Colorectal cancer is one of the commonly encounteredcancers across the Western World. In United Kingdom,this constitutes third most common ranked cancer andsecond most common ranked cause of cancer relateddeaths. Its acute presentation as a malignant colonicobstruction imposes challenges in its management.Colonic stent has been used for many years to alleviateSubmit a Manuscript http://www.wjgnet.com/esps/Help Desk: http://www.wjgnet.com/esps/helpdesk.aspxDOI: 10.4253/wjge.v8.i4.198World J Gastrointest Endosc 2016 February 25; 8(4): 198-204ISSN 1948-5190 (online)? 2016 Baishideng Publishing Group Inc. All rights reserved.acute obstruction in such cases allowing optimisationof patient's physiological status and adequate stagingof cancer. In this review, current literature evidenceregarding use of colonic stent in acute malignant colonicobstruction is critically appraised and recommendationson the use of colonic stent are advocated.