[Obstructive syndrome caused by primary colon-rectal cancer].

This is a report on 311 patients presenting colorectal carcinoma with complication assuming the form of occlusive ileus, observed over the period 2005 through 2009. Obturation is the commonest complication of colonic carcinoma (48.9%) with the left colon being more often involved (58.3%). During the same period of time, occlusive ileus against the background of carcinoma of the rectum is diagnosed in 61 cases, representing 37 per cent of complicated forms of this malignant neoplasm. The scope of operative management and the procedure used are largely determined by the location of primary malignancy. The timing of undertaking one or another operative intervention depends on the efficacy of preoperative preparation, degree of occlusive ileus progress, patientr's age, concomitant diseases and the like. Failing to comply with or overlooking some of the aforementioned factors invariably exerts an unfavourable effect on the final outcome of treatment. In each patient presenting colorectal-carcinoma-induced occlusive ileus it is mandatory to precisely specify the scope of surgery, consistent with the patient's general condition, and eliminate the underlying cause jeopardizing his life.