Side-to-end anastomosis in a colostomy for acute malignant large-bowel obstruction: side-to-end anastomosis with a colostomy (STEC procedure).

Abstract:

:This report describes the use of side-to-end anastomosis in a colostomy for an acute malignant large-bowel obstruction. A 59-year-old man presented with a colonic obstruction due to advanced descending colon cancer. The preoperative imaging studies revealed a complete obstruction of the descending colon at the site of the splenic flexure, a remarkably dilated transverse colon, and no other metastatic lesions. Side-to-end anastomosis was performed with the colostomy because of the high comorbidity associated with such cases. When the patient's general condition improved, a stoma closure was performed under local anesthesia. In conclusion, a side-to-end anastomosis with a colostomy (STEC procedure) was found to be a simple, useful, and cost-effective technique for an acute malignant large-bowel obstruction, particularly in a high-risk patient.

journal_name

Surg Today

journal_title

Surgery today

authors

Fukami Y,Terasaki M,Sakaguchi K,Murata T,Ohkubo M,Nishimae K

doi

10.1007/s00595-008-3817-4

subject

Has Abstract

pub_date

2009-01-01 00:00:00

pages

265-8

issue

3

eissn

0941-1291

issn

1436-2813

journal_volume

39

pub_type

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