A large retrospective multicenter study conducted in the Netherlands including almost all hospitals (75 out of 77) and 2587 patients with curative resection of obstructed left-sided colorectal carcinoma (among them, 345 cases of decompressing stoma and 229 cases of endoscopic stenting) showed a decreasing trend in the incidence (from 86.2% to 69.6%) of reversal of emergency resection and an increasing trend in the incidence (from 1.3% to 7.8%) of self-expendable metal stent implantation along with a continuing increase (from 5.2% to 22.7%) in the incidence of decompressing stoma creation.
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Management of obstructed colorectal carcinoma in an emergency setting: An update.
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