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AIM OF THE STUDY: To analyse the risk factors in the treatment of intestinal obstruction due to colorectal carcinoma.
The treatment of neoplastic obstruction of the right colon until the splenic flexure is well defined: right hemicolectomy,
enlarged right hemicolectomy. Otherwise the treatment of the obstruction due to left colon carcinoma beyond left flexure
is not standardized.
MATERIAL AND METHODS: The Authors report on a consecutive series of 15 patients, classified according to Colorectal
Tumours Emergencies Score (CTES), based on the analysis of 4 risks factors: colic, perforation, serum albumin, concurrent
cardiovascular disease, chronic renal insufficiency.
Each patient has been ranked in three classes of risk: low (CTES < 4), moderate (CTES 4-12), and high (CTES >
CONCLUSIONS: Referring to this classification the Authors consider the choice of surgical treatment. When general conditions
of the patient permit, it seems preferable to perform primary anastomosis.