Management of acute large bowel obstruction due to colorectal cancer: Diversion colostomy versus stent placement
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Pilichos, C.
Bourgeon, A.
Fotiadis, C.
Baque, P
Benchimol, D.
Givry, A.
Rahili, A.
Bernard, JL
Background and Aim: Colonic stenting is a novel and
privileged therapeutic option for malignant obstructions
of the large bowel, especially as a bridging procedure to
elective surgery. The aim of this retrospective study was to
compare the efficacy of the traditional surgical approach
with stent placement in the management of obstructing
colorectal tumours. Patients and Methods: Thirty-three
patients with malignant colonic obstruction were retrospectively
studied. Of them, 17 underwent a diversion colostomy
(group I), while 16 were treated with SEMS (group II). Early
outcome, late outcome and duration of hospitalisation were
evaluated. For statistical analysis chi-square and Student.s
t-test were used (statistical significance level P
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