{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T11:35:57Z","timestamp":1791200157065,"version":"4.2.0"},"reference-count":30,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2014,5,16]],"date-time":"2014-05-16T00:00:00Z","timestamp":1400198400000},"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":["Colorectal Disease"],"published-print":{"date-parts":[[2014,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">UK<\/jats:styled-content> cancer guidelines recommend patients with colonic obstruction due to suspected malignancy be considered for stenting with a self\u2010expanding metal stent (<jats:styled-content style=\"fixed-case\">SEMS<\/jats:styled-content>). Considerable variation in practice exists due to a lack of expertise, technical difficulties and other, as yet ill\u2010defined features. This retrospective multi\u2010centre study aims to determine the outcome following colonic stenting for large bowel obstruction and identify factors associated with successful intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A regional programme of colonic stenting for large bowel obstruction, in five <jats:styled-content style=\"fixed-case\">UK<\/jats:styled-content> centres from 2005 to 2010 was evaluated for outcome including technical and clinical success, survival, complications and reoperation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A <jats:styled-content style=\"fixed-case\">SEMS<\/jats:styled-content> was inserted in 334 patients, including 264 (79.0%) for palliation and 52 (15.6%) as a bridge to surgery. Technical success was achieved in 292 (87.4%) patients, with 46 (13.8%) experiencing a complication or technical failure. Reoperation was required in 39 (14.8%) patients stented for palliation of colorectal cancer of whom 16 (6.1%) subsequently required a colostomy. A one\u2010stage primary anastomosis was achieved in 35 (67.3%) of the 52 patients undergoing stenting as a bridge to resection. Technical success did not vary by indication or site of obstruction (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.60) but was higher for operators who had performed more than 10 procedures (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 3.34, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.001). <jats:styled-content style=\"fixed-case\">ASA<\/jats:styled-content> grade \u22653 predicted a worse clinical outcome (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 0.43, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.04). The through\u2010the\u2010scope (<jats:styled-content style=\"fixed-case\">TTS<\/jats:styled-content>) endoscopy technique was more successful than radiological placement alone (90.3% <jats:italic>vs<\/jats:italic> 74.8%, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Experienced operators using a <jats:styled-content style=\"fixed-case\">TTS<\/jats:styled-content> technique achieved a better outcome for the emergency management of large bowel obstruction. Older, sicker patients and those with extracolonic and benign strictures fared less well.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.12582","type":"journal-article","created":{"date-parts":[[2014,2,7]],"date-time":"2014-02-07T15:06:00Z","timestamp":1391785560000},"page":"476-483","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":57,"title":["Management of large bowel obstruction with self\u2010expanding metal stents. A multicentre retrospective study of factors determining outcome"],"prefix":"10.1111","volume":"16","author":[{"given":"J.","family":"Geraghty","sequence":"first","affiliation":[{"name":"Department of Gastroenterology Royal Liverpool University Hospital Liverpool UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Sarkar","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Royal Liverpool University Hospital Liverpool UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"Cox","sequence":"additional","affiliation":[{"name":"Department of Molecular and Clinical Cancer Medicine University of Liverpool Liverpool UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Lal","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Salford Royal Hospitals NHS Foundation Trust Salford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Willert","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Manchester Royal Infirmary Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Ramesh","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology University Hospital of South Manchester Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"Bodger","sequence":"additional","affiliation":[{"name":"Digestive Diseases Centre University Hospital Aintree Liverpool UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G. L.","family":"Carlson","sequence":"additional","affiliation":[{"name":"Department of Surgery Salford Royal Hospitals NHS Foundation Trust Salford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,5,16]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800810905"},{"issue":"10","key":"e_1_2_9_3_1","first-page":"986","article-title":"Colonic stents in colorectal obstruction","volume":"64","author":"Arnell T","year":"1998","journal-title":"Am Surg"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800820311"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1072-7515(01)00833-X"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2004.40017.x"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/SMJ.0b013e3181bf69a4"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.3109\/00365521003663696"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02236209"},{"key":"e_1_2_9_10_1","unstructured":"Improving outcomes in colorectal cancers. 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