Application of via-anal ileus tube drainage in the therapy of acute low colorectal obstruction caused by cancer in elderly patients

VernacularTitle:经肛门肠梗阻导管在老年人急性低位结直肠癌性梗阻治疗中的应用
Author: Yang SHI ; Wenzheng FU ; Yuwei LI ; Xipeng ZHANG
Publication Type:Journal Article
Keywords: Colorectal neoplasma; Intestinal obstruction
From: Chinese Journal of Geriatrics 2013;(1):85-87
CountryChina
Language:Chinese
Abstract: Objective To evaluate the role of via-anal ileus tube drainage in the therapy of acute low colorectal obstruction caused by cancer in elderly patients.Methods Totally 31 elderly patients with acute obstruction caused by colorectal cancer were treated by this modality.With the help of colonscopy and radiograph,the ileus tube was inserted into the proximal bowel of the obstructive side via anus.Then we irrigated and drain through the tube.At the same time we observed the patients' symptoms,abdominal girth,plain abdominal radiograph.After the relief of the acute obstruction,operations were processed.Results After 7-14 days treatment,the acute obstruction was relieved and emergency operation was avoided.The cure rate of 1-staged resection was 93.5％ (29/31),the rate of 1-staged anastomosis was 68.9％ (20/29),the rate of complication was 19.4％ (6/31),no anastomotic leakage and no perioperative death occurred.Conclusions The via-anal tube drainage in the treatment of the elderly patients with acute obstruction is safe,effective,and the trauma is small.It would be the first choice to relieve the acute obstruction in future.