OPTIMAL DIAGNOSTIC ALGORITHM FOR COLORECTAL CANCER COMPLICATED BY ACUTE BOWEL OBSTRUCTION
https://doi.org/10.33878/2073-7556-2020-19-3-72-79
Abstract
AIM: to work out a diagnostic program that allows to individualize approach in preoperative care and surgery for patients with colorectal cancer complicated by acute obstruction.
PATIENTS AND METHODS: the study included 442 patients with colorectal cancer complicated by acute obstruction, at whom were used special diagnostic methods for the purpose of precise diagnosis.
RESULTS: the most informative and safe methods for the diagnosis of tumor obstruction were abdominal X-ray, CT scan, colonoscopy (CS), barium enema (BE) and abdominal ultrasound. These methods allow to prove bowel obstruction and its stage, to detect the tumor site, depth of invasion, distant metastases, to control the efficacy of decompression and to make prognosis of the outcome in 87.2-96.4% patients.
CONCLUSION: the information obtained allows to plan individually the use of conservative, endoscopic and surgical methods of treatment for patients with colorectal cancer complicated by acute bowel obstruction.
About the Authors
Z. V. Totikov
North Ossetian State Medical Academy
Russian Federation
Russian Federation
Zaurbek V. Totikov
Pushkinskaya str., 40, Vladikavkaz, North Ossetia–Alania, 362019
V. Z. Totikov
North Ossetian State Medical Academy
Russian Federation
Russian Federation
Valery Z. Totikov
Pushkinskaya str., 40, Vladikavkaz, North Ossetia–Alania, 362019
O. V. Remizov
North Ossetian State Medical Academy
Russian Federation
Russian Federation
Oleg V. Remizov
Pushkinskaya str., 40, Vladikavkaz, North Ossetia–Alania, 362019
Sh. Sh. Gadaev
North Ossetian State Medical Academy
Russian Federation
Russian Federation
Shervani Sh. Gadaev
Pushkinskaya str., 40, Vladikavkaz, North Ossetia–Alania, 362019
E. A. Magоmadov
North Ossetian State Medical Academy
Russian Federation
Russian Federation
Eldar A. Magоmadov
Pushkinskaya str., 40, Vladikavkaz, North Ossetia–Alania, 362019
T. V. Ardasenov
North Ossetian State Medical Academy
Russian Federation
Russian Federation
Timur V. Ardasenov
Pushkinskaya str., 40, Vladikavkaz, North Ossetia–Alania, 362019
U. U. Taramov
North Ossetian State Medical Academy
Russian Federation
Russian Federation
Umalat U. Taramov
Pushkinskaya str., 40, Vladikavkaz, North Ossetia–Alania, 362019
M-S. A-S. Abdurzakov
North Ossetian State Medical Academy
Russian Federation
Russian Federation
Magomed-Salekh A-S. Abdurzakov
Pushkinskaya str., 40, Vladikavkaz, North Ossetia–Alania, 362019
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Review
For citations:
Totikov Z.V., Totikov V.Z., Remizov O.V., Gadaev Sh.Sh., Magоmadov E.A., Ardasenov T.V., Taramov U.U., Abdurzakov M.A. OPTIMAL DIAGNOSTIC ALGORITHM FOR COLORECTAL CANCER COMPLICATED BY ACUTE BOWEL OBSTRUCTION. Koloproktologia. 2020;19(3):72-79. (In Russ.) https://doi.org/10.33878/2073-7556-2020-19-3-72-79
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