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Updated: Sep 8, 2025

Structured Approach to Colonoscopy Technique Optimization: A Single-Center Experience with Novice Endoscopists
Published on: July 11, 2025
[Obstructed colon cancer: which strategy in 2022?]
Arnaud Girardot-Miglierina1, Amaniel Kefleyesus1, Daniel Clerc1
1Service de chirurgie viscérale, Département de chirurgie, Centre hospitalier universitaire vaudois et Université de Lausanne, 1011 Lausanne.
Abstract:
The key priority for obstructed colon cancer (OCC) is urgent resolution of the large bowel obstruction with ideally no compromise of oncological outcomes and low initial and permanent ostomy rates. Proactive management is pivotal to decrease the risk of perforation and septic shock. Staged procedures have an important place to provide optimal treatment and offer similar treatment and outcomes as in the elective setting. The approach is tailored to the patient's condition, the oncological situation and expertise of the available surgical team. This overview concludes by proposing a comprehensive treatment algorithm for individualized treatment of OCC.
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