[Effectiveness of various approaches for acute malignant colonic obstruction]. / Sravnitel'naia otsenka éffektivnosti razlichnykh sposobov lecheniia bol'nykh ostroi tolstokishechnoi neprokhodimost'iu opukholevogo geneza.
Khirurgiia (Mosk)
; (10): 55-60, 2018.
Article
em Ru
| MEDLINE
| ID: mdl-30531738
ABSTRACT
AIM:
To determine optimal treatment strategy for acute malignant colonic obstruction. MATERIAL ANDMETHODS:
349 patients with acute malignant colonic obstruction were retrospectively analyzed for the period 2005-2017. All patients were divided into two groups depending on surgical approach. Surgical group comprised 259 patients, endoscopic group - 90 patients. Both groups were comparable by gender, age, level of intestinal obstruction and duration of the disease. However, morbidity and mortality rate were significantly different.RESULTS:
In surgical group incidence of complications was 63.3%, mortality - 19.7%. In group of endoscopic stenting the same values were 8.9% and 6.7%, respectively. Significant differences of morbidity and mortality were observed between groups (p<0.05).CONCLUSION:
Endoscopic stenting should be preferred over surgery to eliminate colonic obstruction in patients with acute malignant ileus.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Obstrução Intestinal
Tipo de estudo:
Observational_studies
/
Risk_factors_studies
Limite:
Humans
Idioma:
Ru
Revista:
Khirurgiia (Mosk)
Ano de publicação:
2018
Tipo de documento:
Article
País de afiliação:
Federação Russa