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Gugnin A.V.

S.P. Botkin City Clinical Hospital, Moscow, Russia

Bagateliya Z.A.

S.P. Botkin City Clinical Hospital, Moscow, Russia;
Russian Medical Academy of Continuous Professional Education, Ministry of Health of the Russian Federation, Moscow, Russia

Topical issues of diagnosis and treatment of acute malignant large bowel obstruction

Authors:

Gugnin A.V., Bagateliya Z.A.

More about the authors

Journal: Russian Journal of Evidence-Based Gastroenterology. 2020;9(2): 56‑65

DOI: 10.17116/dokgastro2020902156

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Table of contents

TOPICAL ISSUES OF DIAGNOSIS AND TREATMENT OF ACUTE MALIGNANT LARGE BOWEL OBSTRUCTION
TOPICAL ISSUES OF DIAGNOSIS AND TREATMENT OF ACUTE MALIGNANT LARGE BOWEL OBSTRUCTION

To cite this article:

Gugnin AV, Bagateliya ZA. Topical issues of diagnosis and treatment of acute malignant large bowel obstruction. Russian Journal of Evidence-Based Gastroenterology. 2020;9(2):56‑65. (In Russ.)
https://doi.org/10.17116/dokgastro2020902156

Подписка 2025-2 (Russian Journal of Evidence-Based Gastroenterology)
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Aim. To analyze information about the diagnosis and treatment of patients with acute malignant large bowel obstruction. Key points. Colorectal cancer (CRC) in developed countries is one of the most common malignant tumors and the third most common cancer worldwide. Surgical interventions performed in patients with complicated CRC, in particular with acute large bowel obstruction, are characterized by high rates of postoperative complications and mortality — up to 7.6—35%. A report by the National Comprehensive Cancer Network noted an increase in postoperative mortality in complicated colon cancer. High-tech medical care and minimally invasive procedures in patients with large bowel obstruction make it possible to relatively safely decompress the bowel, shorten in-patient treatment, rehabilitation, and reduce the risk of postoperative complications. Stenting performed with tumor stenosis ensures a satisfactory quality of life for the patient both in the short and long-term and also reduces the treatment costs. In all analyzed literature sources, the authors considered various options for surgical tactics in patients with complicated CRC. However, determining the scope and method of surgical intervention, as well as options for completing the operation, requires further scientific research and exploring the possibilities for implementing new ways to solve this problem. Conclusion. An analysis of the literature showed that the professional community is waiting for convincing evidence of the benefits of two-stage tactics of treating patients with acute malignant large bowel obstruction versus other treatment tactics.

Keywords:

complication
colorectal cancer
surgical tactics
stenting

Authors:

Gugnin A.V.

S.P. Botkin City Clinical Hospital, Moscow, Russia

Bagateliya Z.A.

S.P. Botkin City Clinical Hospital, Moscow, Russia;
Russian Medical Academy of Continuous Professional Education, Ministry of Health of the Russian Federation, Moscow, Russia

List of references:

