The study evaluates and compares effect of emergency surgery and colonic stents for treatment of malignant colonic obstructions.
Acute colonic obstruction is one of the common clinical presentations of colorectal cancer. Surgical decompression with colostomy with or without resection and eventual re-anastomosis is the treatment of choice; however, emergency surgery is associated with higher morbidity and mortality. The colonic stent insertion effectively decompressed the obstructed colon and avoid needs of emergency surgery. This method is a palliation and bridge to surgery. Colonic stents allowed surgery to be performed electively.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
40
Surgical decompression with colostomy with or without resection and eventual re-anastomosis.
The colonic stent placement to relieve the colonic obstruction.
Tbilisi State Medical University
Tbilisi, Yes, Georgia
The time of clinical relieve of obstruction
Time frame: 24 hours after surgery/procedure
Stent related complications
perforation, migration, stent obstruction
Time frame: time of hospital stay, an average 10 day.
Mortality
30-day mortality
Time frame: 30 day after surgery/procedure
Blood loss
Blood loss during emergency surgery or during colonic stenting.
Time frame: time of surgery/procedure
operation time
duration of surgery/procedure
Time frame: during surgery/procedure
Overall complications
complications which developed in postoperative period
Time frame: 30 day after surgery/procedure
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