Review Collection: Palliative surgery and stents

73 reviews


Mintziras I, Miligkos M, Wächter S, Manoharan J, Bartsch DK. Palliative surgical bypass is superior to palliative endoscopic stenting in patients with malignant gastric outlet obstruction: systematic review and meta-analysis. Surg Endosc. 2019 Oct;33(10):3153-3164. doi: 10.1007/s00464-019-06955-z. Epub 2019 Jul 22.

Sørensen ST, Kirkegaard AO, Carreon L, Rousing R, Andersen MØ. Vertebroplasty or kyphoplasty as palliative treatment for cancer-related vertebral compression fractures: a systematic review. Spine J. 2019 Feb 26. pii: S1529-9430(19)30073-7. doi: 10.1016/j.spinee.2019.02.012. [Epub ahead of print]


Almadi MA, Barkun A, Martel M. Plastic vs. Self-Expandable Metal Stents for Palliation in Malignant Biliary Obstruction: A Series of Meta-Analyses. Am J Gastroenterol. 2017 Feb;112(2):260-273. doi: 10.1038/ajg.2016.512. Epub 2016 Nov 15.

Almond LM, Hodson J, Ford SJ, Gourevitch D, Roberts KJ, Shah T, Isaac J, Desai A. Role of palliative resection of the primary tumour in advanced pancreatic and small intestinal neuroendocrine tumours: A systematic review and meta-analysis. Eur J Surg Oncol. 2017 Oct;43(10):1808-1815. doi: 10.1016/j.ejso.2017.05.016. Epub 2017 May 25.

Chen HL, Shen WQ, Liu K. Radioactive self-expanding stents for palliative management of unresectable esophageal cancer: A systematic review and meta-analysis. Dis Esophagus. 2017 May 1;30(5):1-16. doi: 10.1093/dote/dow010.

Doosti-Irani A, Mansournia MA, Rahimi-Foroushani A, Haddad P, Holakouie-Naieni K. Complications of stent placement in patients with esophageal cancer: A systematic review and network meta-analysis. PLoS One. 2017 Oct 2;12(10):e0184784. doi: 10.1371/journal.pone.0184784. eCollection 2017.

Liao YY, Peng NF, Long D, Yu PC, Zhang S, Zhong JH, Li LQ. Hepatectomy for liver metastases from gastric cancer: a systematic review. BMC Surg. 2017 Feb 13;17(1):14.

Moole H, Jaeger A, Cashman M, Volmar FH, Dhillon S, Bechtold ML, Puli S. Are self-expandable metal stents superior to plastic stents in palliating malignant distal biliary strictures? A meta-analysis and systematic review. Med J Armed Forces India. 2017 Jan;73(1):42-48. Epub 2016 Oct 27.

Sun L, Zhao F, Zeng Y, Yi C. Risks and benefits of multimodal esophageal cancer treatments: A meta-analysis. Med Sci Monit. 2017 Feb 19;23:889-910.


Atukorale YN, Church JL, Hoggan BL, Lambert RS, Gurgacz SL, Goodall S, Maddern GJ. Self-Expanding Metallic Stents for the Management of Emergency Malignant Large Bowel Obstruction: a Systematic Review. J Gastrointest Surg. 2016 Feb;20(2):455-62.

Bian SB, Shen WS, Xi HQ, Wei B, Chen L. Palliative Therapy for Gastric Outlet Obstruction Caused by Unresectable Gastric Cancer: A Meta-analysis Comparison of Gastrojejunostomy with Endoscopic Stenting. Chin Med J (Engl). 2016 May 5;129(9):1113-21.

Fairhurst K, Leopardi L, Satyadas T, Maddern G. The safety and effectiveness of liver resection for breast cancer liver metastases: A systematic review. Breast. 2016 Dec;30:175-184. Epub 2016 Oct 18.

Graham D, Tisdall MM, Gill D. Corpus callosotomy outcomes in pediatric patients: A systematic review. Epilepsia. 2016 Jul;57(7):1053-68. Epub 2016 May 29.

