Placement of the Decompression Tube as a Bridge to Surgery for Acute Malignant Left-Sided Colonic Obstruction

Abstract

Decompression tube can serve as an easy, safe, and effective bridge to subsequent surgery for patients with acute malignant left-sided colonic obstruction.

Transanal decompression tube is superior to self‐expandable metallic colonic stent for malignant colorectal obstruction: a retrospective study

“…TDT and SEMS are two of the most common procedures used to avoid these risks 22 . Many comparative studies have shown better outcomes associated with a TDT or SEMS than with emergency surgery for MLBO 25–27 . However, the comparative studies in the Chinese population are rare, and the difference at the histopathological level was little known.…”

“…22 Many comparative studies have shown better outcomes associated with a TDT or SEMS than with emergency surgery for MLBO. [25][26][27] However, the comparative studies in the Chinese population are rare, and the difference at the histopathological level was little known. Therefore, in our study, the efficacy of decompression treated with the two managements in Chinese patients with MLBO as BTS were compared.…”

Fluoroscopy‑guided long intestinal tube placement for the treatment of malignant bowel obstruction

“…The occurrence of MBO results in a series of pathological and physiological changes, including bowel ischaemia and anoxia, oedema of the intestinal dissepiments, and bacterial translocation and infection, which aggravate the increase in vascular permeability and destroy the liquid secretion absorption equilibrium in the intestinal canal, ultimately resulting in intestinal wall necrosis, perforation, haemorrhage, infection and septic shock (2)(3)(4)(5)14,15). Therefore, it is essential to reduce the pressure of the intestinal cavity and drain intestinal contents effectively, as well as to improve the blood supply of the intestinal wall in a timely manner.…”

“…Malignant bowel obstruction (MBO) is a common complication of advanced cancer of gastrointestinal or gynaecological origin and can result in a potentially life-threatening emergency, including rupture of the intestine, sepsis and multi-organ failure, without timely and effective treatment (1,2). However, due to colonic distension with faecal loading, dehydration, electrolyte imbalance, oedema of the intestinal dissepiment, localised tumours and a poor general condition in elderly patients, emergency colonic surgery for acute obstruction is associated with a high mortality rate of 15-34%, which is significantly higher than the mortality rates following elective surgery (3,4).…”