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01.12.2015 | Original Article | Ausgabe 12/2015

Journal of Gastrointestinal Surgery 12/2015

Placement of the Decompression Tube as a Bridge to Surgery for Acute Malignant Left-Sided Colonic Obstruction

Zeitschrift:
Journal of Gastrointestinal Surgery > Ausgabe 12/2015
Autoren:
Yuan-Shun Xu, Tao Song, Yong-Tuan Guo, Guo-Qing Shao, Hong-Tao Du, De-Chun Li, Yu-Fei Fu
Wichtige Hinweise
Yuan-Shun Xu and Tao Song contributed equally to this work.

Abstract

Purpose

The aim of this study is to investigate the feasibility, safety, and effectiveness of placing the decompression tube as a bridge to surgery for acute malignant left-sided colonic obstruction.

Methods

From January 2009 to August 2014, consecutive patients with acute malignant left-side colonic obstruction underwent placement of the decompression tube as a bridge to surgery in our center. The technical and clinical success of placing the decompression tube was evaluated. Clinical success was defined as relief of obstructive symptoms within 48 h after placing the decompression tube. Elective tumor resection was performed 7–9 days after colonic decompression. The types of surgery, primary anastomosis rate, and follow-up findings were analyzed.

Results

Twenty patients with acute malignant left-side colonic obstruction underwent placement of the decompression tube as a bridge to surgery. Placement of decompression tube was technically successful in all patients. No procedure-related complication occurred. Clinical success was achieved in 19 patients. Elective tumor resection and primary anastomosis were successfully performed in all 19 patients. The postoperative complications included wound infection (n = 2) and anastomotic stenosis (n = 1).

Conclusion

Decompression tube can serve as an easy, safe, and effective bridge to subsequent surgery for patients with acute malignant left-sided colonic obstruction.

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