Complete single-stage management of left colon cancer obstruction with a new device

Kim, J.-H.; Shon, Dae-Ho; Kang, Sohee; Jang, Byeong Ik; Chung, M.-K.; Kim, J.-H.; Shim, Min Chul

doi:10.1007/s00464-005-3000-6

Cited by 5 publications

(6 citation statements)

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“…Colonoscopy was possible in all cases with intraoperative bowel preparation although the case number was limited. Recently introduced devices for colonic irrigation may facilitate the procedure although we have no experience with them [19] . There is a report that follow-up colonoscopy detects metachronous cancer in the first 2 to 3 postoperative years [13] .…”

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confidence: 99%

Detection and treatment of synchronous lesions in colorectal cancer: The clinical implication of perioperative colonoscopy

Kim

Park²

2007

WJG

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AIM:To evaluate the clinical significance of preand intra-operative colonoscopy for the detection of synchronous lesions in colon cancer. METHODS:Two hundred and sixty-five pre-operative and 51 intra-operative colonoscopic evaluations were performed in 316 colorectal cancer patients who underwent curative resection from January 2001 to June 2006. The incidence and characteristics of synchronous lesions and their influence on surgery were evaluated. RESULTS:Two hundred and eighty-two synchronous lesions were detected in 124 (39.2%) of 316 patients including all lesions regardless of their histologic type. True adenomatous polyps were found in 91 (28.8%) of 316 patients, and 17 (5.4% of all patients) patients had synchronous colon cancers. The preoperative identification of synchronous lesions altered the planned surgery in 37 (14.0%) of 265 patients. In 18 patients among the surgically removed cases, the lesions were removed by extending the resection range. Further segmental resection or polypectomy through enterotomy was necessary in 19 patients. Nineteen (37.2%) of 51 intraoperative colonoscopy cases had synchronous lesions. Additional surgical procedures including segmental bowel resection and polypectomy with enterotomy were necessary in 7 (13.7%) of 51 intraoperative colonoscopy cases to remove the lesions.

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confidence: 99%

Detection and treatment of synchronous lesions in colorectal cancer: The clinical implication of perioperative colonoscopy

Kim

Park²

2007

WJG

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“…Endoscopic features were included in the definition of obstruction in six studies and were described as ‘the inability of the endoscopist to visualize the proximal lumen’ [43,44], ‘a stenosis that could not be passed with a colonoscope’ [33,46] or ‘severe colonic obstruction on endoscopic imaging’ [45]. One study specifically defined nearly complete obstruction using endoscopic features: ‘complete colonoscopic examination was impossible because of narrowing’ [26].…”

Section: Resultsmentioning

confidence: 99%

“…In the remaining studies, a combination of clinical symptoms with or without duration, physical examination, endoscopic features or radiological imaging was incorporated into the definition of obstruction. A combination of symptoms and physical examination was used in four studies [22][23][24][25], symptoms including duration and physical examination in two studies [23,25], symptoms and endoscopic features in one study [26], symptoms including duration and endoscopic features in none of the studies, symptoms and radiological findings in six studies [27][28][29][30][31][32], symptoms including duration and radiological findings in two studies [28,29], symptoms, physical examination and endoscopic features in one study [33], and symptoms, physical examination and radiological findings in nine studies [34][35][36][37][38][39][40][41][42], with three of these also including duration of symptoms [34,38,41].…”

Section: Definition Of Obstructive Colorectal Cancermentioning

confidence: 99%

Definition of large bowel obstruction by primary colorectal cancer: A systematic review

et al. 2021

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Approximately 10% of patients with colorectal cancer present with acute large bowel obstruction. Different incidences have been reported [1], as the severity or degree of obstruction varies substantially and may significantly influence clinical decision-making. Complete obstruction may lead to extensive bowel dilatation, even leading to caecal blow-out, which increases the urgency of surgery or placement of a colonic self-expandable metal stent (SEMS).In contrast, incomplete or imminent obstruction may allow for more

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“…At the point of diagnosing advanced colorectal cancer, 10%-20% of the total cases are accompanied by partial obstruction and 8%-29% by complete obstruction [ 16 ]. In the present study, with the high incidence of obstruction and the high emergency surgical procedure rate compared to studies involving patients of all ages, the neglect of or indifference to the symptoms of the disease in the elderly patients groups could be considered a factor.…”

Section: Discussionmentioning

confidence: 99%

Prognostic Implications of Primary Tumor Resection in Stage IVB Colorectal Cancer in Elderly Patients

Ahn

et al. 2014

Ann Coloproctol

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PurposeThe aim of this study was to identify prognostic factors in stage IVB colorectal cancer in elderly patients, focusing on the influence of treatment modalities, including palliative chemotherapy and primary tumor resection.MethodsA cohort of 64 patients aged over 65 years who presented with stage IVB colorectal cancer at the Gangneung Asan Hospital between July 1, 2001, and December 31, 2009, was analyzed. Demographics, tumor location, tumor grade, performance status, levels of carcinoembryonic antigen (CEA), level of aspartate aminotransferase (AST), and distant metastatic site at diagnosis were analyzed. Using the treatment histories, we analyzed the prognostic implications of palliative chemotherapy and surgical resection of the primary tumor retrospectively.ResultsThe cohort consisted of 30 male (46.9%) and 34 female patients (53.1%); the median age was 76.5 years. Primary tumor resection was done on 28 patients (43.8%); 36 patients (56.2%) were categorized in the nonresection group. The median survival times were 12.43 months in the resection group and 3.58 months in the nonresection group (P < 0.001). Gender, level of CEA, level of AST, Eastern Cooperative Oncology Group performance status, tumor location, and presence of liver metastasis also showed significant differences in overall survival. On multivariate analysis, male gender, higher level of CEA, higher AST level, and no primary tumor resection were independent poor prognostic factors. In particular, nonresection of the primary tumor was the most potent/poor prognostic factor in the elderly-patient study group (P = 0.001; 95% confidence interval, 2.33 to 21.99; hazard ratio, 7.16).ConclusionIn stage IVB colorectal cancer in elderly patients, resection of the primary tumor may enhance survival.

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Complete single-stage management of left colon cancer obstruction with a new device

Cited by 5 publications

References 0 publications

Detection and treatment of synchronous lesions in colorectal cancer: The clinical implication of perioperative colonoscopy

Detection and treatment of synchronous lesions in colorectal cancer: The clinical implication of perioperative colonoscopy

Definition of large bowel obstruction by primary colorectal cancer: A systematic review

Prognostic Implications of Primary Tumor Resection in Stage IVB Colorectal Cancer in Elderly Patients

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