Transanal Decompression Tube Versus Stent for Acute Malignant Left-sided Colonic and Rectal Obstruction

Xuzhou Central Hospital (Xuzhou Fourth People's Hospital)

Status

Terminated

Conditions

Colonic Cancer

Rectal Cancer

Treatments

Device: Stent

Device: Transanal decompression tube

Study type

Interventional

Funder types

Other

Identifiers

NCT02585271

46650455-0

Details and patient eligibility

About

The purpose of this study is to compare the clinical outcomes of transanal decompression tube as a bridge to surgery with stent as a bridge to surgery for acute malignant left-sided colonic and rectal obstruction.

Full description

Approximately 8-47 % of patients with colorectal cancer will present with colonic obstruction. Left-sided colonic and rectal cancer is responsible for nearly 70% of acute colonic obstruction. Emergency colonic surgery for acute obstruction is associated with a higher mortality and morbidity rate than elective surgery. Preoperative decompression results in a less dilated bowel that is more amenable to an elective surgery. Both transanal decompression tube and stent can serve a good preoperative decompression effect and serve a good bridge to surgery. Investigators aim to compare the clinical outcomes of transanal decompression tube as a bridge to surgery with stent as a bridge to surgery for acute malignant left-sided colonic and rectal obstruction.

Enrollment

8 patients

Sex

All

Ages

18 to 80 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

definite diagnosis of left-side colonic or rectal obstruction;
symptomatic colonic obstruction for less than 1 week;
colonic obstruction caused by a histologically proven malignant colonic tumor

Exclusion criteria

suspected benign colonic or rectal obstruction;
right-side colonic obstruction;
patients with signs of peritonitis;
dysfunction of blood coagulation, active bleeding, active infection, and significant cardiac or pulmonary disease;
patients who do not want to undergo surgery.