Abstract

Summary

To evaluate the clinical effectiveness of the developed method for decompression of the large intestine in cases of acute obstructive colonic tumor-related obstruction.
 

Materials and Methods

The presented study is based on the results of treating 134 patients with acute obstructive colonic tumor-related obstruction. All observed patients were divided into two groups. The control group included 65 (48,5%) patients who underwent formation of loop double-barrel ileostomies from mini-access in the right iliac region, without sanitation of the colon lumen or removal of its contents. The main group comprised 69 (51,5%) patients, in whom, after forming a diverting ileostomy from mini-access, colon decompression was performed using the method developed in the clinic.
 

Results

The results of the study demonstrated the effectiveness of the proposed method of colon decompression used in the main group, which was confirmed by a significantly faster recovery to physiological parameters of clinical and laboratory data, as well as intra-abdominal pressure levels. The mortality rate was 1 (1,5%) patient in the control group, while no adverse outcomes were observed in the main group. Inflammatory complications were diagnosed in 6 (9,2%) patients in the control group and in 2 (2,9%) patients in the main group.
 

Conclusion

 The execution of colonic decompression with evacuation of its contents through an ileostomy in patients with acute colonic obstruction of tumor etiology, using the method developed in the clinic, contributes to improved immediate treatment outcomes, a reduction in the number of postoperative complications, and a faster regression of clinical manifestations, laboratory data, and intra-abdominal pressure levels.
 

Keywords

colorectal cancer large bowel obstruction ileostomy decompression of the large intestine.

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References

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