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Management of obstructive and perforated colorectal cancer.
Journal article

Management of obstructive and perforated colorectal cancer.

  • Schwenter F Division of Visceral and Transplantation Surgery, Geneva University Hospital and Medical School, 4, Rue Gabrielle-Perret-Gentil, 1211 Geneva, Switzerland.
  • Morel P
  • Gervaz P
  • 2010-10-15
Published in:
  • Expert review of anticancer therapy. - 2010
Colectomy
Colon
Colorectal Neoplasms
Colostomy
Humans
Intestinal Obstruction
Intestinal Perforation
Stents
Time Factors
Treatment Outcome
English Colorectal cancer frequently presents with obstruction or perforation at the time of diagnosis, and requires urgent surgery. Various surgical and endoscopic approaches are available that minimize the risk of complications related to emergency colorectal operations and optimize the oncological outcome for the patients. The surgeon has to make clinically and oncologically adequate decisions, ranging from diverting colostomy to partial or total colectomy in a one-stage procedure or multistage interventions. The endoscopic insertion of a self-expanding metallic stent is an option either as a definitive procedure in palliative conditions or as a bridge to safer elective surgery. In this article, we discuss the current surgical and endoscopic treatments of complicated colorectal cancer and propose an algorithm for the management of patients with obstructive tumors.
Language
  • English
Open access status
closed
Identifiers
Persistent URL
https://folia.unifr.ch/global/documents/117957
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