  1. GLOBOCAN 2018: Counting the toll of cancer. The Lancet. 2018;392(10152):985. https://doi.org/10.1016/S0140-6736(18)32252-9
  2. Cronin KA, Lake AJ, Scott S, Sherman RL, Noone AM, Howlader N, Henley SJ, Anderson RN, Firth AU, Ma J, Kohler BA, Jemal A. Annual Report to the Nation on the Status of Cancer, part I: National cancer statistics. Cancer. 2018;124:2785-2800. https://doi.org/10.1002/cncr.31551
  3. Siegel RL, Miller KD, Jemal A. Cancer statistics, 2019. CA: A Cancer Journal for Clinicians. 2019;69(1):7-34. https://doi.org/10.3322/caac.21551
  4. Global Burden of Disease Cancer Collaboration, Fitzmaurice C, Allen C, Barber RM, Barregard L, Bhutta ZA, Brenner H, Dicker DJ, Chimed-Orchir O, Dandona R, Dandona L, Fleming T, Forouzanfar MH, Hancock J, Hay RJ, Hunter-Merrill R, Huynh C, Hosgood HD, Johnson CO, Jonas JB, Khubchandani J, Kumar GA, Kutz M, Lan Q, Larson HJ, Liang X, Lim SS, Lopez AD, MacIntyre MF, Marczak L, Marquez N, Mokdad AH, Pinho C, Pourmalek F, Salomon JA, Sanabria JR, Sandar L, Sartorius B, Schwartz SM, Shackelford KA, Shibuya K, Stanaway J, Steiner C, Sun J, Takahashi K, Vollset SE, Vos T, Wagner JA, Wang H, Westerman R, Zeeb H, Zoeckler L, Abd-Allah F, Ahmed MB, Alabed S, Alam NK, Aldhahri SF, Alem G, Alemayohu MA, Ali R, Al-Raddadi R, Amare A, Amoako Y, Artaman A, Asayesh H, Atnafu N, Awasthi A, Saleem HB, Barac A, Bedi N, Bensenor I, Berhane A, Bernabé E, Betsu B, Binagwaho A, Boneya D, Campos-Nonato I, Castañeda-Orjuela C, Catalá-López F, Chiang P, Chibueze C, Chitheer A, Choi JY, Cowie B, Damtew S, das Neves J, Dey S, Dharmaratne S, Dhillon P, Ding E, Driscoll T, Ekwueme D, Endries AY, Farvid M, Farzadfar F, Fernandes J, Fischer F, G/Hiwot TT, Gebru A, Gopalani S, Hailu A, Horino M, Horita N, Husseini A, Huybrechts I, Inoue M, Islami F, Jakovljevic M, James S, Javanbakht M, Jee SH, Kasaeian A, Kedir MS, Khader YS, Khang YH, Kim D, Leigh J, Linn S, Lunevicius R, El Razek HMA, Malekzadeh R, Malta DC, Marcenes W, Markos D, Melaku YA, Meles KG, Mendoza W, Mengiste DT, Meretoja TJ, Miller TR, Mohammad KA, Mohammadi A, Mohammed S, Moradi-Lakeh M, Nagel G, Nand D, Le Nguyen Q, Nolte S, Ogbo FA, Oladimeji KE, Oren E, Pa M, Park EK, Pereira DM, Plass D, Qorbani M, Radfar A, Rafay A, Rahman M, Rana SM, Søreide K, Satpathy M, Sawhney M, Sepanlou SG, Shaikh MA, She J, Shiue I, Shore HR, Shrime MG, So S, Soneji S, Stathopoulou V, Stroumpoulis K, Sufiyan MB, Sykes BL, Tabarés-Seisdedos R, Tadese F, Tedla BA, Tessema GA, Thakur JS, Tran BX, Ukwaja KN, Uzochukwu BSC, Vlassov VV, Weiderpass E, Wubshet Terefe M, Yebyo HG, Yimam HH, Yonemoto N, Younis MZ, Yu C, Zaidi Z, Zaki MES, Zenebe ZM, Murray CJL, Naghavi M.Willett WC. Global, Regional, and National Cancer Incidence, Mortality, Years of Life Lost, Years Lived With Disability, and Disability-Adjusted Life-years for 32 Cancer Groups, 1990 to 2015: A Systematic Analysis for the Global Burden of Disease Study. JAMA Oncology. 2017;3(4):524-548. https://doi.org/10.1200/jco.2018.36.15_suppl.1568
  5. Doubeni CA, Laiyemo AO, Major JM, Major JM, Schootman M, Lian M, Park Y, Graubard BI, Hollenbeck AR, Sinha R. Socioeconomic status and the risk of colorectal cancer: an analysis of more than a half million adults in the National Institutes of Health-AARP Diet and Health Study. Cancer. 2012;118(14):3636-3644. https://doi.org/10.1002/cncr.26677
