ANALYSIS OF THE RESULTS OF PALLIATIVE TREATMENT OF PATIENTS WITH COLORECTAL CANCER COMPLICATED BY INTESTINAL OBSTRUCTION

Relevance: Colorectal cancer (CRC), complicated by acute intestinal obstruction (OKN), takes 3-4 place among the most common in medical practice oncological diseases in the world. CRC, complicated by acute intestinal obstruction, occurs in 5.7-30% of surgical patients. Surgical interventions performed in this group of patients are marked by high rates of mortality and complications - up to 7.6-35%. Objective: to analyze and improve the results of treatment of CRC, complicated by acute intestinal obstruction of tumor origin, through the use of low-impact treatment methods aimed at resolving emergency surgical complications as the final volume of the operation. Material and methods: endoscopic stenting of colorectal cancer, complicated by acute intestinal obstruction, in recent years is the most evolving direction in the concept of real and rapid recovery in this group of patients. In a retrospective study, the results of a clinical observation of 89 patients who, from 2010 to 2016, underwent palliative surgery for malignant lesions of the colon, were evaluated. The main group of patients consisted of 35 patients who underwenta endoscopic stenting of the tumor stricture in an emergency and delayed procedure. 54 patients were formed decompression intestinal stoma. These patients formed a control group. Due to severe concomitant pathology, as well as the presence of an unresectable tumor - the formation of intestinal stomas was performed as the final volume of medical care.Results and discussion: The subject of discussion of this study is the study of the results of endoscopic stenting, applied to patients with colorectal cancer complicated by intestinal obstruction, only for the purpose of symptomatic treatment. The results of the comparison of endoscopic stenting of the colon and decompression intestinal stoma are described. Restoration of the passage through the gastrointestinal tract after endoscopic stenting was noted in all clinical cases. Conclusion: The use of endoscopic stenting by installing self-expanding metal stents for the treatment of colorectal cancer complicated by intestinal obstruction, allows you to quickly restore motor-evacuation function, compensate for metabolic disorders by performing early antegrade digestive tract decompression.

stenting, colorectal cancer, intestinal obstruction