative Care, Asklepios Tumourzentrum Hamburg, Hamburg, Germany"}]},{"given":"Regina G.H.","family":"Beets-Tan","sequence":"additional","affiliation":[{"name":"Department of Radiology, The Netherlands Cancer Institute, Amsterdam, The Netherlands"}]},{"given":"Simon","family":"Everett","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Leeds Teaching Hospital NHS Trust, Leeds, United Kingdom"}]},{"given":"Martin","family":"G\u00f6tz","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology\/Oncology, Klinikum Sindelfingen-B\u00f6blingen, Kliniken B\u00f6blingen, B\u00f6blingen, Germany"}]},{"given":"Emo E.","family":"van Halsema","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Amsterdam UMC, University of Amsterdam, Cancer Center Amsterdam, The Netherlands"}]},{"given":"James","family":"Hill","sequence":"additional","affiliation":[{"name":"Department of Surgery, Manchester University NHS FT, Manchester, United Kingdom"}]},{"given":"Gianpiero","family":"Manes","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Endoscopy, Guido Salvini Hospital, Garbagnate Milanese\/Rho, Milan, Italy"}]},{"given":"Soren","family":"Meisner","sequence":"additional","affiliation":[{"name":"Endoscopy Unit, Digestive Disease Center, Bispebjerg University Hospital, Copenhagen, Denmark"}]},{"given":"Eduardo","family":"Rodrigues-Pinto","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Centro Hospitalar S\u00e3o Jo\u00e3o, Porto, Portugal"}]},{"given":"Charles","family":"Sabbagh","sequence":"additional","affiliation":[{"name":"Department of Digestive and Oncological Surgery, University Hospital of Amiens, France"}]},{"given":"Jo","family":"Vandervoort","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Onze-Lieve-Vrouwziekenhuis, Aalst, Belgium"}]},{"given":"Pieter J.","family":"Tanis","sequence":"additional","affiliation":[{"name":"Department of Surgery, Amsterdam UMC, University of Amsterdam, Cancer Center Amsterdam, The Netherlands"}]},{"given":"Geoffroy","family":"Vanbiervliet","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Centre Hospitalier Universitaire de l\u2019Archet, P\u00f4le digestif, Nice, France"}]},{"given":"Alberto","family":"Arezzo","sequence":"additional","affiliation":[{"name":"Department of Surgical Sciences, Universit\u00e0 di Torino, Torino, Italy"}]}],"member":"194","published-online":{"date-parts":[[2020,4,7]]},"container-title":["Endoscopy"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1140-3017.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,4,22]],"date-time":"2020-04-22T23:01:57Z","timestamp":1587596517000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1140-3017"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,4,7]]},"references-count":0,"journal-issue":{"issue":"05","published-online":{"date-parts":[[2020,4,22]]},"published-print":{"date-parts":[[2020,5]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1140-3017","relation":{},"ISSN":["0013-726X","1438-8812"],"issn-type":[{"value":"0013-726X","type":"print"},{"value":"1438-8812","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,4,7]]}}}