  6. Klabunde CN, Cronin KA, Breen N, Klabunde CN1, Cronin KA, Breen N, Waldron WR, Ambs AH, Nadel MR. Trends in colorectal cancer test use among vulnerable populations in the United States. Cancer Epidemiology, Biomarkers and Prevention. 2011;20(8):1611-1621. https://doi.org/10.1158/1055-9965.epi-11-0220
  7. Willett WC. Diet and cancer: an evolving picture. JAMA. 2005;293(2):233-234. https://doi.org/10.1001/jama.293.2.233
  8. Doubeni CA, Major JM, Laiyemo AO, Schootman M, Zauber AG, Hollenbeck AR, Sinha R, Allison J. Contribution of behavioral risk factors and obesity to socioeconomic differences in colorectal cancer incidence. Journal of the National Cancer Institute. 2012;104(18):1353-1362. https://doi.org/10.1093/jnci/djs346
  9. Jemal A, Bray F, Center MM, Ferlay J, Ward E, Forman D. Global cancer statistics. CA: A Cancer Journal for Clinicians. 2011;61(2):69-90. https://doi.org/10.3322/caac.20107
  10. Center MM, Jemal A, Ward E. International trends in colorectal cancer incidence rates. Cancer Epidemiology, Biomarkers and Prevention. 2009;18(6):1688-1694. https://doi.org/10.1158/1055-9965.epi-09-0090
  11. Thursfield V, Farrugia H. Cancer in Victoria: Statistics and trends 2010. Cancer Council, Victoria, Melbourne; 2011. Accessed March 08, 2020. Available at: https://www.cancervic.org.au/downloads/cec/cancer-in-vic/CCV-Statistics-trends.pdf
  12. Davis DM, Marcet JE, Frattini JC, Prather AD, Mateka JJ, Nfonsam VN. Is it time to lower the recommended screening age for colorectal cancer? Journal of the American College of Surgeons. 2011;213(3):352-361. https://doi.org/10.1016/j.jamcollsurg.2011.04.033
  13. Singh KE, Taylor TH, Pan CG, Stamos MJ, Zell JA. Colorectal Cancer Incidence Among Young Adults in California. Journal of Adolescent and Young Adult Oncology. 2014;3(4):176-184. https://doi.org/10.1089/jayao.2014.0006
  14. Tawadros PS, Paquette IM, Hanly AM, Mellgren AF, Rothenberger DA, Madoff RD. Adenocarcinoma of the rectum in patients under age 40 is increasing: impact of signet-ring cell histology. Diseases of the Colon and Rectum. 2015;58(5):474-478. https://doi.org/10.1097/dcr.0000000000000318
  15. Siegel RL, Fedewa SA, Anderson WF, Miller KD, Ma J, Rosenberg PS, Jemal A. Colorectal Cancer Incidence Patterns in the United States, 1974—2013. Journal of the National Cancer Institute. 2017;109(8):djw322 https://doi.org/10.1093/jnci/djw322
  16. Ahnen DJ, Wade SW, Jones WF, Sifri R, Mendoza Silveiras J, Greenamyer J, Guiffre S, Axilbund J, Spiegel A, You YN. The increasing incidence of young-onset colorectal cancer: a call to action. Mayo Clinic Proceedings. 2014;89(2):216-224. https://doi.org/10.1016/j.mayocp.2013.09.006
  17. Dozois EJ, Boardman LA, Suwanthanma W, Limburg PJ, Cima RR, Bakken JL, Vierkant RA, Aakre JA, Larson DW. Young-onset colorectal cancer in patients with no known genetic predisposition: can we increase early recognition and improve outcome? Medicine (Baltimore). 2008;87(5):259-263. https://doi.org/10.1097/md.0b013e3181881354
  18. Nguyen LH, Liu P-H, Zheng X, Keum N, Zong X, Li X, Wu K, Fuchs CS, Ogino S, Ng K, Willett WC, Chan AT, Giovannucci EL, Cao Y. Sedentary Behaviors, TV Viewing Time, and Risk of Young-Onset Colorectal Cancer. JNCI Cancer Spectrum. 2018;2(4):pky073. https://doi.org/10.1093/jncics/pky073
