Our experience in the treatment of acute intestinal obstruction of tumor origin
Abstract
Intestinal obstruction of tumor Genesis – a syndrome that is characterized by a violation of the passage of the contents of the intestine along the digestive tract and is caused by a mechanical obstacle, which is a malignant or benign neoplasm of the intestine. Intestinal obstruction of tumor etiology refers to obturation obstruction and in the overwhelming number of cases is colonic. To the development of this syndrome, first of all, lead to malignant tumors of the intestine. Obturation may also occur due to the overlap of the lumen of the intestinal tube with the primary or recurrent tumor coming from neighboring organs and tissues.
The analysis of the results of treatment of 126 patients admitted in the 1st surgical Department of the clinical hospital 5 with referral diagnosis of "acute intestinal obstruction". In some patients the diagnosis was not confirmed, the rest were examined and operated on. Depending on the cause of intestinal obstruction, the time of receipt from the onset of the disease, concomitant pathology, patients underwent a different volume of surgery. Postoperative mortality in acute intestinal obstruction of tumor origin was 7.9%. The article analyzes the different choice of surgical benefits depending on the patient’s condition and the prevalence of the pathological process.
About the Authors
A. A. BezvoditskayaBelarus
A. N. Nekhaev
Belarus
I. D. Sementchuk
Belarus
References
1. Ачкасов Е. Е., П. А. В., Алекперов С. Ф., Шкода А. С., Беляев Л. Б., Волков В. С., Крутилина О. В., Калачёв О. А. Классификация обтурационной толстокишечной непроходимости опухолевого генеза. Колопроктология, 2009. 3: p. 17–23.
2. Лотоков А. М., Комов Д. В., Комаров И. Г., Лескин А. П., Полтавский А. В. Острая кишечная непроходимость опухолевого генеза. Вестник РОНЦ им.Н. Н. Блохина РАМН, т. 17, № 4. – С. 29–32.
3. Мартынюк В. В. Рак толстой кишки (заболеваемость, смертность, факторы риска, скрининг) / Тюляндин С. А., Моисеенко В. М. (ред.) Практическая онкология. Избранные лекции. – С.-П.б., 2004. – С. 151–161.
4. Carraro P. G., Segala M., Cesana B. M., et al. Obstructing colonic cancer: failure and survival patterns over a ten-year followup after one-stage curative surgery. Dis Colon Rectum. 2001. 44(2):243-50.
Review
For citations:
Bezvoditskaya A.A., Nekhaev A.N., Sementchuk I.D. Our experience in the treatment of acute intestinal obstruction of tumor origin. Military Medicine. 2019;(3):33-36. (In Russ.)
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