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Surgical Endoscopy
Published in: Surgical Endoscopy 3/2008

01-03-2008

Transanal endoscopic tube decompression of acute colonic obstruction: experience with 51 cases

Authors: A. Fischer, H. J. Schrag, M. Goos, R. Obermaier, U. T. Hopt, P. K. Baier

Published in: Surgical Endoscopy | Issue 3/2008

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Abstract

Background

Acute colorectal obstruction is a potentially life-threatening emergency that requires immediate surgical treatment. To avoid major postoperative complications, most surgeons advocate two-step surgery despite the increase in patient discomfort and cost. Various methods for performing one-step surgery have been reported including intraoperative colonic lavage, decompression with self-expandable metal stents, and transanal tube decompression.

Methods

The authors present their experience performing transanal colonic decompression for 51 patients.

Results

Endoscopic tube placement was successful for 43 (84%) of the 51 patients. The emergency clinical situation could be converted to semielective treatment in 37 cases (73%) (30 operations and 6 nonoperative interventions), and to an elective operation in 1 case. After successful colonic decompression, the rate of one-stage operations was 93% (28/30), as compared with 40% (4/10) if the decompression failed.

Conclusion

Endoscopic tube decompression of acute colonic obstruction is an easy and cost-effective possibility for avoiding emergency operations with all their sequelae. Emergency surgery can be converted to semielective or elective surgery, markedly reducing the rate of staged operations.
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Metadata
Title
Transanal endoscopic tube decompression of acute colonic obstruction: experience with 51 cases
Authors
A. Fischer
H. J. Schrag
M. Goos
R. Obermaier
U. T. Hopt
P. K. Baier
Publication date
01-03-2008
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 3/2008
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-007-9461-z

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