Health Quality Ontario. Vertebral Augmentation Involving Vertebroplasty or Kyphoplasty for Cancer-Related Vertebral Compression Fractures: A Systematic Review. Ont Health Technol Assess Ser. 2016 May 1;16(11):1-202. eCollection 2016.

Hussain Z, Diamantopoulos A, Krokidis M, Katsanos K. Double-layered covered stent for the treatment of malignant oesophageal obstructions: Systematic review and meta-analysis. World J Gastroenterol. 2016 Sep 14;22(34):7841-50.

Kumagai K, Rouvelas I, Ernberg A, Persson S, Analatos A, Mariosa D, Lindblad M, Nilsson M, Ye W, Lundell L, Tsai JA. A systematic review and meta-analysis comparing partial stomach partitioning gastrojejunostomy versus conventional gastrojejunostomy for malignant gastroduodenal obstruction. Langenbecks Arch Surg. 2016 Sep;401(6):777-85. Epub 2016 Jun 23.

Lilley EJ, Khan KT, Johnston FM, Berlin A, Bader AM, Mosenthal AC, Cooper Z. Palliative Care Interventions for Surgical Patients: A Systematic Review. JAMA Surg. 2016 Feb 1;151(2):172-83.

Long D, Yu PC, Huang W, Luo YL, Zhang S. Systematic review of partial hepatic resection to treat hepatic metastases in patients with gastric cancer. Medicine (Baltimore). 2016 Nov;95(44):e5235.

Minata MK, Bernardo WM, Rocha RS, Morita FH, Aquino JC, Cheng S, Zilberstein B, Sakai P, de Moura EG. Stents and surgical interventions in the palliation of gastric outlet obstruction: a systematic review. Endosc Int Open. 2016 Nov;4(11):E1158-E1170. Epub 2016 Oct 28.

Moole H, Bechtold ML, Cashman M, Volmar FH, Dhillon S, Forcione D, Taneja D, Puli SR. Covered versus uncovered self-expandable metal stents for malignant biliary strictures: A meta-analysis and systematic review. Indian J Gastroenterol. 2016 Sep;35(5):323-330. Epub 2016 Aug 27.

Moole H, Jaeger A, Cashman M, Volmar FH, Dhillon S, Bechtold ML, Puli S. Are self-expandable metal stents superior to plastic stents in palliating malignant distal biliary strictures? A meta-analysis and systematic review. Med J Armed Forces India. 2017 Jan;73(1):42-48. Epub 2016 Oct 27.

Moole H, Dharmapuri S, Duvvuri A, Dharmapuri S, Boddireddy R, Moole V, Yedama P, Bondalapati N, Uppu A, Yerasi C. Endoscopic versus Percutaneous Biliary Drainage in Palliation of Advanced Malignant Hilar Obstruction: A Meta-Analysis and Systematic Review. Can J Gastroenterol Hepatol. Epub 2016 Aug 25.

Markar SR, Mikhail S, Malietzis G, Athanasiou T, Mariette C, Sasako M, Hanna GB. Influence of Surgical Resection of Hepatic Metastases From Gastric Adenocarcinoma on Long-term Survival: Systematic Review and Pooled Analysis. Ann Surg. 2016 Jun;263(6):1092-101.

Zhou MW, Gu XD, Xiang JB, Chen ZY. Clinical safety and outcomes of laparoscopic surgery versus open surgery for palliative resection of primary tumors in patients with stage IV colorectal cancer: a meta-analysis. Surg Endosc. 2016 May;30(5):1902-10. doi: 10.1007/s00464-015-4409-1. Epub 2015 Aug 18.


Sawas T, Al Halabi S, Parsi MA, Vargo JJ. Self-expandable metal stents versus plastic stents for malignant biliary obstruction: a meta-analysis. Gastrointest Endosc. 2015 Aug;82(2):256-267.e7. Epub 2015 May 13.