  19. Wolf AMD, Fontham ETH, Church TR, Flowers CR, Guerra CE, LaMonte SJ, Etzioni R, McKenna MT, Oeffinger KC, Shih YT, Walter LC, Andrews KS, Brawley OW, Brooks D, Fedewa SA, Manassaram-Baptiste D, Siegel RL, Wender RC, Smith RA. Colorectal cancer screening for average-risk adults: 2018 guideline update from the American Cancer Society: ACS Colorectal Cancer Screening Guideline. CA: A Cancer Journal for Clinicians. 2018;68(4):250-281. https://doi.org/10.3322/caac.21457
  20. Shelygin YA, Frolov SA, Titov AY, Blagodarny LA, Vasilyev SV, Veselov AV, Grigoriev EG, Kashnikov VN, Kostarev IV, Kostenko NV, Kuzminov AM, Kulikovskiy VF, Moskalev AI, Mudrov AA, Muravyev AV, Polovinkin VV, Timerbulatov VM, Khubezov DA, Yanovoy VV. The Russian association of coloproctology clinical guidelines for the diagnosis and treatment of hemorrhoids. Koloproktologia. 2019;18(1(67)):7-38. (In Russ.). https://doi.org/10.33878/2073-7556-2019-18-1-7-38
  21. Smith RA, Andrews K, Brooks D, DeSantis CE, Fedewa SA, Lortet-Tieulent J, Manassaram-Baptiste D, Brawley OW, Wender RC. Cancer screening in the United States, 2016: A review of current American Cancer Society guidelines and current issues in cancer screening. CA: A Cancer Journal for Clinicians. 2016;66(2):96-114. https://doi.org/10.3322/caac.21336
  22. Troisi RJ, Freedman AN, Devesa SS. Incidence of colorectal carcinoma in the U.S.: an update of trends by gender, race, age, subsite, and stage, 1975—1994. Cancer. 1999;85(8):1670-1676. https://doi.org/10.1002/(sici)1097-0142(19990415)85:8<1670::aid-cncr5>3.0.co;2-m
  23. Jessup JM, McGinnis LS, Steele GD Jr, Menck HR, Winchester DP. The National Cancer Data Base. Report on colon cancer. Cancer. 1996;78(4):918-926. https://doi.org/10.1002/(sici)1097-0142(19960815)78:4<918::aid-cncr32>3.0.co;2-w
  24. Thörn M, Bergström R, Kressner U, Sparén P, Zack M, Ekbom A. Trends in colorectal cancer incidence in Sweden 1959-93 by gender, localization, time period, and birth cohort. Cancer Causes Control. 1998;9(2):145-152. https://doi.org/10.1023/a:1008826109697
  25. Stewart RJ, Stewart AW, Turnbull PR, Isbister WH. Sex differences in subsite incidence of large-bowel cancer. Diseases of the Colon and Rectum. 1983;26(10):658-660. https://doi.org/10.1007/BF02553336
  26. Schub R, Steinheber FU. Rightward shift of colon cancer. A feature of the aging gut. Journal of Clinical Gastroenterology. 1986;8(6):630-634. https://doi.org/10.1097/00004836-198612000-00008
  27. Jemal A, Ward EM, Johnson CJ, Cronin KA, Ma J, Ryerson B, Mariotto A, Lake AJ, Wilson R, Sherman RL, Anderson RN, Henley SJ, Kohler BA, Penberthy L, Feuer EJ, Weir HK. Annual Report to the Nation on the Status of Cancer, 1975—2014, Featuring Survival. Journal of the National Cancer Institute. 2017;109(9):djx030. https://doi.org/10.1093/jnci/djx030
  28. Center MM, Jemal A, Smith RA, Ward E. Worldwide variations in colorectal cancer. CA: A Cancer Journal for Clinicians. 2009;59(6):366-378. https://doi.org/10.3322/caac.20038
  29. Biondo S, Parés D, Frago R, Martí-Ragué J, Kreisler E, De Oca J, Jaurrieta E. Large bowel obstruction: predictive factors for postoperative mortality. Diseases of the Colon and Rectum. 2004;47(11):1889-1897. https://doi.org/10.1007/s10350-004-0688-7
