ABSTRACT
In the last 12 years 25 patients affected with obstruction from colorectal carcinoma were treated. Mortality following simple colostomy was not different from that of surgical resections (25% vs. 14% in Authors' experience). Major surgery (subtotal colectomy) registered a reasonable mortality rate (5-6%).
Subject(s)
Colonic Diseases/surgery , Colonic Neoplasms/complications , Intestinal Obstruction/surgery , Aged , Aged, 80 and over , Colectomy/mortality , Colonic Diseases/etiology , Colonic Diseases/mortality , Colostomy/mortality , Humans , Intestinal Obstruction/etiology , Intestinal Obstruction/mortality , Middle Aged , Rectal Neoplasms/complicationsABSTRACT
The experience with 24 intussusceptions observed in a Department of General Surgery has been reviewed. The delay between onset of symptoms and hospitalization was less than 24 hours in 58% of cases, from 24 to 48 hours in 28%, and more than 48 hours in 14% of children. 23 patients were submitted to barium enema. Hydrostatic reduction was obtained in 19 cases. Laparotomy was performed in 13 patients after failure of hydrostatic reduction and in 5 emergency cases while only 4 underwent resection. The controversies about the management of intussusception are discussed, based on a review of literature (6,542 cases). A safe diagnostic and therapeutic approach to the disease is proposed.