Takahashi H, Okabayashi K, Tsuruta M, Hasegawa H, Yahagi M, Kitagawa Y. Self-Expanding Metallic Stents Versus Surgical Intervention as Palliative Therapy for Obstructive Colorectal Cancer: A Meta-analysis. World J Surg. 2015 Aug;39(8):2037-44.

van Halsema EE, Rauws EA, Fockens P, van Hooft JE. Self-expandable metal stents for malignant gastric outlet obstruction: A pooled analysis of prospective literature. World J Gastroenterol. 2015 Nov 21;21(43):12468-81.

Zorrón Pu L, de Moura EG, Bernardo WM, Baracat FI, Mendonça EQ, Kondo A, Luz GO, Furuya Júnior CK, Artifon EL. Endoscopic stenting for inoperable malignant biliary obstruction: A systematic review and meta-analysis. World J Gastroenterol. 2015 Dec 21;21(47):13374-85.


France BD, Lewis RA, Sharma ML, Poolman M. Cordotomy in mesothelioma-related pain: a systematic review. BMJ Support Palliat Care. 2014 Mar;4(1):19-29. Epub 2013 Sep 18

Gurusamy KS, Kumar S, Davidson BR, Fusai G. Resection versus other treatments for locally advanced pancreatic cancer. Cochrane Database Syst Rev. 2014 Feb 27;2:CD010244.

Liang TW, Sun Y, Wei YC, Yang DX. Palliative treatment of malignant colorectal obstruction caused by advanced malignancy: a self-expanding metallic stent or surgery? A system review and meta-analysis. Surg Today. 2014 Jan;44(1):22-33.  Epub 2013 Jul 28.

Lasithiotakis K, Antoniou SA, Antoniou GA, Kaklamanos I, Zoras O. Gastrectomy for stage IV gastric cancer. a systematic review and meta-analysis. Anticancer Res. 2014 May;34(5):2079-85.

Pan YM, Pan J, Guo LK, Qiu M, Zhang JJ. Covered versus uncovered self-expandable metallic stents for palliation of malignant gastric outlet obstruction: a systematic review and meta-analysis. BMC Gastroenterol. 2014 Sep 30;14:170.

Paul Olson TJ, Pinkerton C, Brasel KJ, Schwarze ML Palliative surgery for malignant bowel obstruction from carcinomatosis: a systematic review. JAMA Surg. 2014 Apr;149(4):383-92.


Hong WD, Chen XW, Wu WZ, Zhu QH, Chen XR. Metal versus plastic stents for malignant biliary obstruction: an update meta-analysis. Clin Res Hepatol Gastroenterol. 2013 Nov;37(5):496-500.Epub 2013 Jan 18.

Puli SR, Kalva N, Pamulaparthy SR, Bechtold ML, Cashman MD, Volmar FH, Dhillon S, Shekleton MF, Estes NC, Carr-Locke D. Bilateral and unilateral stenting for malignant hilar obstruction: a systematic review and meta-analysis. Indian J Gastroenterol. 2013 Nov;32(6):355-62.Epub 2013 Oct 25.

Sun J, Song Y, Wang Z, Chen X, Gao P, Xu Y, Zhou B, Xu H. Clinical significance of palliative gastrectomy on the survival of patients with incurable advanced gastric cancer: a systematic review and meta-analysis. BMC Cancer. 2013 Dec 5;13:577.

Zhao XD, Cai BB, Cao RS, Shi RH. Palliative treatment for incurable malignant colorectal obstructions: a meta-analysis. World J Gastroenterol. 2013 Sep 7;19(33):5565-74.


Anwar S, Peter MB, Dent J, Scott NA. Palliative excisional surgery for primary colorectal cancer in patients with incurable metastatic disease. Is there a survival benefit? A systematic review. Colorectal Dis. 2012 Aug;14(8):920-30.

Gillen S, Schuster T, Friess H, Kleeff J. Palliative resections versus palliative bypass procedures in pancreatic cancer--a systematic review. Am J Surg. 2012 Apr;203(4):496-502. Epub 2011 Aug 26.

