Surgical management of large bowel obstruction due to colonic cancer

Gatsoulis, N.; Roukounakis, Nikolaos; Kafetzis, I; Mavrakis, Georgios

doi:10.1007/s10151-004-0120-2

Cited by 13 publications

(13 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Obstruction occurs in the small bowel in 60% of cases and is most commonly due to postoperative adhesions (38.5%) and hernia (21.7%) [1,2]. Occlusion of the large bowel is less common and differs in aetiology (generally malignant), pathophysiology, treatment and prognosis, with a mortality rate around 20% [3].…”

Section: Introductionmentioning

confidence: 99%

“…Multidetector-row computed tomography (MDCT), as the numerous studies in the literature demonstrate, is the most widely used imaging modality in the evaluation of large-bowel obstruction. The technique has a sensitivity of 96%, specificity of 94% and positive predictive value (PPV) of 100% [2,13]. MDCT, when associated with multiplanar reconstructions (MPR) and volume rendering (VR), is accurate in defining the presence, level and he nature of the occlusion and has a sensitivity of 83%, specificity of 93% and accuracy of 91% in identifying the presence of ischaemic complications [14][15][16].…”

Section: Introductionmentioning

confidence: 99%

“…L'ostacolo alla canalizzazione intestinale è localizzato in corrispondenza del tenue nel 60% dei casi ed è più spesso determinato da aderenze post-operatorie (38,5%) ed ernie (21,7%) [1,2]. L'ostruzione del grosso intestino è meno frequente e differisce per eziologia, in genere neoplastica, fisiopatologia, terapia e prognosi, con un tasso di mortalità di circa il 20% [3].…”

Section: Introduzioneunclassified

See 2 more Smart Citations

Prognostic value of MDCT in malignant large-bowel obstructions

Angelelli¹,

Moschetta²,

Binetti³

et al. 2010

Radiol med

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introduzioneunclassified

See 1 more Smart Citation

Prognostic value of MDCT in malignant large-bowel obstructions

Angelelli¹,

Moschetta²,

Binetti³

et al. 2010

Radiol med

View full text Add to dashboard Cite

show abstract

“…The liver must be evaluated by bimanual palpation. In addition, intraoperative ultrasound examination of the liver should be performed whenever a liver metastasis is suspected to assess extent of involvement [4,5,13].…”

Section: Operative Principles Operative Accessmentioning

confidence: 99%

Surgical management of cancer of the colon

Teleky

Kührer

2006

Eur Surg

View full text Add to dashboard Cite

Zusammenfassung. Grundlagen: Die Inzidenz des Kolonkarzinoms hat in den letzten Jahren zugenommen. Ebenso haben sich in den letzten Jahren neue diagnostische und therapeutische Methoden entwickelt.Methodik: Übersicht zum Management des Kolonkarzinoms.Ergebnisse: Die chirurgische Therapie des Kolonkarzinoms bietet bei einer R0-Resektion die einzige Heilungschance. Im fortgeschrittenen Tumorstadium kann die Prognose durch eine Chemotherapie verbessert werden, die Effizienz neoadjuvanter Maßnahmen wurde bisher beim Kolonkarzinom nicht nachgewiesen. Unter dem Gesichtspunkt der intramuralen mikroskopischen Tumorwachstumsausbreitung ist bei den zirkulär wachsenden Kolonkarzinomen ein Sicherheitsabstand von 5 cm ausreichend. Das Ausmaß der Darmresektion wird durch die Resektion der versorgenden Gefäße und das hierdurch definierte Lymphabflussgebiet vorgegeben. Die Prognose des Kolonkarzinoms hängt in erster Linie vom Stadium bei der Diagnosestellung und von der Erfahrung des onkologischen Chirurgen ab. Wichtig für die Prognose sind besonders T-, N-und M-Stadium und das Grading. Die Bedeutung molekularer Marker des Tumorgewebes und des Serums werden derzeit noch diskutiert.Schlussfolgerungen: Bei radikaler chirurgische Therapie kann auch beim Kolonkarzinom ein gutes onkologisches Ergebnis erzielt werden.Schlüsselwörter: Kolonkarzinom, Chirurgie, Onkologie.Summary. Background: The incidence of colon carcinoma has increased during the last years, but novel diagnostic tools have also been developed.Methods: Review on colon carcinoma. Results:The only chance in the cure of colonic carcinoma is achieved by radical surgery (R0-resection). Prognosis of advanced carcinomas may improve with chemotherapy, although the efficiency of neoadjuvant designs has not yet been confirmed. Taking into account the intramural microscopic tumor spread, a safety margin of 5 cm seems to be sufficient for circumferentially growing tumors. The extent of colonic resection is defined by the resection of the blood vessels as well as its lymphovascular excision. Prognosis of colonic cancer depends on the tumor stage at the time of diagnosis as well as on the experience of the operating surgeon. In addition, TNM stage and tumor grading are very important factors, too, regarding prognosis. The impact of molecular markers of tumor tissue and serum are still being discussed.Conclusions: Radical surgical resection can yield good results in the treatment of colon carcinoma.

show abstract

“…In 7 patients (30.44%), temporary colostomy had to be resorted & 8 out of the 23 cases (34.78%) were subjected to end colostomy or ileostomy as definitive procedures. In a study conducted by Gatsolius et al [11], 21 patients with Large Bowel Obstruction underwent emergency surgery. Pateints with Large Bowel Obstruction caused by obstructive malignant colonic lesions underwent either with one-stage primary resection and anastomosis (14 patients, 67%) or twostage operation (7 patients, 33%).…”

Section: Nature Of Surgical Interventionmentioning

confidence: 99%

Assessment of Large Gut Obstruction in Rural setup:

Pukar

Maharaul

Shah

2015

Int Jour of Biomed Res

View full text Add to dashboard Cite

Introduction: Large bowel Obstruction is a widespread, emergent condition, which requires early identification, meticulous work up and prompt surgical intervention, wherever indicated. Materials and Methods: 25 consecutive patients of all age groups (excluding pediatric age group) presenting with large bowel obstruction, who had been admitted in Dhiraj Hospital, between May 2010 to September 2013, were selected randomly. Results and Discussion: Present study revealed highest number of cases of large bowel obstruction occurring in

show abstract

Surgical management of large bowel obstruction due to colonic cancer

Abstract: One-stage primary resection and anastomosis of the large bowel, is a feasible option in cases of emergency. LBO caused by colonic carcinoma can be performed with acceptable morbidity and mortality whenever comorbidity of the patient is not a contraindication.

Cited by 13 publications

References 7 publications

Prognostic value of MDCT in malignant large-bowel obstructions

Prognostic value of MDCT in malignant large-bowel obstructions

Surgical management of cancer of the colon

Assessment of Large Gut Obstruction in Rural setup:

Contact Info

Product

Resources

About