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Query: UMLS:C0699790 (colon cancer)
 28,837 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

A total of 232 patients with obturation neoplastic ileus of the colon are operated over a 12-year period (1979-1990). Colorectal carcinoma is the underlying cause of the development of obturation colonic impatency. Of the total of 654 patients with carcinoma of the colon and rectum operated on obturation colonic ileus is diagnosed in 232 cases (35.47 per cent). There is a tendency of the morbidity rate of obturation colonic ileus to increase during the observation period, rather markedly expressed in rectal carcinoma cases. In 160 patients (68.97 per cent) the neoplasm is located in the colon, and in seventy-two (31.03 per cent)--in the rectum. The morbidity rate recorded in men and among the urban population is higher. Obturation colonic impatency of a neoplastic origin is taken to be a pathological condition of advanced age. The mean age in men is 57.9 years, and in women--57.7 years.
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PMID:[The structure of colorectal carcinoma morbidity complicated by occlusive ileus]. 804 Oct 85

An 85-year-old man presented with acute abdomen. Abdominal computed tomography revealed obstructing sigmoid colon cancer with pneumatosis intestinalis of the ascending colon. A surgeon was consulted for colonic obstruction with impending sepsis, who declined surgery considering the patient's advanced age. After discussion, the patient consented for emergent endoscopic metallic colonic stent placement. Complete obstruction of the lumen was observed at the sigmoid colon, followed by successful metallic colonic stent placement through the obstructed area. Normal stool passage was achieved after this, and the patient survived the 9-month follow-up period. Acute colonic obstruction from obstructive colon cancer requires emergency management, wherein the presence of pneumatosis intestinalis poses a high risk of cecal perforation. Emergency endoscopic colonic metallic stent placement provides an alternative therapy, particularly when surgery is not feasible, as described here.
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PMID:Cecal pneumatosis intestinalis in obstructing sigmoid cancer: emergency metallic stenting. 2427 44