Placement of the Decompression Tube as a Bridge to Surgery for Acute Malignant Left-Sided Colonic Obstruction.
OBJECTIVE
The aim of this study is to investigate the feasibility, safety, and effectiveness of placing the decompression tube as a bridge to surgery for acute malignant left-sided colonic obstruction.


METHODS
From January 2009 to August 2014, consecutive patients with acute malignant left-side colonic obstruction underwent placement of the decompression tube as a bridge to surgery in our center. The technical and clinical success of placing the decompression tube was evaluated. Clinical success was defined as relief of obstructive symptoms within 48 h after placing the decompression tube. Elective tumor resection was performed 7-9 days after colonic decompression. The types of surgery, primary anastomosis rate, and follow-up findings were analyzed.


RESULTS
Twenty patients with acute malignant left-side colonic obstruction underwent placement of the decompression tube as a bridge to surgery. Placement of decompression tube was technically successful in all patients. No procedure-related complication occurred. Clinical success was achieved in 19 patients. Elective tumor resection and primary anastomosis were successfully performed in all 19 patients. The postoperative complications included wound infection (n = 2) and anastomotic stenosis (n = 1).


CONCLUSIONS
Decompression tube can serve as an easy, safe, and effective bridge to subsequent surgery for patients with acute malignant left-sided colonic obstruction.
Department of Radiology, Xuzhou central hospital, 199 Jiefang Road, 221009, Xuzhou, Jiangsu, China.
Yuan-Shun
YS
Xu
Department of Gastrointestinal Surgery, Xuzhou central hospital, 199 Jiefang Road, Xuzhou, Jiangsu, China.
Tao
T
Song
Department of Radiology, Xuzhou central hospital, 199 Jiefang Road, 221009, Xuzhou, Jiangsu, China.
Yong-Tuan
YT
Guo
Department of Radiology, Xuzhou central hospital, 199 Jiefang Road, 221009, Xuzhou, Jiangsu, China.
Guo-Qing
GQ
Shao
Department of Radiology, Xuzhou central hospital, 199 Jiefang Road, 221009, Xuzhou, Jiangsu, China.
Hong-Tao
HT
Du
Department of Radiology, Xuzhou central hospital, 199 Jiefang Road, 221009, Xuzhou, Jiangsu, China. lidechun7878@sina.com.
De-Chun
DC
Li
Department of Radiology, Xuzhou central hospital, 199 Jiefang Road, 221009, Xuzhou, Jiangsu, China. fuyufei1985@163.com.
Yu-Fei
YF
Fu
D000328:Adult; D000368:Aged; D003082:Colectomy; D003108:Colonic Diseases / Q000209:etiology / Q000401:mortality / Q000601:surgery*; D019299:Decompression, Surgical / Q000295:instrumentation*; D017558:Elective Surgical Procedures; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology / Q000401:mortality / Q000601:surgery*; D007440:Intubation / Q000295:instrumentation*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome
Colonic obstruction; Decompression tube; Surgery