Table 2.
Comparison of the two main groups of SEMS placement (SEMS as bridge-to-surgery vs palliative SEMS).
| Outcomes | Total (n = 85) |
SEMS as bridge-to-surgery (n = 35) |
Palliative SEMS (n = 50) |
p Value |
|---|---|---|---|---|
| Technical success, n (%) | 85 (94.4) | − | – | − |
| Clinical success, n (%) | 59 (69.4) | 29 (82.9) | 30 (60.0) | 0.024 |
| Complications, n (%)a | 26 (30.6) | 6 (17.1) | 20 (40.0) | 0.024 |
| Stent occlusion | 16 (18.8) | 3 (8.6) | 13 (26.0) | 0.043 |
| Stent migration | 8 (9.4) | 3 (8.6) | 5 (10.0) | 1.000 |
| Bowel perforation | 6 (7.1) | 0 | 6 (12.0) | 0.040 |
| Early complications, n (%) | 12 (44.4) | 3 (50.0) | 9 (42.9) | 1.000 |
| Late complications, n (%) | 16 (59.3) | 3 (50.0) | 13 (61.9) | 0.662 |
| Reinterventions, n (%) | 26 (30.6) | 6 (17.1) | 20 (40.0) | 0.024 |
| Urgent surgery | 11 (42.3) | 1 (16.7) | 10 (50.0) | 0.197 |
| Stent reinsertion | 15 (57.7) | 5 (83.3) | 10 (50.0) | 0.197 |
| Mortality, n (%) | ||||
| 30-day mortality | 8 (16.3) | 1 (10.0) | 7 (17.9) | 1.000 |
| Overall mortality | 49 (61.3) | 10 (31.3) | 39 (81.3) | 0.001 |
| Survival (days), mean ± SD (range) | 853.3 ± 125.8 (2–2684) | 1620.4 ± 237.2 (18–2684) | 421.3 ± 83.9 (2–1931) | 0.001 |
| Stent patency (days), mean ± SD (range) | – | – | 154.5 ± 151.8 (1–553) | – |
| Time to surgery (days), mean ± SD (range) | – | 21.1 ± 18.7 (3–77) | – | – |
a
More than one patient had more than one complication.