Spandidos Publications Logo
  • About
    • About Spandidos
    • Aims and Scopes
    • Abstracting and Indexing
    • Editorial Policies
    • Reprints and Permissions
    • Job Opportunities
    • Terms and Conditions
    • Contact
  • Journals
    • All Journals
    • Oncology Letters
      • Oncology Letters
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Oncology
      • International Journal of Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular and Clinical Oncology
      • Molecular and Clinical Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Experimental and Therapeutic Medicine
      • Experimental and Therapeutic Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Molecular Medicine
      • International Journal of Molecular Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Biomedical Reports
      • Biomedical Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Oncology Reports
      • Oncology Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular Medicine Reports
      • Molecular Medicine Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • World Academy of Sciences Journal
      • World Academy of Sciences Journal
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Functional Nutrition
      • International Journal of Functional Nutrition
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Epigenetics
      • International Journal of Epigenetics
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Medicine International
      • Medicine International
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
  • Articles
  • Information
    • Information for Authors
    • Information for Reviewers
    • Information for Librarians
    • Information for Advertisers
    • Conferences
  • Language Editing
Spandidos Publications Logo
  • About
    • About Spandidos
    • Aims and Scopes
    • Abstracting and Indexing
    • Editorial Policies
    • Reprints and Permissions
    • Job Opportunities
    • Terms and Conditions
    • Contact
  • Journals
    • All Journals
    • Biomedical Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Experimental and Therapeutic Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Epigenetics
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Functional Nutrition
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Molecular Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Medicine International
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular and Clinical Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular Medicine Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Oncology Letters
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Oncology Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • World Academy of Sciences Journal
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
  • Articles
  • Information
    • For Authors
    • For Reviewers
    • For Librarians
    • For Advertisers
    • Conferences
  • Language Editing
Login Register Submit
  • This site uses cookies
  • You can change your cookie settings at any time by following the instructions in our Cookie Policy. To find out more, you may read our Privacy Policy.

    I agree
Search articles by DOI, keyword, author or affiliation
Search
Advanced Search
presentation
Molecular and Clinical Oncology
Join Editorial Board Propose a Special Issue
Print ISSN: 2049-9450 Online ISSN: 2049-9469
Journal Cover
March-2017 Volume 6 Issue 3

Full Size Image

Sign up for eToc alerts
Recommend to Library

Journals

International Journal of Molecular Medicine

International Journal of Molecular Medicine

International Journal of Molecular Medicine is an international journal devoted to molecular mechanisms of human disease.

International Journal of Oncology

International Journal of Oncology

International Journal of Oncology is an international journal devoted to oncology research and cancer treatment.

Molecular Medicine Reports

Molecular Medicine Reports

Covers molecular medicine topics such as pharmacology, pathology, genetics, neuroscience, infectious diseases, molecular cardiology, and molecular surgery.

Oncology Reports

Oncology Reports

Oncology Reports is an international journal devoted to fundamental and applied research in Oncology.

Experimental and Therapeutic Medicine

Experimental and Therapeutic Medicine

Experimental and Therapeutic Medicine is an international journal devoted to laboratory and clinical medicine.

Oncology Letters

Oncology Letters

Oncology Letters is an international journal devoted to Experimental and Clinical Oncology.

Biomedical Reports

Biomedical Reports

Explores a wide range of biological and medical fields, including pharmacology, genetics, microbiology, neuroscience, and molecular cardiology.

Molecular and Clinical Oncology

Molecular and Clinical Oncology

International journal addressing all aspects of oncology research, from tumorigenesis and oncogenes to chemotherapy and metastasis.

World Academy of Sciences Journal

World Academy of Sciences Journal

Multidisciplinary open-access journal spanning biochemistry, genetics, neuroscience, environmental health, and synthetic biology.

International Journal of Functional Nutrition

International Journal of Functional Nutrition

Open-access journal combining biochemistry, pharmacology, immunology, and genetics to advance health through functional nutrition.

International Journal of Epigenetics

International Journal of Epigenetics

Publishes open-access research on using epigenetics to advance understanding and treatment of human disease.

Medicine International

Medicine International

An International Open Access Journal Devoted to General Medicine.

Journal Cover
March-2017 Volume 6 Issue 3

Full Size Image

Sign up for eToc alerts
Recommend to Library

  • Article
  • Citations
    • Cite This Article
    • Download Citation
    • Create Citation Alert
    • Remove Citation Alert
    • Cited By
  • Similar Articles
    • Related Articles (in Spandidos Publications)
    • Similar Articles (Google Scholar)
    • Similar Articles (PubMed)
  • Download PDF
  • Download XML
  • View XML
Article Open Access

Observational study of colonoscopy techniques used for acute colorectal obstruction: A single‑center experience

  • Authors:
    • Qian Chen
    • Qin Yu
    • Jing‑Jing Yu
    • Mei Liu
    • Hua‑Ping Xie
    • Bin Cheng
    • Qiao‑Zhen Guao
    • Guang‑Quan Liao
    • Hua Qin
  • View Affiliations / Copyright

    Affiliations: Endoscopic Unit, Department of Gastroenterology and Hepatology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology (HUST), Wuhan, Hubei 430030, P.R. China, Hepatic Surgery Centre, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology (HUST), Wuhan, Hubei 430030, P.R. China
    Copyright: © Chen et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Pages: 355-361
    |
    Published online on: January 16, 2017
       https://doi.org/10.3892/mco.2017.1133
  • Expand metrics +
Metrics: Total Views: 0 (Spandidos Publications: | PMC Statistics: )
Metrics: Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )
Cited By (CrossRef): 0 citations Loading Articles...

