scholarly journals Clinical and functional characteristics of patients with colorectal cancer complicated by acute intestinal obstruction

2018 ◽  
Vol 99 (6) ◽  
pp. 869-875
Author(s):  
F Sh Akhmetzyanov ◽  
A K Saetgaraev ◽  
A V Pasheev ◽  
N A Valiev ◽  
M V Levin ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Abdominal Surgery ◽  
Intestinal Obstruction ◽  
Inflammatory Diseases ◽  
The Elderly ◽  
Acute Intestinal Obstruction ◽  
Malignant Neoplasms ◽  
Oncologic Surgery ◽  
Functional Features ◽  
Senile Patient

Aim. To study the clinical and functional features of patients with colorectal cancer complicated by acute intestinal obstruction. Methods. A retrospective analysis of the data of 147 patients with colorectal cancer operated on from 2014 to 2016 for urgent indications for acute intestinal obstruction was performed. The study of lethality during the period from 1993 to 2016 was carried out separately. The study was performed in the clinic of urgent oncologic surgery of the State Autonomous Healthcare Institution “Republican Clinical Oncologic Dispensary” MH RT. Results. Among patients with acute intestinal obstruction in colorectal cancer, a constant increase of the ration of elderly and senile patients is observed, as well as high anesthesia risk. Statistically significant indices of decrease of nutritional status in the group of patients of elderly and senile age and subtle manifestations of hypovolemia were revealed. In the elderly and senile patient group, polypragmasia was registered in 50.5 %. Conclusion. Patients with colorectal cancer complicated by acute intestinal obstruction, have their own characteristics, different from patients operated on in clinics of urgent abdominal surgery with other diagnoses, the main ratio of which is made up of acute inflammatory diseases. This category of patients should be operated on in institutions where it is possible to provide specific highly skilled surgical and anesthesia-resuscitation care for malignant neoplasms.

scholarly journals ONCOLOGICAL OPERATIONS IN EMERGENCY SURGERY (CLINICAL CASE)

2021 ◽  
pp. 29-33
Author(s):  
K.V. Atamanov ◽  
◽  
V.E. Voitsitsky ◽  
O.A. Tkachuk ◽  
V.A. Lebedeva ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Colon Cancer ◽  
Postoperative Complications ◽  
Intestinal Obstruction ◽  
Clinical Case ◽  
Positive Outcome ◽  
Acute Intestinal Obstruction ◽  
Major Surgery ◽  
Number Of Patients ◽  
Combined Interventions

The increase in the incidence of colorectal cancer cannot go unnoticed. The number of patients with its complications in general surgical hospitals is growing steadily. The main ones include acute intestinal obstruction, bleeding, tumor destruction with paracancerous abscess formation or perforation. This limits the possibilities of carrying out the radical treatment of oncoproctological patients significantly, and reduces the number of resection interventions considerably. The incidence of postoperative complications in emergency patients is statistically higher than after elective surgeries. The most fatal is the failure of the enterocolonic anastomosis, usually requiring relaparotomy and often colostomy. With regional tumors, combined interventions are necessary, a prerequisite for which is the availability of trained specialists. The article presents a clinical case of performing a major surgery with a positive outcome for complicated colon cancer in a hospital on duty.

scholarly journals SURGICAL TREATMENT OF ACUTE INTESTINAL OBSTRUCTION CAUSED BY COLORECTAL CANCER

2015 ◽  
Vol 54 (4) ◽  
pp. 18-23 ◽  
Author(s):  
Bobana Milojković ◽  
◽  
Dragan Mihajlović ◽  
Nebojša Ignjatović ◽  
Dejan Janjić ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Surgical Treatment ◽  
Intestinal Obstruction ◽  
Acute Intestinal Obstruction

scholarly journals TAPP Repair of an Obstructed Obturator Hernia

2013 ◽  
Vol 2 (3) ◽  
pp. 146-148
Author(s):  
Nitin Aggarwal ◽  
Ravinder Singh ◽  
Darpan Bansal
Keyword(s):  
Critical Care ◽  
Inguinal Hernia ◽  
Intestinal Obstruction ◽  
The Elderly ◽  
Acute Intestinal Obstruction ◽  
Obturator Hernia ◽  
High Morbidity ◽  
Previous Surgery ◽  
Common Cause ◽  
Tapp Repair

