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[Intestinal obstruction caused by colorectal neoplasms].
Il Giornale Di Chirurgia
|January 1, 1990
Summary
Colorectal carcinoma causing large bowel obstruction has high mortality due to late diagnosis. Simultaneous surgical treatment of obstruction and cancer offers acceptable outcomes compared to palliative options.
Area of Science:
- Gastroenterology
- Surgical Oncology
Background:
- Large bowel obstruction is a severe complication of colorectal carcinoma.
- Late diagnosis and poor patient condition contribute to high morbidity and mortality.
Purpose of the Study:
- To evaluate the outcomes of surgical management for colorectal carcinoma with large bowel obstruction.
- To compare radical treatment with derivative procedures.
Main Methods:
- Retrospective analysis of 85 cases of colorectal carcinoma with large bowel obstruction over ten years.
- Literature review on optimal treatment strategies.
Main Results:
- Colorectal carcinoma presenting with large bowel obstruction is associated with significant morbidity and mortality.
- Simultaneous surgical management of obstruction and cancer is advocated.
- Radical treatment yields acceptable post-operative mortality compared to derivative procedures.
Conclusions:
- Prompt diagnosis and surgical intervention are crucial for improving outcomes in colorectal carcinoma with large bowel obstruction.
- Radical surgical treatment, addressing both obstruction and malignancy, is the preferred approach.
- The risks of radical surgery are justified by better long-term results compared to palliative measures.