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Comment & Response
June 3, 2020

Decompressing Stoma vs Stent in Left-Sided Obstructive Colon Cancer

Author Affiliations
  • 1Policlinico Umberto I University of Rome Sapienza, Rome, Italy
JAMA Surg. Published online June 3, 2020. doi:10.1001/jamasurg.2020.1665

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.

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