Emergency Surgery Versus Colorectal Stents for the Management of Malignant Colonic Obstructions

Emergency Surgery Versus Colorectal Stents for the Management of Malignant Colonic Obstructions: a Prospective Cohort Study

The study evaluates and compares effect of emergency surgery and colonic stents for treatment of malignant colonic obstructions.

Acute colonic obstruction is one of the common clinical presentations of colorectal cancer. Surgical decompression with colostomy with or without resection and eventual re-anastomosis is the treatment of choice; however, emergency surgery is associated with higher morbidity and mortality.

The colonic stent insertion effectively decompressed the obstructed colon and avoid needs of emergency surgery. This method is a palliation and bridge to surgery. Colonic stents allowed surgery to be performed electively.

Inclusion Criteria:

• Patient with malignant colorectal obstructions.
• Patient's approval to participate in the study.

Exclusion Criteria:

• Patient's preference for either treatment method.
• Patient's refusal to participate in the study.
• Patients in the ASA group 4 and 5.