Table 2 Guideline recommendations on primary surgery or stenting as a bridge to elective surgery for the management of left-sided MBO
Authors | Title of guidelines | Surgery as primary treatment | Stenting as primary treatment | Level/quality of evidence |
|---|---|---|---|---|
ASGE | The role of endoscopy in the management of patients with known and suspected colonic obstruction and pseudo-obstruction [17] | X | ā | Moderate |
NZGG | Management of Early Colorectal Cancer [18] | ā | ā | III |
NCNN | Colon Cancer: Clinical Practice Guidelines in Oncology [19] | ā | ā | NA |
Korean Society of Gastrointestinal Endoscopy | Evidence-Based Recommendations on Colorectal Stenting: A Report from the Stent Study Group of the Korean Society of Gastrointestinal Endoscopy [20] | ā | ā | Moderate |
NICE | Colorectal cancer: diagnosis and management (updated) [21] | ā | ā | Low |
ESGE | Self-expandable metal stents for obstructing colonic and extracolonic cancer: Clinical Guideline [22] | ā | X | Low |
RCSEng | Commissioning guide: Emergency general surgery (acute abdominal pain) [23] | ā | ā | NA |
GGPO | Evidence-Based Guideline for Colorectal Cancer [24] | ā | X | NA |
EURECCA | Multidisciplinary management: European consensus conference colon & rectum [25] | ā | ā | NA |
SFED & FFCD | Place of Colorectal Stents in Therapeutic Management of Malignant Large Bowel Obstructions [26] | ā | X | IV |
SIGN | Diagnosis and Management of Colorectal Cancer (updated) [27] | ā | X | II+ |
Eastern Association for the Surgery of Trauma | Surgery or Stenting for Colonic Obstruction: A Practice Management Guideline from the Eastern Association for the Surgery of Trauma [28] | X | ā | Low |
SICUT | Clinical strategies for the management of intestinal obstruction and pseudo-obstruction [29] | ā | X | NA |
MaHTAS | Management of Colorectal Carcinoma [30] | ā | X | I |
Cancer Council Australia | Emergency management of malignant large bowel obstruction [31] | ā | X | II |
BMJ | Large Bowel Obstruction [32] | ā | ā | NA |
ASCRS | Clinical Practice Guidelines for the Treatment of Colon Cancer [33] | ā | ā | Moderate |
ACPGBI | Guidelines for the Management of Cancer of the Colon, Rectum and Anus (2017) - Surgical Management [34] | ā | ā | II |
WSES | 2017 WSES guidelines on colon and rectal cancer emergencies: obstruction and perforation [16] | ā | X | IB |