Clinical and functional characteristics of patients with colorectal cancer complicated by acute intestinal obstruction

Abstract

Aim. To study the clinical and functional features of patients with colorectal cancer complicated by acute intestinal obstruction.

Methods. A retrospective analysis of the data of 147 patients with colorectal cancer operated on from 2014 to 2016 for urgent indications for acute intestinal obstruction was performed. The study of lethality during the period from 1993 to 2016 was carried out separately. The study was performed in the clinic of urgent oncologic surgery of the State Autonomous Healthcare Institution “Republican Clinical Oncologic Dispensary” MH RT.

Results. Among patients with acute intestinal obstruction in colorectal cancer, a constant increase of the ration of elderly and senile patients is observed, as well as high anesthesia risk. Statistically significant indices of decrease of nutritional status in the group of patients of elderly and senile age and subtle manifestations of hypovolemia were revealed. In the elderly and senile patient group, polypragmasia was registered in 50.5 %.

Conclusion. Patients with colorectal cancer complicated by acute intestinal obstruction, have their own characteristics, different from patients operated on in clinics of urgent abdominal surgery with other diagnoses, the main ratio of which is made up of acute inflammatory diseases. This category of patients should be operated on in institutions where it is possible to provide specific highly skilled surgical and anesthesia-resuscitation care for malignant neoplasms.

Keywords

colorectal cancer / intestinal obstruction / elderly and senile age / nutritional status / pathological thrombus formation / anesthesia risk / polypragmasia

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Akhmetzyanov F.S., Saetgaraev A.K., Pasheev A.V., Valiev N.A., Levin M.V., Shaymardanov I.V., Sadykov K.K.