Colonic stent for malignant obstruction. reflections in the context of a case
A Fenyvesi, P Fuszek, E Rácz, M Horváth, P Molnár, F Ender · Zeitschrift für Gastroenterologie · 2011 · Heft 05
Bibliografische Angaben
Zusammenfassung
Background: In spite of internationally improving screening methods, in 25 per cent of the cases colonic neoplasms are diagnosed causing complete ileus. In this case the treatment of choice is the Hartmann procedure, followed at least eight weeks later by a restorative surgery, if applicable. Most patients undergo the second surgery much later and many live with colostomy for their lives. This results in higher costs and worse quality of life. The number of primary anastomoses today is higher, but it is not always feasible and raises the risk of complications and mortality. The latter reaches 10–30 per cent in a…