head JofIMAB
Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2021, vol. 27, issue1
Subject Area: Medicine
DOI: 10.5272/jimab.2021271.3582
Published online: 15 February 2021

Original article

J of IMAB. 2021 Jan-Mar;27(1):3582-3584
Konstantin KostovORCID logo Corresponding Autoremail,
Department of General, Visceral and Emergency Surgery, UMHATEM “N. I. Pirogov” – Sofia, Bulgaria.

Purpose: The purpose of this study is to analyze the possible change in the characteristics of patients with colonic ileus from obstructive colorectal cancer in UMHATEM "N. Pirogov ".
Material and Methods: For two separate periods of 2 years in the Department of General, Visceral and Emergency Surgery in University Hospital "N. I. Pirogov" from ileus caused by colorectal carcinoma were operated respectively:
Group A (1.1.2010-31.12.2011) - 187 patients (average 71.2 years, women were 88, men 99)
Group B (1.1.2014-31.12.2015) - 141 patients (average 73.5 years, women were 69, men 72).
Results: In group B there was an increase in the infected patients at an earlier stage. There was no significant difference in the localization of the tumor process in the two groups. In contrast to the increased number of patients hospitalized at an earlier ileus stage, there was no difference in the two groups according to the tumor stage.
Conclusions: Emergency surgery is indicated for cases with full bowel obstruction and significant prediction of rupture. Surgery procedure like proximal colostomy is reccomended for elderly patients and complicated comorbidity. Primary procedure like segmental and subtotal colectomy is appropriate for patients in good condition. Segmental resection is favorable in elderly patients and those with shock who may not tolerate lengthy surgery.

Keywords: ileus, colorectal carcinoma, surgery, clinical signs, obstruction,

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Please cite this article as: Kostov K. Clinical and pathological features of colonic ileus from obstructive colorectal cancer. Actual characteristics. J of IMAB. 2021 Jan-Mar;27(1):3582-3584. DOI: 10.5272/jimab.2021271.3582

Corresponding AutorCorrespondence to: Konstantin Kostov, MD, PhD, Surgical Clinic, UMHATEM “N. I. Pirogov” – Sofia; 21, Totleben Blvd., 1606 Sofia, Bulgaria; E-mail: dr.k.kostov@gmail.com

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Received: 03 April 2020
Published online: 15 February 2021

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