Self-expandable metal stents for obstructing colonic and extracolonic cancer: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline

Jeanin E. Van Hooft, Emo E. Van Halsema, Geoffroy Vanbiervliet, Regina G.H. Beets-Tan, John M. Dewitt, Fergal Donnellan, Jean Marc Dumonceau, Robert G.T. Glynne-Jones, Cesare Hassan, Javier Jiménez-Perez, Soren Meisner, V. Raman Muthusamy, Michael C. Parker, Jean Marc Regimbeau, Charles Sabbagh, Jayesh Sagar, Pieter J. Tanis, Jo Vandervoort, George J. Webster, Gianpiero ManesMarc A. Barthet, Alessandro Repici

Research output: Contribution to journalArticle

127 Citations (Scopus)

Abstract

This Guideline is an official statement of the European Society of Gastrointestinal Endoscopy (ESGE). This Guideline was also reviewed and endorsed by the Governing Board of the American Society for Gastrointestinal Endoscopy (ASGE). The Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system was adopted to define the strength of recommendations and the quality of evidence. Main recommendations The following recommendations should only be applied after a thorough diagnostic evaluation including a contrast-enhanced computed tomography (CT) scan. 1 Prophylactic colonic stent placement is not recommended. Colonic stenting should be reserved for patients with clinical symptoms and imaging evidence of malignant large-bowel obstruction, without signs of perforation (strong recommendation, low quality evidence). 2 Colonic self-expandable metal stent (SEMS) placement as a bridge to elective surgery is not recommended as a standard treatment of symptomatic left-sided malignant colonic obstruction (strong recommendation, high quality evidence). 3 For patients with potentially curable but obstructing left-sided colonic cancer, stent placement may be considered as an alternative to emergency surgery in those who have an increased risk of postoperative mortality, i. e. American Society of Anesthesiologists (ASA) Physical Status ≥ III and/or age > 70 years (weak recommendation, low quality evidence). 4 SEMS placement is recommended as the preferred treatment for palliation of malignant colonic obstruction (strong recommendation, high quality evidence), except in patients treated or considered for treatment with antiangiogenic drugs (e. g. bevacizumab) (strong recommendation, low quality evidence).

Original languageEnglish (US)
Pages (from-to)990-1002
Number of pages13
JournalEndoscopy
Volume46
Issue number11
DOIs
StatePublished - Jul 14 2014

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Colonic Neoplasms
Guidelines
Stents
Governing Board
Gastrointestinal Endoscopy
Emergencies
Therapeutics
Tomography
Mortality
Pharmaceutical Preparations
Self Expandable Metallic Stents
Bevacizumab

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Self-expandable metal stents for obstructing colonic and extracolonic cancer : European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline. / Van Hooft, Jeanin E.; Van Halsema, Emo E.; Vanbiervliet, Geoffroy; Beets-Tan, Regina G.H.; Dewitt, John M.; Donnellan, Fergal; Dumonceau, Jean Marc; Glynne-Jones, Robert G.T.; Hassan, Cesare; Jiménez-Perez, Javier; Meisner, Soren; Muthusamy, V. Raman; Parker, Michael C.; Regimbeau, Jean Marc; Sabbagh, Charles; Sagar, Jayesh; Tanis, Pieter J.; Vandervoort, Jo; Webster, George J.; Manes, Gianpiero; Barthet, Marc A.; Repici, Alessandro.

In: Endoscopy, Vol. 46, No. 11, 14.07.2014, p. 990-1002.

Research output: Contribution to journalArticle

Van Hooft, JE, Van Halsema, EE, Vanbiervliet, G, Beets-Tan, RGH, Dewitt, JM, Donnellan, F, Dumonceau, JM, Glynne-Jones, RGT, Hassan, C, Jiménez-Perez, J, Meisner, S, Muthusamy, VR, Parker, MC, Regimbeau, JM, Sabbagh, C, Sagar, J, Tanis, PJ, Vandervoort, J, Webster, GJ, Manes, G, Barthet, MA & Repici, A 2014, 'Self-expandable metal stents for obstructing colonic and extracolonic cancer: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline', Endoscopy, vol. 46, no. 11, pp. 990-1002. https://doi.org/10.1055/s-0034-1390700
Van Hooft, Jeanin E. ; Van Halsema, Emo E. ; Vanbiervliet, Geoffroy ; Beets-Tan, Regina G.H. ; Dewitt, John M. ; Donnellan, Fergal ; Dumonceau, Jean Marc ; Glynne-Jones, Robert G.T. ; Hassan, Cesare ; Jiménez-Perez, Javier ; Meisner, Soren ; Muthusamy, V. Raman ; Parker, Michael C. ; Regimbeau, Jean Marc ; Sabbagh, Charles ; Sagar, Jayesh ; Tanis, Pieter J. ; Vandervoort, Jo ; Webster, George J. ; Manes, Gianpiero ; Barthet, Marc A. ; Repici, Alessandro. / Self-expandable metal stents for obstructing colonic and extracolonic cancer : European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline. In: Endoscopy. 2014 ; Vol. 46, No. 11. pp. 990-1002.
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AU - Vanbiervliet, Geoffroy

AU - Beets-Tan, Regina G.H.

AU - Dewitt, John M.

AU - Donnellan, Fergal

AU - Dumonceau, Jean Marc

AU - Glynne-Jones, Robert G.T.

AU - Hassan, Cesare

AU - Jiménez-Perez, Javier

AU - Meisner, Soren

AU - Muthusamy, V. Raman

AU - Parker, Michael C.

AU - Regimbeau, Jean Marc

AU - Sabbagh, Charles

AU - Sagar, Jayesh

AU - Tanis, Pieter J.

AU - Vandervoort, Jo

AU - Webster, George J.

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AU - Repici, Alessandro

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