The surgical management of large bowel obstruction in patients with left colon and rectal cancer – a retrospective study

Colonic gallstone ileus in an uncommon mechanical bowel obstruction caused by intraluminal impaction of one or more gallstones. The surgical management of gallstone ileus is complex and is potentially of high risk. There have been reports of gallstone extractions using various endoscopic modalities to relieve the obstruction. In this report we present the technique employed to successfully perform a mechanical lithotripsy and extraction of a large gallstone embedded in a sigmoid colon affected by diverticular stenosis. We passed through the stenosis with a 11.3 mm videoscope with 3.7 mm channel. A large lithotripsy extraction basket was used to catch and break up the stone and fragments were removed using the same basket. The patient was discharged asymptomatic three days after the procedure. Using appropriate devices mechanical lithotripsy is a safe and effective method to treat colonic obstruction and avoid surgery in the setting of gallstone ileus even in case of big stones.

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Management of large bowel obstruction with self-expanding metal stents. A multicentre retrospective study of factors determining outcome

Colorectal Disease ◽

10.1111/codi.12582 ◽

2014 ◽

Vol 16 (6) ◽

pp. 476-483 ◽

Cited By ~ 28

Author(s):

J. Geraghty ◽

S. Sarkar ◽

T. Cox ◽

S. Lal ◽

R. Willert ◽

...

Keyword(s):

Retrospective Study ◽

Bowel Obstruction ◽

Large Bowel ◽

Large Bowel Obstruction ◽

Metal Stents ◽

Self Expanding Metal Stents ◽

Multicentre Retrospective Study

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Large Bowel Obstruction following Endoscopic Spray Cryotherapy for Palliation of Rectal Cancer Bleeding

ACG Case Reports Journal ◽

10.14309/crj.2017.65 ◽

2017 ◽

Vol 4 (1) ◽

pp. e65

Author(s):

Ravi Prakash ◽

Digant Gupta ◽

Pankaj Vashi

Keyword(s):

Rectal Cancer ◽

Bowel Obstruction ◽

Large Bowel ◽

Large Bowel Obstruction

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Percutaneous caecostomy for the management of closed loop large bowel obstruction: A delayed complication of severe gallstone pancreatitis

Annals of The Royal College of Surgeons of England ◽

10.1308/rcsann.2018.0164 ◽

2019 ◽

Vol 101 (1) ◽

pp. e17-e19

Author(s):

J Aldoori ◽

J Cast ◽

IA Hunter

Keyword(s):

Surgical Management ◽

Bowel Obstruction ◽

Large Bowel ◽

Closed Loop ◽

Large Bowel Obstruction ◽

Morbidity And Mortality ◽

Gallstone Pancreatitis ◽

Significant Morbidity ◽

Delayed Complication ◽

General Surgeons

Colonic complications following pancreatitis are unusual events ranging from 1% to 15%. In a patient with a hostile abdomen and multiple previous laparotomies, surgical management of a closed-loop large-bowel obstruction risks significant morbidity and mortality for the patient, necessitating other strategies for management. Caecostomy in the management of large bowel obstruction is an often forgotten weapon in the general surgeons’ armoury.

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