Emergency Presentations of Colorectal Cancer.
Publication Title
The Surgical clinics of North America
Document Type
Article
Publication Date
6-1-2017
Keywords
Colon; Colorectal Neoplasms; Colostomy; Emergencies; Gastrointestinal Hemorrhage; Humans; Intestinal Obstruction; Intestinal Perforation; Stents; Tomography, X-Ray Computed
Abstract
Many colorectal carcinomas will present emergently with issues such as obstruction, perforation, and bleeding. Emergency surgery is associated with poor short- and long-term outcomes. For abnormality localizing to the colon proximal to the splenic flexure, surgical management with hemicolectomy is often a safe and appropriate approach. Obstructions are more common in the distal colon, however, where there is an evolving spectrum of surgical and nonsurgical options, most notably by the development of endoluminal stents. Perforation and bleeding are managed similarly to benign causes, as malignancy may be only part of a differential diagnosis at the time of an operation.
Clinical Institute
Cancer
Clinical Institute
Digestive Health
Specialty/Research Institute
Oncology
Specialty/Research Institute
Gastroenterology
