{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T06:02:43Z","timestamp":1790143363313,"version":"4.0.1"},"reference-count":48,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T00:00:00Z","timestamp":1788998400000},"content-version":"vor","delay-in-days":9,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To compare peri\u2010operative and oncological outcomes between self\u2010expanding metal stents as a bridge\u2010to\u2010surgery (SEM\u2010BTS) and emergency surgery for malignant large bowel obstruction (MLBO) secondary to colorectal cancer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>This systematic review and meta\u2010analysis was conducted in accordance with PRISMA guidelines and registered with PROSPERO (CRD420251114887). A comprehensive search of PubMed, OVID Medline and Embase identified English\u2010language studies from January 2000 to June 2025. Both randomised and observational comparative studies were included. Outcomes analysed included rates of primary anastomosis, stoma formation, peri\u2010operative complications and long\u2010term oncological endpoints.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Twenty\u2010four studies (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u20093449; 7 RCTs and 17 observational) met inclusion criteria. SEM\u2010BTS was associated with higher rates of primary anastomosis (OR 2.81, 95% CI 1.98\u20133.99), lower stoma formation (OR 0.29, 95% CI 0.20\u20130.41) and greater use of laparoscopic surgery (OR 5.13, 95% CI 1.67\u201315.79). There were no significant differences in anastomotic leak, post\u2010operative mortality, recurrence or 5\u2010year overall survival.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>SEM\u2010BTS provides superior short\u2010term surgical outcomes without compromising oncological safety when applied in appropriately selected patients with centres with experienced endoscopists. While stent\u2010related complications remain a concern, SEM\u2010BTS may be considered a viable alternative to emergency surgery for left\u2010sided MLBO.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/codi.70618","type":"journal-article","created":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T07:48:48Z","timestamp":1789026528000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Is there a preferred management option for malignant large bowel obstruction secondary to colorectal cancer: A systematic review and meta\u2010analysis between colonic stents as a bridge to surgery versus emergency surgery?"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4829-0495","authenticated-orcid":false,"given":"Amos Nepacina","family":"Liew","sequence":"first","affiliation":[{"name":"Department of Colorectal Surgery Monash Health  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