  30. Choo IW, Do YS, Suh SW, Chun HK, Choo SW, Park HS, Kang SK, Kim SK. Malignant colorectal obstruction: treatment with a flexible covered stent. Radiology. 1998;206(2):415-421. https://doi.org/10.1148/radiology.206.2.9457194
  31. Lau KC, Miller BJ, Schache DJ, Cohen JR. A study of large-bowel volvulus in urban Australia. Canadian Journal of Surgery. 2006;49(3):203-207.
  32. Levsky JM, Den EI, DuBrow RA, Wolf EL, Rozenblit AM. CT findings of sigmoidvolvulus. AJR: American Journal of Roentgenology. 2010;194(1):136-143. https://doi.org/10.2214/ajr.09.2580
  33. Aslar AK, Ozdemir S, Mahmoudi H, Kuzu MA. Analysis of 230 cases of emergent surgery for obstructing colon cancer — lessons learned. Journal of Gastrointestinal Surgery. 2011;15(1):110-119. https://doi.org/10.1007/s11605-010-1360-2
  34. Frager D, Rovno HD, Baer JW, Bashist B, Friedman M. Prospective evaluation of colonic obstruction with computed tomography. Abdominal Imaging. 1998;23(2):141-146. https://doi.org/10.1007/s002619900307
  35. Megibow AJ. Bowel obstruction. Evaluation with CT. Radiologic Clinics of North America. 1994;32(5):861-870.
  36. Dalal KM, Gollub MJ, Miner TJ, Wong WD, Gerdes H, Schattner MA, Jaques DP, Temple LK. Management of patients with malignant bowel obstruction and stage IV colorectal cancer. Journal of Palliative Medicine. 2011;14(7):822-828. https://doi.org/10.1089/jpm.2010.0506
  37. Hennekinne-Mucci S, Tuech JJ, Bréhant O, Lermite E, Bergamaschi R, Pessaux P, Arnaud JP. Emergency subtotal/total colectomy in the management of obstructed left colon carcinoma. International Journal of Colorectal Disease. 2006;21:538-541. https://doi.org/10.1007/s00384-005-0048-7
  38. Lee YM, Law WL, Chu KW, Poon RT. Emergency surgery for obstructing colorectal cancers: a comparison between right-sided and left-sided lesions. Journal of the American College of Surgeons. 2001;192(6):719-725. https://doi.org/10.1016/s1072-7515(01)00833-x
  39. Biondo S, Parés D, Kreisler E, Ragué JM, Fraccalvieri D, Ruiz AG, Jaurrieta E. Anastomotic dehiscence after resection and primary anastomosis in left-sided colonic emergencies. Diseases of the Colon and Rectum. 2005;48(12):2272-2280. https://doi.org/10.1007/s10350-005-0159-9
  40. Sule AZ, Ajibade A. Adult large bowel obstruction: a review of clinical experience. Annals of African Medicine. 2011;10(1):45-50. https://doi.org/10.4103/1596-3519.76586
  41. Nugent KP, Daniels P, Stewart B, Patankar R, Johnson CD. Quality of life in stoma patients. Diseases of the Colon and Rectum. 1999;42(12):1569-1574. https://doi.org/10.1007/bf02236209
  42. Perrier G, Peillon C, Liberge N, Steinmetz L, Boyet L, Testart J.. Cecostomy is a useful surgical procedure: study of 113 colonic obstructions caused by cancer. Diseases of the Colon and Rectum. 2000;43(1):50-54. https://doi.org/10.1007/bf02237243
  43. McArdle CS, Hole DJ. Emergency presentation of colorectal cancer is associated with poor 5-year survival. British Journal of Surgery. 2004;91(5):605-609. https://doi.org/10.1002/bjs.4456
  44. Carraro PG, Segala M, Cesana BM, Tiberio G. Obstructing colonic cancer: failure and survival patterns over a ten-year follow-up after one-stage curative surgery. Diseases of the Colon and Rectum. 2001;44(2):243-250. https://doi.org/10.1007/bf02234300
