Although various retrospective case series have reported the bene

Although various retrospective case series have reported the benefits of this intervention [12–14], there are yet no good quality data to support its clinical advantage over emergency surgery. In conclusion, our study found that a luminal obstruction detected by endoscopy was significantly associated with locally advanced tumor. This group of CRC patients had a higher risk of requiring an unplanned operation. The data suggest that this endoscopic

finding should be regarded as an indication that these patients should be considered for fast-track surgical scheduling list. Acknowledgements The authors thank the Medical Records Unit, Songklanagarind Hospital for their assistance in retrieving the archived patient records. Dave Patterson of the International Affair Unit, Faculty of Medicine, Prince of Songkla University, offered editorial SHP099 suggestions for the English in the manuscript. References 1. Department of Health: The NHS Cancer Plan. London: Department

of Health; 2000. 2. Duff SE, Wood C, McCredie V, Levine E, Saunders MP, O’Dwyer ST: Waiting times for treatment of rectal cancer in North West England. J R Soc Med 2004, 97:117–118.APO866 PubMedCrossRef 3. Hanna SJ, Muneer A, Khalil KH: The 2-week wait for suspected cancer: time for a rethink? Int J Clin Pract 2005, 59:1334–1339.PubMedCrossRef DAPT in vivo 4. Wong SK, Jalaludin BB, Morgan MJ, Berthelsen AS, Morgan A, Gatenby AH, Fulham SB: Tumor pathology and long-term survival in emergency colorectal cancer. Dis Colon Rectum 2008, 51:223–230.PubMedCrossRef 5. Bass G, Fleming C, Conneely J, Martin Z, Mealy K: Emergency first BCKDHA presentation of colorectal cancer predicts significantly poorer outcomes: a review of 356 consecutive Irish patients. Dis Colon Rectum 2009, 52:678–684.PubMedCrossRef 6. Kritsanasakul A, Boonpipattanapong T, Wanitsuwan W, Phukaoloun M, Prechawittayakul P, Sangkhathat S: Impact of lymph node retrieval on surgical outcomes in colorectal cancers. J Surg Oncol 2012, 106:238–242.PubMedCrossRef 7. Cuffy

M, Abir F, Audisio RA, Longo WE: Colorectal cancer presenting as surgical emergencies. Surg Oncol 2004, 13:149–157.PubMedCrossRef 8. Ghazi S, Berg E, Lindblom A, Lindforss U, Low-Risk Colorectal Cancer Study Group: Clinicopathological analysis of colorectal cancer: a comparison between emergency and elective surgical cases. World J Surg Oncol 2013, 11:133.PubMedCrossRef 9. Chen HS, Sheen-Chen SM: Obstruction and perforation in colorectal adenocarcinoma: an analysis of prognosis and current trends. Surgery 2000, 127:370–376.PubMedCrossRef 10. Scott MA, Knight A, Brown K, Novell JR: A single common urgent pathway for all colorectal referrals reduces time to diagnosis and treatment. Colorectal Dis 2006, 8:766–771.PubMedCrossRef 11. Baik SH, Kim NK, Cho HW, Lee KY, Sohn SK, Cho CH, Kim TI, Kim WH: Clinical outcomes of metallic stent insertion for obstructive colorectal cancer. Hepatogastroenterol 2006, 53:183–187. 12.

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