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Bokarev M.I.

Sechenov First Moscow State Medical University of Healthcare Ministry of Russia, Moscow, Russia

Vodoleev A.S.

Eramishantsev Municipal Clinical Hospital of Moscow Healthcare Department, Moscow, Russia

Mamykin A.I.

Sechenov First Moscow State Medical University of Healthcare Ministry of Russia, Moscow, Russia

Muntyanu E.V.

Sechenov First Moscow State Medical University of Healthcare Ministry of Russia, Moscow, Russia

Duvanskiy V.A.

Department of surgery with the course of endoscopy, Academic medical center of the Presidential Administration

Demyanov A.I.

Sechenov First Moscow State Medical University of Healthcare Ministry of Russia, Moscow, Russia

Belov Yu.V.

RNTsKh im. akad. B.V. Petrovskogo RAMN

Effectiveness of various approaches for acute malignant colonic obstruction

Authors:

Bokarev M.I., Vodoleev A.S., Mamykin A.I., Muntyanu E.V., Duvanskiy V.A., Demyanov A.I., Belov Yu.V.

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Journal: Pirogov Russian Journal of Surgery. 2018;(10): 55‑60

DOI: 10.17116/hirurgia201810155

Views: 661

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To cite this article:

Bokarev MI, Vodoleev AS, Mamykin AI, Muntyanu EV, Duvanskiy VA, Demyanov AI, Belov YuV. Effectiveness of various approaches for acute malignant colonic obstruction. Pirogov Russian Journal of Surgery. 2018;(10):55‑60. (In Russ.)
https://doi.org/10.17116/hirurgia201810155

Подписка 2025 (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
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Aim. To determine optimal treatment strategy for acute malignant colonic obstruction. Material and methods. 349 patients with acute malignant colonic obstruction were retrospectively analyzed for the period 2005—2017. All patients were divided into two groups depending on surgical approach. Surgical group comprised 259 patients, endoscopic group — 90 patients. Both groups were comparable by gender, age, level of intestinal obstruction and duration of the disease. However, morbidity and mortality rate were significantly different. Results. In surgical group incidence of complications was 63.3%, mortality — 19.7%. In group of endoscopic stenting the same values were 8.9% and 6.7%, respectively. Significant differences of morbidity and mortality were observed between groups (p<0.05). Conclusion. Endoscopic stenting should be preferred over surgery to eliminate colonic obstruction in patients with acute malignant ileus.

Keywords:

acute colonic obstruction
colorectal cancer
endoscopic stenting of colon

Authors:

Bokarev M.I.

Sechenov First Moscow State Medical University of Healthcare Ministry of Russia, Moscow, Russia

Vodoleev A.S.

Eramishantsev Municipal Clinical Hospital of Moscow Healthcare Department, Moscow, Russia

Mamykin A.I.

Sechenov First Moscow State Medical University of Healthcare Ministry of Russia, Moscow, Russia

Muntyanu E.V.

Sechenov First Moscow State Medical University of Healthcare Ministry of Russia, Moscow, Russia

Duvanskiy V.A.

Department of surgery with the course of endoscopy, Academic medical center of the Presidential Administration

Demyanov A.I.

Sechenov First Moscow State Medical University of Healthcare Ministry of Russia, Moscow, Russia

Belov Yu.V.

RNTsKh im. akad. B.V. Petrovskogo RAMN

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