DIAGNOSIS OF CANCER OF THE LEFT COLON, COMPLICATED BY ACUTE INTESTINAL OBSTRUCTION

Authors

  • Сергей Викторович Артюхов City Alexander Hospital, 4, pr. Solidarnosti, St. Petersburg, 193312, Russian Federation
  • Эскендер Эскендер Топузов North-West State Medical University named I. I. Mechnikov, 41, Kirochnaya ul., St. Petersburg, 191015, Russian Federation
  • Абдулаевич Магомед Абдулаев City Alexander Hospital, 4, pr. Solidarnosti, St. Petersburg, 193312, Russian Federation ; North-West State Medical University named I. I. Mechnikov, 41, Kirochnaya ul., St. Petersburg, 191015, Russian Federation
  • Алексей Михайлович Авдеев City Alexander Hospital, 4, pr. Solidarnosti, St. Petersburg, 193312, Russian Federation
  • Васиф Алихан оглы Шекилиев Vyborg Central Hospital, 2, Oktyabrskaya ul., Vyborg, Leningrad region, 188800, Russian Federation
  • Заур Тажудинович Абдуллаев City Alexander Hospital, 4, pr. Solidarnosti, St. Petersburg, 193312, Russian Federation

DOI:

https://doi.org/10.21638/11701/spbu11.2016.205

Abstract

Between 2003 and 2012 in the Alexandrovskaya Hospital of St. Petersburg, Russia 2200 patients were hospitalized with cancer of the left colon complicated by acute intestinal obstruction, ageing from 26 to 91 years. 44.2% were men, 55.8% were women. Th e subjects of the study were 1019 patients in whom distant metastases had not been identifi ed. Th is study is an analysis of the role of physical, laboratory and instrumental methods of examining patients with acute intestinal obstruction due to cancer of left colon. Conclusions: 1. Up to 80% of patients were admitted to hospital aft er 48 hours from onset of the acute period of the disease, aff ecting the variability of clinical manifestations in acute intestinal obstruction due to cancer of left colon. 2. From instrumental methods, the most informative is X-ray examination. When ultrasound is characterized by a tensile intestinal loops. 3. Fibrocolonoscopy, with eff ectively implementation, allows for a 100% positive diagnosis, but only 13.7% of subjects go on to therapeutic manipulation. 4. Laparoscopy avoids a long-term observation of the passage of barium sulfate in patients with suspected acute intestinal obstruction and is the most eff ective way to determine the cause of intestinal obstruction in a complex of diagnostic measures. It is an eff ective diagnostic tool for fi rst-stage or fi nal stage in the treatment of intestinal obstruction. 5. Computed tomography, having a sensitivity of 97.4% is the preferred method of detecting metastases to determine the source and extent of tumour growth which certainly can and should infl uence the decision as to adopt a surgical approach. Refs 10. Tables 9.

Keywords:

colon cancer, diagnosis, clinical presentation, diagnostic radiology, endoscopy

Downloads

Download data is not yet available.
 

References

Литература

Ермолов А. С., Рудин Э. П., Оюн Д. Д. Выбор метода хирургического лечения обтурационной непроходимости при опухолях ободочной кишки // Хирургия. 2004. № 2. С. 4–7.

Чиссов В. И., Старинский В. В., Петрова Г. В. Злокачественные заболевания в России в 2011 году. М.: ФГБУ «МНИОИ им. П. А. Герцена» Минздрава России, 2013. 289 с.

Давыдов М. И., Аксель Е. М. Статистика злокачественных новообразований в России и в странах СНГ в 2008 г. // Вестник РОНЦ им. Н. Н. Блохина РАМН. 2010. Т. 21, № 2 (80). Прил. 1.

Jemal A., Center M. M., DeSantis C., Ward E. M. Global patterns of cancer in cadence and mortality rates and trends // Cancer epidemiol biomarkers prev. 2010. № 19 (8). Р. 1893–1907.

Каприн А. Д., Старинский В. В., Петрова Г. В. Состояние онкологической помощи населению России в 2013 году. М.: МНИОИ им. П. А. Герцена филиал ФГБУ «ФМИЦ им. П. А. Герцена» МР, 2014. 250 с.

Мовчан К. Н., Хижа Вал. Вас., Иванов Г. Н., Алексеев П. С., Русакевич К. И., Хижа Вит. Вал. Результаты мониторинга медико-статистических показателей случаев злокачественных новообразований в Санкт-Петербурге в 2009–2013 гг. // Вестн. С.-Петерб. ун-та. Сер. 11. 2015. Вып. 2. С. 112–129.

Резолюция II Всероссийского съезда колопроктологов // Клинические технологии. 2007. С. 8–9.

Дуданов И. П., Шаршавицкий Г. А., Ванюкова О. В., Толлер В. А., Молоковский Б. В. Хирургическая тактика при острой кишечной непроходимости на почве рака толстой кишки // Матер. VIII Всерос. конф. общих хирургов с междунар. участием, посвящ. 95-летию СамГМУ, совм. с Пленумом проблемной комиссии «Инфекция в хирургии» Межвед. науч. совета по хирургии МЗ РФ и РАМН: Электронный документ (CD). Самара, 2014. С. 61–64.

Ковалев А. И., Мороз О. В., Петров Д. Ю. Диагностика и хирургическое лечение опухолевых заболеваний толстой кишки, осложненных непроходимостью // Матер. VIII Всерос. конф. общих хирургов с междунар. участием, посвящ. 95-летию СамГМУ, совм. с Пленумом проблемной комиссии «Инфекция в хирургии» Межвед. науч. совета по хирургии МЗ РФ и РАМН: Электронный документ(CD). Самара, 2014. С. 70–73.

