Key result
Methods of colon recanalization with subsequent stenting are optimal for preoperative decompression, allowing postponement or avoidance of radical surgery without worsening prognosis.
Why the study?
The study was conducted to analyze available literature data on methods of colon recanalization in patients with acute malignant obstructive colonic obstruction.
What are the optimal methods of colon recanalization in patients with acute malignant obstructive colonic obstruction?
What are the optimal methods of colon recanalization in patients with acute malignant obstructive colonic obstruction?
Colon recanalization with stenting is an optimal method for preoperative decompression in acute malignant colonic obstruction, though data on hybrid methods remains limited.
Answers are grounded in this paper and cite their sources.
May support stenting for colonic decompression in select cases; hypothesis-generating and needs prospective validation.
OBJECTIVE: To analyze available literature data on the methods of colon recanalization in patients with acute malignant obstructive colonic obstruction. MATERIAL AND METHODS: We retrospectively analyzed literature data on the treatment of acute neoplastic colonic obstruction. RESULTS: We reviewed available national and foreign literature data on various methods of colon recanalization including various modern and hybrid techniques. CONCLUSION: Methods of colon recanalization with subsequent stenting are the most optimal for preoperative decompression of colon. These measures are effective and allow postponing radical surgery or avoiding it altogether without worsening the prognosis of the underlying pathology. However, there is a small amount of literature data on modern hybrid methods of recanalization.
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Шабунин et al. (2023) conducted a review in Acute malignant obstructive colonic obstruction. Colon recanalization with subsequent stenting was evaluated. Methods of colon recanalization with subsequent stenting are optimal for preoperative decompression, allowing postponement or avoidance of radical surgery without worsening prognosis.
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