[Neoplastic occlusions of the large intestine (clinical study)]

The authors do a clinico-epidemiologic reviewing of 24 cases of neoplastic obstruction of large intestine, they had the opportunity to observe. Such patients represent 12.9% of all cases of mechanic intestinal obstruction. The obstructive complication, which in 70% of the observations involved sigma and rectosigmoid junction, was the clinical beginning of 9,6% of colonic and rectal carcinomata. Such disease arose preferably in old patients and in those suffering from one or more concomitant diseases. Some reflections about the surgical treatment, which, in this casuistry, determined a mortality of 25%, lead the Authors to think the requirements of the treatment of high risk patients and the rigid observance of the rules of colonic surgery should be put before the requirements of oncological radicalness.