To the Editor I read with much interest the article by Veld et al.1 The authors analyzed 3253 patients with left-sided malignant colorectal obstruction operated on from January 2009 to December 2016 collected from the Netherlands national data. In a propensity score–matching analysis, they compared 121 patients who had stenting vs 121 patients who had proximal diverting stoma as a bridge to colorectal resection. Patients undergoing stenting had more primary anastomoses, more postresection stomas, fewer major complications, and more subsequent interventions, including stoma reversal. After diverting stoma and stenting, the 3-year locoregional recurrence rates were similar, with a 3-year overall survival rates of 78.0% and 71.8%, respectively.
Identify all potential conflicts of interest that might be relevant to your comment.
Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.
Err on the side of full disclosure.
If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.
Not all submitted comments are published. Please see our commenting policy for details.
Sterpetti AV. Decompressing Stoma vs Stent in Left-Sided Obstructive Colon Cancer. JAMA Surg. 2020;155(8):788–789. doi:10.1001/jamasurg.2020.1665
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: