{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T19:46:49Z","timestamp":1775504809407,"version":"3.50.1"},"reference-count":29,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2023,8,30]],"date-time":"2023-08-30T00:00:00Z","timestamp":1693353600000},"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":["J of Gastro and Hepatol"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and Aim<\/jats:title><jats:p>This study aimed to investigate the effect of stenting\u2010related factors, including endoscopists' expertise, on clinical outcomes after bridge\u2010to\u2010surgery (BTS) stenting for obstructive colorectal cancer (CRC).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We analyzed BTS stenting\u2010related factors, including stenting expertise and the interval between stenting and surgery, in 233 patients (63 [13] years, 137 male) who underwent BTS stenting for obstructive CRC. We evaluated the influence of these factors on post\u2010BTS stenting clinical outcomes such as stent\u2010related complications and cancer recurrence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The interval between stenting and surgery was \u2264\u00a07\u00a0days in 79 patients (33.9%) and &gt;\u00a07\u00a0days in 154 patients (66.1%). BTS stenting was performed by endoscopists with \u2264\u00a050, 51\u2013100, and &gt;\u00a0100 prior stenting experiences in 94, 43, and, 96 patients, respectively. The clinical success rate of BTS stenting was 93.1%. Stent\u2010related and postoperative complications developed in 19 (8.2%) and 20 (8.6%) patients, respectively. Cancer recurrence occurred in 76 patients (32.6%). Short BTS interval of \u2264\u00a07\u00a0days increased the risk of postoperative complications (odds ratio [OR], 2.61 [1.03\u20136.75]; <jats:italic>P<\/jats:italic>\u00a0=\u00a00.043). Endoscopists' stenting experience &gt;\u00a0100 showed greater clinical success of stenting (OR, 5.50 [1.45\u201328.39]; <jats:italic>P<\/jats:italic>\u00a0=\u00a00.021) and fewer stent\u2010related complications (OR, 0.26 [0.07\u20130.80]; <jats:italic>P<\/jats:italic>\u00a0=\u00a00.028) compared with stenting experience \u2264\u00a050. BTS stenting\u2010related factors did not affect long\u2010term oncological outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Greater expertise of endoscopists was associated with better short\u2010term outcomes, including high stenting success rate and low rate of stent\u2010related complications after BTS stenting for obstructive CRC. An interval of &gt;\u00a07\u00a0days between BTS stenting and surgery was required to decrease postoperative complications.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jgh.16338","type":"journal-article","created":{"date-parts":[[2023,8,30]],"date-time":"2023-08-30T11:43:25Z","timestamp":1693395805000},"page":"2152-2159","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Influence of endoscopists' expertise level on clinical outcomes after bridge\u2010to\u2010surgery stenting in obstructive colorectal cancer"],"prefix":"10.1111","volume":"38","author":[{"given":"Suhyun","family":"Park","sequence":"first","affiliation":[{"name":"Department of Gastroenterology University of Ulsan College of Medicine, Asan Medical Center  Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jae Yong","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology University of Ulsan College of Medicine, Asan Medical Center  Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1440-9950","authenticated-orcid":false,"given":"Seung Wook","family":"Hong","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology University of Ulsan College of Medicine, Asan Medical Center  Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sung Wook","family":"Hwang","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology University of Ulsan College of Medicine, Asan Medical Center  Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5366-5749","authenticated-orcid":false,"given":"Sang Hyoung","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology University of Ulsan College of Medicine, Asan Medical Center  Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dong\u2010Hoon","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology University of Ulsan College of Medicine, Asan Medical Center  Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6647-6325","authenticated-orcid":false,"given":"Byong Duk","family":"Ye","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology University of Ulsan College of Medicine, Asan Medical Center  Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seung\u2010Jae","family":"Myung","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology University of Ulsan College of Medicine, Asan Medical Center  Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2772-2575","authenticated-orcid":false,"given":"Suk\u2010Kyun","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology University of Ulsan College of Medicine, Asan Medical Center  Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9793-6379","authenticated-orcid":false,"given":"Jeong\u2010Sik","family":"Byeon","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology University of Ulsan College of Medicine, Asan Medical Center  Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,8,30]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21660"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800810905"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463-1318.2010.02191.x"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-018-6487-3"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.11561"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02049822"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1055\/a-1140-3017"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-019-07346-3"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00595-016-1333-5"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-022-09071-7"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/den.14137"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.9645"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.critrevonc.2018.08.003"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-014-2060-2"},{"key":"e_1_2_6_16_1","article-title":"Colorectal stenting in malignant large bowel obstruction: the learning curve","volume":"2011","author":"Williams D","year":"2011","journal-title":"Int. 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