title: Side-to-end anastomosis in a colostomy for acute malignant large-bowel obstruction: side-to-end anastomosis with a colostomy (STEC procedure).
abstract: This report describes the use of side-to-end anastomosis in a colostomy for an acute malignant large-bowel obstruction. A 59-year-old man presented with a colonic obstruction due to advanced descending colon cancer. The preoperative imaging studies revealed a complete obstruction of the descending colon at the site of the splenic flexure, a remarkably dilated transverse colon, and no other metastatic lesions. Side-to-end anastomosis was performed with the colostomy because of the high comorbidity associated with such cases. When the patient's general condition improved, a stoma closure was performed under local anesthesia. In conclusion, a side-to-end anastomosis with a colostomy (STEC procedure) was found to be a simple, useful, and cost-effective technique for an acute malignant large-bowel obstruction, particularly in a high-risk patient.
authors.affiliation: Department of Surgery, Shizuoka Saiseikai General Hospital, 1-1-1 Oshika, Shizuoka, 422-8527, Japan.
authors.forename: Yasuyuki
authors.initials: Y
authors.lastname: Fukami
authors.forename: Masaki
authors.initials: M
authors.lastname: Terasaki
authors.forename: Kenji
authors.initials: K
authors.lastname: Sakaguchi
authors.forename: Toru
authors.initials: T
authors.lastname: Murata
authors.forename: Masayuki
authors.initials: M
authors.lastname: Ohkubo
authors.forename: Kazumi
authors.initials: K
authors.lastname: Nishimae
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods; D003110:Colonic Neoplasms / Q000175:diagnosis / Q000601:surgery*; D003125:Colostomy / Q000379:methods*; D006801:Humans; D007415:Intestinal Obstruction / Q000473:pathology* / Q000601:surgery*; D007420:Intestine, Large; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness