Аннотация:
AIM: To determine optimal treatment strategy for acute malignant colonic obstruction. MATERIAL AND METHODS: 349 patients with acute malignant colonic obstruction were retrospectively analyzed for the period 2005-2017. All patients were divided into two groups depending on surgical approach. Surgical group comprised 259 patients, endoscopic group - 90 patients. Both groups were comparable by gender, age, level of intestinal obstruction and duration of the disease. However, morbidity and mortality rate were significantly different. RESULTS: In surgical group incidence of complications was 63.3[%], mortality - 19.7[%]. In group of endoscopic stenting the same values were 8.9[%] and 6.7[%], respectively. Significant differences of morbidity and mortality were observed between groups (p<0.05). CONCLUSION: Endoscopic stenting should be preferred over surgery to eliminate colonic obstruction in patients with acute malignant ileus.Цель исследования - определение оптимальной тактики лечения больных ост
Ключевые слова:
acute colonic obstruction; colorectal cancer; endoscopic stenting of colon
colon; colon disease; colorectal tumor; human; intestine obstruction; retrospective study; stent; Colon; Colonic Diseases; Colorectal Neoplasms; Humans; Intestinal Obstruction; Retrospective Studies; Stents
Бокарев М. И. Михаил Игоревич 1964-
Водолеев А. С.
Мамyкин А. М.
Мунтяну Е. В. Евгений Валерьевич 1992-
Дуванскy В. А.
Демьянов А. И. Андрей Иванович 1959-
Белов Ю. В. Юрий Владимирович 1954-
Bokarev M. I. Mikhail Igorevich 1964-
Vodoleev A. S.
Mamykin A. M.
Muntyanu E. V. Evgenij Valeryevich 1992-
Duvansky V. A.
Dem`yanov A. I. Andrej Ivanovich 1959-
Belov Yu. V. Yurij Vladimirovich 1954-
Effectiveness of various approaches for acute malignant colonic obstruction [Sravnitel'naia otsenka éffektivnosti razlichnykh sposobov lecheniia bol'nykh ostroĭ tolstokishechnoĭ neprokhodimost'iu opukholevogo geneza]
Effectiveness of various approaches for acute malignant colonic obstruction [Sravnitel'naia otsenka éffektivnosti razlichnykh sposobov lecheniia...
Текст визуальный непосредственный
Хирургия. Журнал им. Н.И. Пирогова
Издательство Медиа Сфера
Вып. 10 С. 55-60
2018
Статья
acute colonic obstruction colorectal cancer endoscopic stenting of colon
colon colon disease colorectal tumor human intestine obstruction retrospective study stent Colon Colonic Diseases Colorectal Neoplasms Humans Intestinal Obstruction Retrospective Studies Stents
AIM: To determine optimal treatment strategy for acute malignant colonic obstruction. MATERIAL AND METHODS: 349 patients with acute malignant colonic obstruction were retrospectively analyzed for the period 2005-2017. All patients were divided into two groups depending on surgical approach. Surgical group comprised 259 patients, endoscopic group - 90 patients. Both groups were comparable by gender, age, level of intestinal obstruction and duration of the disease. However, morbidity and mortality rate were significantly different. RESULTS: In surgical group incidence of complications was 63.3[%], mortality - 19.7[%]. In group of endoscopic stenting the same values were 8.9[%] and 6.7[%], respectively. Significant differences of morbidity and mortality were observed between groups (p<0.05). CONCLUSION: Endoscopic stenting should be preferred over surgery to eliminate colonic obstruction in patients with acute malignant ileus.Цель исследования - определение оптимальной тактики лечения больных ост