Author/Editor		Repše, Stane; Štor, Zdravko; Čalić, Milič; Žakelj, Bojan
Title		Obstrukcija širokega črevesa in danke
Translated title		Colorectal obstruction
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 66, št. Suppl 1
Publication year		1997
Volume		str. I-31-3
Language		slo
Abstract		Background. Emergency surgery for obstruction, perforation and massive bleeding represents approximately 10-40% of all operation on colon and rectum. 80% of all urgent operations are required due to obstruction caused in 70% by cancer. Methods. Retrospekctive analysis of a 6-year series of 121 patients from the period from Jan. 1st 1988 to Dec. 31st 1993 who underwent urgent operation at Department of Gastroenterologic Surgery in UMC Ljubljana. Results. 121 out of 170 patients with colorectal pathology underwent urgent operation for obstruction (71.2%). In 92 of 121 patients obstruction was caused by cancer, in 4 patients it was due to diverticulitis and in 20 patients there were other different causes. In 92 patients (76.0%) one-stage procedure was performed, in 13 patients (10.7%) two-stage procedure, in 16 patients (13.3%) only by-pass or stoma was made. Total hospital mortality rate was 15.7% - after one-stage procedure 6.5%, after two-stage 30,8%, after nonresective surgery 56.3%. Conclusion. In urgent surgery for large bowel obstruction the best results are obtained by one-stage procedure.
Summary		Izhodišča. Urgentne operacije zaradi obstrukcije, perforacije ali krvavitve predstavljajo približno 10-40% vseh operacij na širokem črevesu in danki. Kar 80% vseh urgentnih operacij je zaradi obstrukcije in za 70% vseh obstrukcij je vzrok rak. Metode. Retrogradna analiza 6-letne serije 121 bolnikov iz obdobja 1.1.1988-31.12.1993, ki so bili urgentno operirani na Kirurški gastroenterološki kliniki - oddelkih na Zaloški. Rezultati. Pri 121/170 urgento operiranih bolnikov zaradi patologije širokega črevesa in danke je bila vzrok za nujno operacijo obstrukcija (71,2%). Pri 97/121 je bil vzrok za obstrukcijo rak (80,2%), pri 4 divertikulitis in pri 20 različni drugi vzroki. Pri 92 (76,0%) pri bolnikih je bila narejena operacija v eni fazi, pri 13 (10,7%) operacija v dveh fazah, pri 16 (13,3%) bolnikih pa samo by-pass ali stoma. Celokupna hospitalna pooperativna smrtnost je bila 15,7% po enofaznih operacijah 6,5% po dvofaznih 30,8% in po neresekcijskih operacijah 56,3%. Zaključek. Najboljši rezultati urgentnih operacij zaradi obstrukcije širokega črevesa in danke so po enofaznih operacijah.
Descriptors		INTESTINAL OBSTRUCTION EMERGENCIES COLONIC DISEASES RECTAL DISEASES COLORECTAL NEOPLASMS DIVERTICULITIS, COLONIC