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[Considerations about neoplastic intestinal occlusion].

M Daoud1, V Gâdea, Elena Rădulescu

  • 1Spitalul Judeţean Alexandria, Secţiile de Chirurgie I, II.

Chirurgia (Bucharest, Romania : 1990)
|August 25, 2006
PubMed
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This study analyzed 96 neoplastic intestinal occlusion cases, highlighting rectosigmoid tumors as most common. Emergency surgery revealed high complication rates (54.48%) and a 6.22% mortality rate.

Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Abdominal Surgery

Context:

  • Neoplastic intestinal occlusion is a frequent surgical emergency.
  • This study reviewed 96 cases of neoplastic intestinal occlusion treated between 1998-2002.
  • Patients presented with clinical and imaging-confirmed intestinal occlusions.

Purpose:

  • To analyze the characteristics, surgical management, and outcomes of neoplastic intestinal occlusions.
  • To evaluate the efficacy of different surgical interventions, including orthograde colonic lavage.
  • To determine postoperative complication and mortality rates.

Summary:

  • The study included 96 patients (median age 50, 59.4% female) with neoplastic intestinal occlusions, predominantly in the rectosigmoid (60%).

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  • Emergency operations were performed, with 54 radical surgeries, 29 utilizing orthograde colonic lavage, and others involving Hartman's procedure, colostomy, or exploratory laparotomy.
  • Postoperative major complications occurred in 54.48% of patients, with a mortality rate of 6.22%.

    • Impact:

    • Provides insights into the surgical management of neoplastic intestinal obstructions.
    • Highlights the significant morbidity and mortality associated with this condition.
    • Suggests the utility of orthograde colonic lavage in facilitating anastomosis in selected cases.