Mahar AL, Coburn NG, Singh S, Law C, Helyer LK. A systematic review of surgery for non-curative gastric cancer. Gastric Cancer.  2012 Sep;15 Suppl 1:S125-37. Epub 2011 Oct 28.


Chew C, Craig L, Edwards R, Moss J, O'Dwyer PJ. Safety and efficacy of percutaneous vertebroplasty in malignancy: a systematic review. Clin Radiol. 2011 Jan;66(1):63-72. Epub 2010 Nov 16.

Chua TC, Saxena A, Liauw W, Chu F, Morris DL.Hepatic resection for metastatic breast cancer: a systematic review.Eur J Cancer. 2011 Oct;47(15):2282-90. Epub 2011 Jul 7.

Pathak S, Jones R, Tang JM, Parmar C, Fenwick S, Malik H, Poston G. Ablative therapies for colorectal liver metastases: a systematic review. Colorectal Dis. 2011 Sep;13(9):e252-65

Stillwell AP, Ho YH, Veitch C. Systematic review of prognostic factors related to overall survival in patients with stage IV colorectal cancer and unresectable metastases. World J Surg. 2011 Mar;35(3):684-92.


Gao F, Bai Y, Ma SR, Liu F, Li ZS. Systematic review: photodynamic therapy for unresectable cholangiocarcinoma. J Hepatobiliary Pancreat Sci. 2010 Mar;17(2):125-31. Epub 2009 May 20.

Kucukmetin A, Naik R, Galaal K, Bryant A, Dickinson HO. Palliative surgery versus medical management for bowel obstruction in ovarian cancer. Cochrane Database Syst Rev. 2010 Jul 7;(7):CD007792.

Sgourakis G, Gockel I, Radtke A, Dedemadi G, Goumas K, Mylona S, Lang H, Tsiamis A, Karaliotas C. The use of self-expanding stents in esophageal and gastroesophageal junction cancer palliation: a meta-analysis and meta-regression analysis of outcomes. Dig Dis Sci. 2010 Nov;55(11):3018-30. Epub 2010 May 4.

Stillwell AP, Buettner PG, Ho YH. Meta-analysis of survival of patients with stage IV colorectal cancer managed with surgical resection versus chemotherapy alone. World J Surg. 2010 Apr;34(4):797-807.


Bird J, Hayter M. A review of the literature on the impact of renal cancer therapy on quality of life. J Clin Nurs. 2009 Oct;18(20):2783-800.

Bouza C, López-Cuadrado T, Cediel P, Saz-Parkinson Z, Amate JM. Balloon kyphoplasty in malignant spinal fractures: a systematic review and meta-analysis. BMC Palliat Care. 2009 Sep 9;8:12.

Garcea G, Ong SL, Dennison AR, Berry DP, Maddern GJ. Palliation of malignant obstructive jaundice. Dig Dis Sci. 2009 Jun;54(6):1184-98. Epub 2008 Sep 4.

Grant DG, Bradley PT, Pothier DD, Bailey D, Caldera S, Baldwin DL, Birchall MA. Complications following gastrostomy tube insertion in patients with head and neck cancer: a prospective multi-institution study, systematic review and meta-analysis. Clin Otolaryngol. 2009 Apr;34(2):103-12.

Gurusamy KS, Pamecha V, Sharma D, Davidson BR. Palliative cytoreductive surgery versus other palliative treatments in patients with unresectable liver metastases from gastro-entero-pancreatic neuroendocrine tumours. Cochrane Database Syst Rev. 2009 Jan 21;(1):CD007118.

Larssen L, Medhus AW, Hauge T. Treatment of malignant gastric outlet obstruction with stents: an evaluation of the reported variables for clinical outcome. BMC Gastroenterol. 2009 Jun 17;9:45.

Lipp A, Lusardi G. A systematic review of prophylactic antimicrobials in PEG placement. J Clin Nurs. 2009 Apr;18(7):938-48. Epub 2008 Nov 29.


Bomeli SR, Desai SC, Johnson JT, Walvekar RR. Management of salivary flow in head and neck cancer patients--a systematic review. Oral Oncol. 2008 Nov;44(11):1000-8. Epub 2008 May 16.