Пахомова Г. В., Подловченко Т. Г., Утешев Н. С., Селина И. Е., Скворцова А. В. Неотложная хирургия рака ободочной кишки. М.: Миклош, 2009. 96 с.


References

Ermolov A. S., Rudin E. P., Oiun D. D. Vybor metoda khirurgicheskogo lecheniia obturatsionnoi neprokhodimosti pri opukholiakh obodochnoi kishki [The choice of method of surgical treatment of obstructive ileus with tumors of the colon]. Khirurgiia [Surgery], 2004, no. 2, pp. 4–7. (In Russian)

Chissov V. I., Starinskii V. V., Petrova G. V. Zlokachestvennye zabolevaniia v Rossii v 2011 godu [Malignant diseases in Russia in 2011]. Moscow, FGBU «MNIOI im. P. A. Gertsena» Minzdrava Rossii Publ.,2013, 289 pp. (In Russian)

Davydov M. I., Aksel’ E. M. Statistika zlokachestvennykh novoobrazovanii v Rossii i v stranakh SNG v 2008 g. Vestnik RONTs im. N. N. Blokhina RAMN [Journal of the RCRC. N. N. Blokhin], 2010, vol. 21,no. 2 (80), Append. 1. (In Russian)

Jemal A., Center M. M., DeSantis C., Ward E. M. Global patterns of cancer in cadence and mortality rates and trends. Cancer epidemiol biomarkers prev., 2010, no. 19 (8), pp. 1893–1907.

Kaprin A. D., Starinskii V. V., Petrova G. V. Sostoianie onkologicheskoi pomoshchi naseleniiu Rossii v 2013 godu [Status of cancer care to the population of Russia in 2013]. Moscow, MNIOI im. P. A. Gertsena filial FGBU «FMITs im. P. A. Gertsena» MR Publ., 2014, 250 pp. (In Russian)

Movchan K. N., Khizha Val. Vas., Ivanov G. N., Alekseev P. S., Rusakevich K. I., Khizha Vit. Val. Rezul’taty monitoringa mediko-statisticheskikh pokazatelei sluchaev zlokachestvennykh novoobrazovanii v Sankt-Peterburge v 2009–2013 gg. [The monitoring results of medical-statistical indices of malignant neoplasms in Saint-Petersburg within 2009–2013]. Vestnik of St. Petersburg University. Series 11. Medicine,2015, issue 2, pp. 112–129. (In Russian)

Rezoliutsiia II Vserossiiskogo s"ezda koloproktologov [Resolution II All-Russian Congress Coloproctologists]. Klinicheskie tekhnologii [Clinical Technology], 2007, pp. 8–9. (In Russian)

Dudanov I. P., Sharshavitskii G. A., Vaniukova O. V., Toller V. A., Molokovskii B. V. Khirurgicheskaia taktika pri ostroi kishechnoi neprokhodimosti na pochve raka tolstoi kishki [Molokovsky B. V. Surgical tactics at acute intestinal obstruction on the basis of colon cancer]. Mater. VIII Vseros. konf. obshchikh khirurgov s mezhdunar. uchastiem, posviashch. 95-letiiu SamGMU, sovm. s Plenumom problemnoi komissii «Infektsiia v khirurgii» Mezhved. nauch. soveta po khirurgii MZ RF i RAMN: Elektronnyi dokument (CD) [Mater. VIII All-Russia. conf. general surgeons with intern. participation is devoted. 95-th anniversary of Samara State Medical University, Joint. Plenum with problematic Commission “Infection in surgery” interagency scientifi c board of surgery MoH and RAMS: Electronic document (CD)]. Samara, 2014, pp. 61–64. (In Russian)

Kovalev A. I., Moroz O. V., Petrov D. Iu. Diagnostika i khirurgicheskoe lechenie opukholevykh zabolevanii tolstoi kishki, oslozhnennykh neprokhodimost’iu [Diagnosis and surgical treatment of neoplastic diseases of the colon complicated by obstruction]. Mater. VIII Vseros. konf. obshchikh khirurgov s mezhdunar. uchastiem, posviashch. 95-letiiu SamGMU, sovm. s Plenumom problemnoi komissii «Infektsiia v khirurgii» Mezhved. nauch. soveta po khirurgii MZ RF i RAMN: Elektronnyi dokument (CD) [Mater. VIII All- Russia. conf. general surgeons with intern. participation, is devoted. 95th anniversary of Samara State Medical University, Joint. with the prisoner-IOM problematic. Commission “Infection in surgery” Interdepartmental scientifi c board of surgery MoH and RAMS: Electronic document (CD)]. Samara, 2014, pp. 70–73. (In Russian)

Pakhomova G. V., Podlovchenko T. G., Uteshev N. S., Selina I. E., Skvortsova A. V. Neotlozhnaia khirurgiia raka obodochnoi kishki [Emergency surgery colon cancer odds]. Moscow, Miklosh Publ., 2009, 96 pp. (In Russian)

Published

2016-10-07

How to Cite

Артюхов, С. В., Топузов, Э. Э., Абдулаев, А. М., Авдеев, А. М., Шекилиев, В. А. о., & Абдуллаев, З. Т. (2016). DIAGNOSIS OF CANCER OF THE LEFT COLON, COMPLICATED BY ACUTE INTESTINAL OBSTRUCTION. Vestnik of Saint Petersburg University. Medicine, 11(2), 38–50. https://doi.org/10.21638/11701/spbu11.2016.205

Issue

Section

Surgery

Most read articles by the same author(s)