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Endoscopic decompression procedure in acute obstructing colorectal cancer.
Y Araki1, H Isomoto, A Matsumoto
1Dept. of Surgery, Kurume University Medical Center, Japan. kmc1@mocha.ocn.ne.jp
Endoscopy
|August 10, 2000
Summary
Endoscopic decompression using a transanal ileus tube effectively decompresses the bowel in acute obstructing colorectal cancer. This allows for immediate preoperative assessment and timely radical surgery.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Endoscopic Procedures
Background:
- Nasoenteric ileus tubes offer insufficient decompression for acute obstructing colorectal cancer and can cause throat pain.
- Endoscopic decompression presents a potential alternative for managing bowel obstruction in these patients.
Purpose of the Study:
- To evaluate the effectiveness of endoscopic decompression with a transanal ileus tube for acute obstructing colorectal cancer.
Main Methods:
- Five patients with colorectal cancer ileus underwent endoscopic decompression.
- Procedures involved guidewire negotiation, dilation, and insertion of a transanal ileus tube.
- The intestinal tract was cleaned post-insertion.
Main Results:
- No leakage from colorectal anastomosis was observed.
- Immediate radical surgery became feasible after decompression, preoperative examination, and bowel preparation.
Conclusions:
- Transanal ileus tube decompression is a valuable method for acute obstructing colorectal disease.
- This technique facilitates prompt preoperative evaluation and surgical planning.