Surgical treatment and early postoperative enteral nutrition of acute obstruction caused by colorectal cancer
10.3760/cma.j.issn.1008-6315.2013.09.022
- VernacularTitle:结、直肠癌并急性肠梗阻的外科处理并术后早期肠内营养支持
- Author:
Tian YANG
;
Yongming ZENG
;
Huaiming WANG
;
Zhouhong ZHENG
;
Wei LI
- Publication Type:Journal Article
- Keywords:
Enteral nutrition;
Colorectal cancer;
Acute obstruction;
Intra-operative colonic lavage;
Primary resection and anastomosis
- From:Clinical Medicine of China
2013;29(9):961-963
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the method of surgical treatment of acute intestinal obstruction caused by colorectal cancer,and affirm the feasibility and validity of the new way ofearly precolonic postoperative enteral nutritionafter operation of acute intestinal obstruction caused by colorectal cancer.Methods Retrospective analized the clinical data of 78 cases of acute intestinal obstruction caused by colorectal caner from September 2007 to September 2012 and the incidence of complications (incision infection,intra-abdominal abscess,anastomotic leakage,and pneumonia) was observed.Results Sixty-two patients received radical resection and primary anastomosis.All of them were cured and no death occurred.Two patients had complication of postoperative infection and none suffered from anastomotic or drainage leakage.Conclusion Radical resection and primary anastomosis using Intra-operative colonic lavage are safe and effective methods for patients with colorectal cancer associated with acute intestinal obstruction,and early precolonic postoperative enteral nutritioncould better eliminate perioperative malnourished patients more,reduce operation complication,prevent anastomotic leakage,and increase the success rate of the operation.
