Amelung, 2016 ¿ deviating colostomy construction versus stent placement as bridge to surgery for malignant left-sided colonic obstruction.All patients underwent the initial decompression procedure within 48 h after presentation with obstructive symptoms.The gastrointestinal surgeon on call performed the colostomy constructions, while sems placement was performed by one of three expert endoscopists with a minimum of 4-year experience ([20 procedures) with colonic stent placement.Colostomies were constructed on the right transverse colon.An incision was made in the right upper abdominal quadrant; the transverse colon was elevated to the skin, temporarily anchored with a plastic rod and fixed with resolvable stitches.Four different stent types were used, based on availability, i.E., wallstent _ (boston scientific, natrick, ma, usa), wallflex_ (boston scientific), ultraflex_ (boston scientific) and evolution_ (cook medical, limerick, ireland).After colostomy construction or stent placement, patients received enteral feeding as soon as possible.Elective resection was performed after approximately 2¿4 weeks.Six patients with technically successful stent placement did not have any relief of symptoms, due to: stent migration (n = 1).Patient outcome: require intervention/additional procedures s=4.Patient/event info - notes: as per fda guidance: average patient age and weight, as well as the gender of the majority of patients involved/individual patient info if available.
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