Title

Emergency Presentations of Colorectal Cancer.

Authors

Canaan Baer, Colon and Rectal Clinic, Swedish Medical Center, 1101 Madison, Suite 500, Seattle, WA 98104, USA
Raman Menon, Colon and Rectal Clinic, Swedish Medical Center, 1101 Madison, Suite 500, Seattle, WA 98104, USAFollow
Sarah Bastawrous
Amir Bastawrous, Swedish Cancer Institute, Seattle, WA, United StatesFollow

Document Type

Article

Publication Date

6-1-2017

Publication Title

The Surgical clinics of North America

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

Department

Oncology

Department

Gastroenterology

Recommended Citation

Baer, Canaan; Menon, Raman; Bastawrous, Sarah; and Bastawrous, Amir, "Emergency Presentations of Colorectal Cancer." (2017). Articles, Abstracts, and Reports. 1517.
https://digitalcommons.providence.org/publications/1517