title: [Examination of Patients with Malignant Obstruction Treated with Chemotherapy after Ileo/Coleostomy].
abstract: Management for obstructive cancer of the colon diverges into many ways. The aim of this study was to evaluate the treatment course of patients with malignant obstruction after ileo/coleostomy. Thirty-six patients with malignant obstruction who underwent ileo/coleostomy in our hospital from May 2012 to January 2016were enrolled in the study. Clinical outcomes were the period before treatment initiation, chemotherapy, radiotherapy, primary lesion resection, and death, and these were retrospectively analyzed. Although 9 stomal complications occurred, no case experienced a delayed treatment start. However, patients with perioperative complications, sepsis due to the tumor, pneumonia, cerebral infractions, and ileus needed a long recovery period before treatment initiation. Patients who need ileo/coleostomy must be considered for performance status and ways to decrease perioperative complications to prevent stomal complications from chemo/radiotherapy.
authors.affiliation: Dept. of Surgery, Sakai City Medical Center.
authors.forename: Hidemi
authors.initials: H
authors.lastname: Nishi
authors.forename: Ken
authors.initials: K
authors.lastname: Nakata
authors.forename: Yoko
authors.initials: Y
authors.lastname: Hiraki
authors.forename: Junpei
authors.initials: J
authors.lastname: Yoshimura
authors.forename: Shingo
authors.initials: S
authors.lastname: Sasamatsu
authors.forename: Katsushu
authors.initials: K
authors.lastname: Shimizu
authors.forename: Toshiya
authors.initials: T
authors.lastname: Inoue
authors.forename: Jota
authors.initials: J
authors.lastname: Mikami
authors.forename: Genta
authors.initials: G
authors.lastname: Sawada
authors.forename: Shin
authors.initials: S
authors.lastname: Nakahira
authors.forename: Yoichi
authors.initials: Y
authors.lastname: Makari
authors.forename: Tameyoshi
authors.initials: T
authors.lastname: Yamamoto
authors.forename: Masaki
authors.initials: M
authors.lastname: Tsujie
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Kimura
authors.forename: Hiroki
authors.initials: H
authors.lastname: Ohsato
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D059248:Chemoradiotherapy; D003110:Colonic Neoplasms / Q000628:therapy*; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D054047:Surgical Stomas; D016896:Treatment Outcome