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  • Title: Surgical management of large bowel obstruction due to colonic cancer.
    Author: Gatsoulis N, Roukounakis N, Kafetzis I, Mavrakis G.
    Journal: Tech Coloproctol; 2004 Nov; 8 Suppl 1():s82-4. PubMed ID: 15655653.
    Abstract:
    BACKGROUND: Bowel obstruction represents a common surgical emergency. The purpose of this study is to highlight our principles while managing cases of large bowel obstruction (LBO) due to colonic carcinoma. METHODS: Twenty-one patients with LBO underwent emergency surgery. Patients with LBO caused by obstructive malignant colonic lesions underwent either with one-stage primary resection and anastomosis (14 patients, 67%) or two-stage operation (7 patients, 33%). RESULTS: There were no operation-related complications. The average length of hospitalisation was 14 days with a range from 10 to 23 days. Postoperative mortality was 14%. CONCLUSIONS: 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.
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