[Strategies of treatment of acute obturative colonic ileus].
Results of surgical treatment of 326 patients with an acute obturation colonic ileus (AOCI) were analyzed. Tumor was localized in left half of colon and retrosygmoid part in 76.8% of observations. There were admitted to the hospital 49.1% of patients with AOCI in subcompensation and decompensation stages. Radical operation was done in 65.4% and palliative one--in 34.6% of patients. Decompression of upper and lower parts of the gut, using oxygenated solutions, was done in complex of preoperative preparation and during operation performance. The method of colonic intraoperative decompression was depicted. In 26.3% of patients for AOCI postoperative complications occurred. Mortality have constituted 11.7%: after operation for AOCI in compensation stage--2.4%, while in subcompensation and decompensation--21.3%.
Militsa
N N
NN
Toropov
Iu D
IuD
Kozlov
V B
VB
Angelovskiĭ
I N
IN
Tovbin
Iu V
IuV
Grebennikov
D S
DS
D000208:Acute Disease; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003108:Colonic Diseases / Q000601:surgery*; D003113:Colonoscopy / Q000379:methods*; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000601:surgery*; D008297:Male; D008875:Middle Aged