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Gaceta Médica Espirituana
versão On-line ISSN 1608-8921
Resumo
ALBIZA SOTOMAYOR, Leonel et al. Characterization of patientes operated in mechanical bowel occlusion by colorrectal and anal cancer. Gac Méd Espirit [online]. 2021, vol.23, n.1, pp. 75-87. Epub 01-Abr-2021. ISSN 1608-8921.
Background:
Colorectal and anal cancer is a high incidence disease, and bowel occlusion its most frequent complication.
Objective:
To describe the patients operated on mechanical bowel occlusion due to colorectal and anal cancer.
Methodology:
A descriptive observational study was conducted in all patients with mechanical bowel occlusion due to colorectal and anal cancer operated at the Sancti Spíritus General Provincial Hospital Camilo Cienfuegos from January 1st, 2016 to December 31st, 2018. 126 patients were registered with this diagnosis. Demographic variables, like physical state, hematocrit, glycemia, creatinine, arterial blood gas, imaging findings, and hospital stay were included. The tumor location as causing of the occlusion, surgical techniques, complications, reoperations and their causes were also evaluated. Descriptive and inferential statistics were used for the analysis of the results.
Results:
The mean age was 71 years, female sex predominated (51.6 %) and 62 patients with left colon tumors. 45.2 % of the series was complicated, 19 % had to be re-operated and the cause of the highest incidence was peritonitis. 27 % of the patients died.
Conclusions:
The population characteristics do not differ from the results reported by some other authors. According to the complications showed, mortality was over that reported in international investigations.
Palavras-chave : Colorectal neoplasms and surgery; intestinal obstruction and surgery; colorectal cancer; intestinal occlusion; surgical treatment; complications.