  45. Hitar’yan AG, Miziev IA, Bolov ZS, Kovalev SA. Opyt ispol’zovaniya stentov u bol’nyh kolorektal’nym rakom, oslozhnennym ostroj neprohodimost’yu kishechnika. VIII Mezhdunarodnaya konferenciya «Rossijskaya shkola kolorektal’noj hirurgii» (22—23 maya 2014, Moskva). M. 2014. (In Russ.).
  46. Tekkis PP, Kinsman R, Thompson MR, Stamatakis JD; Association of Coloproctology of Great Britain, Ireland. The Association of Coloproctology of Great Britain and Ireland study of large bowel obstruction caused by colorectal cancer. Annals of Surgery. 2004;240(1):76-81. https://doi.org/10.1097/01.sla.0000130723.81866.75
  47. Zorcolo L, Covotta L, Carlomagno N, Bartolo DC. Safety of primary anastomosis in emergency colo-rectal surgery. Colorectal Disease. 2003;5(3):262-269. https://doi.org/10.1046/j.1463-1318.2003.00432.x
  48. Chernikovskiy IL, Gelfond VM, Zagryadskikh AS, Savchuk SA. Minimally-invasive surgery for collorectal cancer in elderly patients. Sibirskij onkologicheskij zhurnal. 2016;15(3):28-36. (In Russ.). https://doi.org/10.21294/1814-4861-2016-15-3-28-36
  49. Achkasov SI, Sushkov OI, Surovegin ES, Lukashevich IV. Economic aspects of the program for accelerated recovery of coloproctological patients. Koloproktologiya. 2017;S3(61):52. (In Russ.).
  50. Achkasov SI, Likhter MS, Sushkov OI, Nazarov IV. Locally-advanced sigmoid cancer with carcinomatosis and multipay recurrences. 15 years of observation. Koloproktologia. 2018;1(63):57-62. (In Russ.). https://doi.org/10.33878/2073-7556-2018-0-1-57-62
  51. Hitar’yan AG, Miziev IA, Glumov OE, Karpova IO, Kovalev SA, Orekhov AA. The use of self-expanding metal stents in acute obturation of colonic obstruction. Consilium Medicum. Hirurgiya. 2016;01:5-8. (In Russ.).
  52. Darbishgadjiev ShO, Baulin AA, Zimin YuI, Baulin VA, Baulina OA. Results of surgical treatment of colorectal cancer. Zdorov’e i obrazovanie v XXI veke. 2018;20(4):42-46. (In Russ.). https://doi.org/10.26787/nydha-2226-7425-2018-20-4-42-46
  53. Shabunin AV, Grekov DN, Gugnin AV, Korzheva IYu. A comparative analysis of the treatment of patients with acute colonic obstruction obstructive tumor genesis. Rossijskij mediko-biologicheskij vestnik imeni akademika I.P. Pavlova. 2017;25(3):476-483. (In Russ.). https://doi.org/10.23888/PAVLOVJ20173476-483
  54. Shabunin AV, Bagateliya ZA, Gugnin AV. Implementation of multistage approach for colorectal cancer with bowel obstruction in surgeon units of Moscow. Koloproktologia. 2018;4(66):7-15. (In Russ.). https://doi.org/10.33878/2073-7556-2018-0-4-7-15
  55. Simmons DT, Baron TH. Technology insight: Enteral stenting and new technology. Nature Clinical Practice Gastroenterology and Hepatology. 2005;2(8):365-374. https://doi.org/10.1038/ncpgasthep0236
  56. Kaplan J, Strongin A, Adler DG, Siddiqui AA. Enteral stents for the management of malignant colorectal obstruction. World Journal of Gastroenterology. 2014;20(37):13239-13245. https://doi.org/10.3748/wjg.v20.i37.13239
  57. Repici A, Reggio D, De Angelis C, Barletti C, Marchesa P, Musso A, Carucci P, Debernardi W, Falco M, Rizzetto M, Saracco G. Covered metal stents for management of inoperable malignant colorectal strictures. Gastrointestinal Endoscopy. 2000;52(6):735-740. https://doi.org/10.1067/mge.2000.109803