ABSTRACT Intestinal obstruction can be a result of diverse pathology depending upon the age of the patient. In the elderly, the most common cause appears to be malignancy or previous surgery. Inguinal hernia is another reason for acute intestinal obstruction, particularly in males. A rather rare cause of similar presentation in a female is obstructed obturator hernia. Due to its rarity and difficulty in diagnosis, most of the cases present late and, as a result, strangulation and necrosis of the bowel leads to high morbidity and mortality. We present a case of obstructed obturator hernia in a 80 years old female treated by laparoscopic transabdominal preperitoneal (TAPP) approach. How to cite this article Singh R, Bansal D, Aggarwal N. TAPP Repair of an Obstructed Obturator Hernia. J Trauma Critical Care Emerg Surg 2013;2(3):146-148.

Acute intestinal obstruction : an unusual cause

2020 ◽  
Vol 41 (4) ◽  
pp. 231-234
Author(s):  
M Tarchouli ◽  
M Essarghini ◽  
A El Kharras
Keyword(s):  
Intestinal Obstruction ◽  
Acute Intestinal Obstruction

CHANGES IN SMALL INTESTINE MICROFLORA IN PATIENTS WITH ACUTE INTESTINAL OBSTRUCTION

2020 ◽  
pp. 16-18
Author(s):  
V. M. Lykhman ◽  
O. M. Shevchenko ◽  
Ye. O. Bilodid ◽  
Igor Vladimirovich Volchenko ◽  
I. A. Kulyk ◽  
...  
Keyword(s):  
Small Intestine ◽  
Gastrointestinal Tract ◽  
Species Composition ◽  
Intestinal Obstruction ◽  
Bacterial Flora ◽  
Anaerobic Bacteria ◽  
Acute Intestinal Obstruction ◽  
Gram Positive ◽  
Mechanical Intestinal Obstruction ◽  
Facultative Anaerobic Bacteria

Among urgent surgical diseases of abdominal cavity, an acute intestinal obstruction is the most difficult to be diagnosed and treated. Leading factor, determining the development of pathophysiological processes is considered to be the progressive manifestations of enteric insufficiency syndrome, resulting in intestinal barrier impairment, negative changes in ecology of intestinal flora, increased endotoxins. To identify the small intestine microflora in acute intestinal obstruction and determine the role of dysbiotic disorders in clinical manifestations of main pathological process, a study was conducted in 60 patients with mechanical intestinal obstruction. The small intestine has a relatively rare microflora, consisting mainly of gram−positive facultative aerobic microorganisms, streptococci, lactobacilli. The distal ileum in nearly 30−55 % of healthy people contains scanty microflora, and yet the flora of this area differs from the microbial population of the higher gastrointestinal tract due to higher concentration of gram−negative bacteria. Optional−anaerobic coliform bacilli, anaerobic bifidobacteria and fusobacteria, bacteroids, the number of which starts exceeding the one of gram−positive species, are presented in significant quantities. Distal to the ileocecal valve there are significant changes in the microflora quantitative and species composition. Obligatory anaerobic bacteria become the predominant part of microflora, exceeding the number of aerobic and facultative anaerobic bacteria. The bacterial flora in different parts of gastrointestinal tract has its own specifics and is quite constant, as a result of the interaction of many factors, regulating the bacterial population in small intestine. The most important among them are: acidity of gastric juice, normal peristaltic activity of the intestine, bacterial interactions and immune mechanisms. Disorders of the intestine motor and evacuation function with its obstruction lead to slow passage of the chyme and contamination of the upper gastrointestinal tract with new types of microbes. There is a syndrome of small intestine excessive colonization, which means an increased concentration of bacterial populations in it, similar in species composition to the colon microflora. Pathological intra−intestinal contents become a source of endogenous infection and re−infection of the patient, leads to internal digestive disorders, which is manifested by syndrome of malabsorption of proteins, carbohydrates and vitamins. Key words: acute intestinal obstruction, small intestinal microflora, conditionally pathogenic microorganisms, intestinal biocenosis.

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