George R, Jeba J, Ramkumar G, Chacko AG, Leng M, Tharyan P. Interventions for the treatment of metastatic extradural spinal cord compression in adults. Cochrane Database Syst Rev. 2008 Oct 8;(4):CD006716. [Updated 2015]

Yakoub D, Fahmy R, Athanasiou T, Alijani A, Rao C, Darzi A, Hanna GB. Evidence-based choice of esophageal stent for the palliative management of malignant dysphagia. World J Surg. 2008 Sep;32(9):1996-2009.


Cipolletta L, Rotondano G, Marmo R, Bianco MA; for the Italian Evidence-Based Gastroenterology & Hepatology Club. Endoscopic palliation of malignant obstructive jaundice: an evidence-based review. Dig Liver Dis. 2007 Apr;39(4):375-88. Epub 2007 Feb 20.

Hosono S, Ohtani H, Arimoto Y, Kanamiya Y. Endoscopic stenting versus surgical gastroenterostomy for palliation of malignant gastroduodenal obstruction: a meta-analysis. J Gastroenterol. 2007 Apr;42(4):283-90. Epub 2007 Apr 26.

Jafri NS, Mahid SS, Minor KS, Idstein SR, Hornung CA, Galandiuk S. Meta-analysis: antibiotic prophylaxis to prevent peristomal infection following percutaneous endoscopic gastrostomy. Aliment Pharmacol Ther. 2007 Mar 15;25(6):647-56.

Jeurnink SM, van Eijck CH, Steyerberg EW, Kuipers EJ, Siersema PD.  Stent versus gastrojejunostomy for the palliation of gastric outlet obstruction: a systematic review. BMC Gastroenterology. 2007 Jun 8;7:18

Moss AC, Morris E, Leyden J, MacMathuna P. Malignant distal biliary obstruction: A systematic review and meta-analysis of endoscopic and surgical bypass results. Cancer Treat Rev. 2007 Apr;33(2):213-21. Epub 2006 Dec 8.


Hammarstrom LE. Role of palliative endoscopic drainage in patients with malignant biliary obstruction. Dig Surg. 2005;22(5):295-304; discussion 305. Epub 2005 Sep 28.

Ok JH, Meyers FJ, Evans CP. Medical and surgical palliative care of patients with urological malignancies. J Urol. 2005 Oct;174(4 pt 1):1177-82.


Dormann A, Meisner S, Verin N, Wenk Lang A. Self-expanding metal stents for gastroduodenal malignancies: systematic review of their clinical effectiveness. Endoscopy. 2004 Jun;36(6):543-50.

Sebastian S, Johnston S, Geoghegan T, Torreggiani W, Buckley M. Pooled analysis of the efficacy and safety of self-expanding metal stenting in malignant colorectal obstruction.  Am J Gastroenterol. 2004 Oct;99(10):2051-7.

Shaw P, Agarwal R. Pleurodesis for malignant pleural effusions. Cochrane Database Syst Rev. 2004;(1):CD002916. [Withdrawn 2013]


Klimo P, Jr., Kestle JR, Schmidt MH. Treatment of metastatic spinal epidural disease: a review of the literature. Neurosurg Focus. 2003 Nov 15;15(5):E1.

Ryken TC, Eichholz KM, Gerszten PC, Welch WC, Gokaslan ZL, Resnick DK. Evidence-based review of the surgical management of vertebral column metastatic disease. Neurosurg Focus. 2003 Nov 15;15(5):E11.


Khot UP, Lang AW, Murali K, Parker MC. Systematic review of the efficacy and safety of colorectal stents. Br J Surg. 2002 Sep;89(9):1096-102.


Feuer DJ, Broadley KE, Shepherd JH, Barton DP. Surgery for the resolution of symptoms in malignant bowel obstruction in advanced gynaecological and gastrointestinal cancer. Cochrane Database Syst Rev. 2000(3):CD002764. [Updated 2016]

Last updated 05 September 2019