  58. Cwikiel W, Andrén-Sandberg A. Malignant stricture with colovesical fistula: stent insertion in the colon. Radiology. 1993;186(2):563-564. https://doi.org/10.1148/radiology.186.2.8421765
  59. Park S, Cheon JH, Park JJ, Moon CM, Hong SP, Lee SK, Kim TI, Kim WH. Comparison of efficacies between stents for malignant colorectal obstruction: a randomized, prospective study. Gastrointestinal Endoscopy. 2010;72(2):304-310. https://doi.org/10.1016/j.gie.2010.02.046
  60. Lee KM, Shin SJ, Hwang JC, Cheong JY, Yoo BM, Lee KJ, Hahm KB, Kim JH, Cho SW. Comparison of uncovered stent with covered stent for treatment of malignant colorectal obstruction. Gastrointestinal Endoscopy. 2007;66(5):931-936. https://doi.org/10.1016/j.gie.2007.02.064
  61. Shelygin YuA, Achkasov SI, Nazarov IV. Results of treatment of patients with local recurrence of colon cancer. Koloproktologiya (prilozhenie). 2018;64(2S):46-47. (In Russ.).
  62. Ribeiro I, Bernardo W, Martins B, de Moura D, Baba E, Josino I, Miyajima N, Coronel Cordero M, Visconti T, Ide E, Sakai P, de Moura E. Colonic stent versus emergency surgery as treatment of malignant colonic obstruction in the palliative setting: a systematic review and meta-analysis. Endoscopy International Open. 2018;06(05):558-567. https://doi.org/10.1055/a-0591-2883
  63. Kim JY, Kim SG, Im JP, Kim JS, Jung HC. Comparison of treatment outcomes of endoscopic stenting for colonic and extracolonic malignant obstruction. Surgical Endoscopy. 2013;27:272-277. https://doi.org/10.1007/s00464-012-2439-5
  64. Mauro MA, Koehler RE, Baron TH. Advances in gastrointestinal intervention: the treatment of gastroduodenal and colorectal obstructions with metallic stents. Radiology. 2000;215(3):659-669. https://doi.org/10.1148/radiology.215.3.r00jn30659
  65. Baron TH, Rey JF, Spinelli P. Expandable metal stent placement for malignant colorectal obstruction. Endoscopy. 2002;34(10):823-830. https://doi.org/10.1055/s-2002-34271
  66. Watt AM, Faragher IG, Griffin TT, Rieger NA, Maddern GJ. Self-expanding metallic stents for relieving malignant colorectal obstruction: a systematic review. Annals of Surgery. 2007;246(1):24-30. https://doi.org/10.1097/01.sla.0000261124.72687.72
  67. Song LM, Baron TH. Stenting for acute malignant colonic obstruction: a bridge to nowhere? The Lancet. Oncology. 2011;12(4):314-315. https://doi.org/10.1016/s1470-2045(11)70059-6
  68. van Hooft JE, Bemelman WA, Oldenburg B, Marinelli AW, Lutke Holzik MF, Grubben MJ, Sprangers MA, Dijkgraaf MG, Fockens P; collaborative Dutch Stent-In study group. Colonic stenting versus emergency surgery for acute left-sided malignant colonic obstruction: a multicentrerandomised trial. The Lancet. Oncology. 2011;12(4):344-352. https://doi.org/10.1016/s1470-2045(11)70035-3
  69. Baron TH, Dean PA, Yates MR 3rd, Canon C, Koehler RE. Expandable metal stents for the treatment of colonic obstruction: techniques and outcomes. Gastrointestinal Endoscopy. 1998;47(3):277-286. https://doi.org/10.1016/s0016-5107(98)70327-x
  70. Turnbull RB Jr, Hawk WA, Weakley FL. Surgical treatment of toxic megacolon. Ileostomy and colostomy to prepare patients for colectomy. American Journal of Surgery. 1971;122(3):325-331. https://doi.org/10.1016/0002-9610(71)90252-2

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