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Updated: Jul 27, 2025

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Published on: March 25, 2022
Acute left-sided malignant colonic obstruction: Is there a role for endoscopic stenting?
Salvatore Russo1, Rita Conigliaro2, Francesca Coppini3
1Gastroenterology and Digestive Endoscopy Unit, Modena University Hospital, Modena 41126, Italy. russo.salvatore@aou.mo.it.
Abstract:
The therapy of left-sided malignant colonic obstruction continues to be one of the largest problems in clinical practice. Numerous studies on colonic stenting for neoplastic colonic obstruction have been reported in the last decades. Thereby the role of self-expandable metal stents (SEMS) in the treatment of malignant colonic obstruction has become better defined. However, numerous prospective and retrospective investigations have highlighted serious concerns about a possible worse outcome after endoscopic colorectal stenting as a bridge to surgery, particularly in case of perforation. This review analyzes the most recent evidence in order to highlight pros and cons of SEMS placement in left-sided malignant colonic obstruction.
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