Acute Colorectal Obstruction Treated by Means of Transanal Drainage Tube: Effectiveness Before Surgery and Stenting

Abstract

Management of acute colorectal obstruction using the DCT was found to be effective and safe, irrespective of the site or etiology of the obstruction. Therefore, this procedure should be considered as a primary method for decompression of the obstructed colon before considering surgery or stenting.

Oral nutrition for left‐sided malignant colonic obstruction after decompression with a transanal drainage tube: A case series of 6 patients

“…A simple comparison of cost for a one‐stage operation with a TDT versus a bridge to surgery with a SEMS is impossible because preoperative management with a TDT requires admission for several weeks before surgery. However, several studies have shown that the cost of a TDT ($500) is much lower than the cost of a SEMS ($2000) 9, 10, 20. Furthermore, in patients undergoing management with a TDT, combined nutritional therapy involving an LRD and PPN can reduce the cost of nutritional management compared with TPN.…”

“…The best surgical treatment for acute malignant left‐sided large bowel obstruction remains controversial. However, elective one‐stage resection and anastomosis after decompression with a transanal drainage tube (TDT) or a self‐expandable metal stent (SEMS) are expected to improve the postoperative outcome 7, 8, 9, 10, 11. The mortality rate for patients with colorectal cancer undergoing emergency surgery reportedly ranges from 8% to 15%, compared with 3% to 6% mortality in those undergoing elective surgery 4, 6, 12…”

A New Thin Endoscopic Method of Transanal Drainage Tube Insertion for Acute Colonic Obstruction Due to Colorectal Cancer

“…Recently, regardless of the site of colorectal obstruction, the development of a new transanal drainage tube and techniques for its use has made it possible to decompress acute colorectal obstruction [2][3][4] . Several advantages of this method have been reported.…”

Complications of Colonoscopy

“…In 5 series consisting of 153 patients with acute colonic obstruction treated with transanal decompression tube placement, two cases of bowel perforation occurred (1.3%) [86][87][88][89][90].…”