Resumen
Acute colonic obstruction is one of the most common manifestations of locally advanced colorectal cancer. Endoscopic stenting has become by far the minimally invasive treatment of choice for malignant colonic obstruction especially in the palliative setting. However, there are still controversies in the literature about the usefulness and safety of endoscopic stenting as a bridge-to-surgery approach or in patients on antiangiogenic therapy. Moreover, endoscopic colonic stenting is an operative procedure that requires adequate pre-interventional management and specific endoscopic knowledge. The present review aimed to summarize the optimization of endoscopic management of patients with malignant acute colonic obstruction based on a multimodal connection with the various medical specialties involved in managing this urgent clinical scenario.