This article is mentioned in:



Abstract

The prevalence of acute colorectal obstruction at the hospital setting is high. There is need for improvement in the quality of colonoscopy for relieving obstruction. A retrospective, uncontrolled, open‑label study was conducted, with the aim of documenting the causes of acute colorectal obstruction and the quality of colonoscopy practice in managing obstruction at a university hospital in China. A total of 61 adult patients with acute colorectal obstruction treated with urgent colonoscopy between February, 2011 and January, 2016 were identified at the Endoscopic Unit of Tongji Hospital (Wuhan, China). The technique success rate was the primary outcome. The etiology was mainly related to malignant diseases, including colorectal cancer in 53 patients (86.9%) and advanced peritoneal serous carcinoma leading to extrinsic colonic compression in 1 patient (1.6%). Benign causes of obstruction included foreign bodies in 3 patients (4.9%) and fecal impaction in 2 patients (3.3%); furthermore, anastomotic strictures were found in 2 patients (3.3%). The technique success rate was 98.4% (60/61). All colorectal cancer patients who underwent urgent colonoscopy were admitted to the Department of Surgery for placement of a self‑expanding metallic stent; 1 patient who had an extracolonic malignancy underwent placement of a transanal colonoscopic decompression tube as palliative therapy and 2 patients with anastomotic strictures underwent endoscopic balloon dilation. Furthermore, colonoscopy was used for extracting the foreign body, as well as removing fecal stones in all the patients. In conclusion, urgent colonoscopy as a minimal invasive approach is associated with certain advantages for diagnosing and managing acute colorectal obstruction. Furthermore, experienced operators achieved a better outcome when managing colorectal obstruction.
View Figures

Figure 1

Figure 2

Figure 3

Figure 4

View References

1 

ASGE Standards of Practice Committee, ; Harrison ME, Anderson MA, Appalaneni V, Banerjee S, Ben-Menachem T, Cash BD, Fanelli RD, Fisher L, Fukami N, et al: The role of endoscopy in the management of patients with known and suspected colonic obstruction and pseudo-obstruction. Gastrointest Endosc. 71:669–679. 2010. View Article : Google Scholar : PubMed/NCBI

2 

Olmi S, Scaini A, Cesana G, Dinelli M, Lomazzi A and Croce E: Acute colonic obstruction: Endoscopic stenting and laparoscopic resection. Surg Endosc. 21:2100–2104. 2007. View Article : Google Scholar : PubMed/NCBI

3 

Muller KE, Arató A, Lakatos PL, Papp M and Veres G: Foreign body impaction in the sigmoid colon: A twenty euro bet. World J Gastroenterol. 19:3892–3894. 2013. View Article : Google Scholar : PubMed/NCBI

4 

Singaporewalla RM, Tan DE and Tan TK: Use of endoscopic snare to extract a large rectosigmoid foreign body with review of literature. Surg Laparosc Endosc Percutan Tech. 17:145–148. 2007. View Article : Google Scholar : PubMed/NCBI

5 

Araghizadeh F: Fecal impaction. Clin Colon Rectal Surg. 18:116–119. 2005. View Article : Google Scholar : PubMed/NCBI

6 

Cetinkaya E, Dogrul AB and Tirnaksiz MB: Role of self expandable stents in management of colorectal cancers. World J Gastrointest Oncol. 8:113–120. 2016. View Article : Google Scholar : PubMed/NCBI

7 

van Hooft JE, van Halsema EE, Vanbiervliet G, Beets-Tan RG, DeWitt JM, Donnellan F, Dumonceau JM, Glynne-Jones RG, Hassan C, Jimenez-Perez J, et al: Self-expandable metal stents for obstructing colonic and extracolonic cancer: European Society of gastrointestinal endoscopy (ESGE) clinical guideline. Endoscopy. 46:990–1053. 2014. View Article : Google Scholar : PubMed/NCBI

8 

Geraghty J, Sarkar S, Cox T, Lal S, Willert R, Ramesh J, Bodger K and Carlson GL: Management of large bowel obstruction with self-expanding metal stents. A multicentre retrospective study of factors determining outcome. Colorectal Dis. 16:476–483. 2014. View Article : Google Scholar : PubMed/NCBI

9 

Williams D, Law R and Pullyblank AM: Colorectal stenting in malignant large bowel obstruction: The learning curve. Int J Surg Oncol. 2011:9178482011.PubMed/NCBI

10 

Repici A, Adler DG, Gibbs CM, Malesci A, Preatoni P and Baron TH: Stenting of the proximal colon in patients with malignant large bowel obstruction: Techniques and outcomes. Gastrointest Endosc. 66:940–944. 2007. View Article : Google Scholar : PubMed/NCBI

11 

Keswani RN, Azar RR, Edmundowicz SA, Zhang Q, Ammar T, Banerjee B, Early DS and Jonnalagadda SS: Stenting for malignant colonic obstruction: A comparison of efficacy and complications in colonic versus extracolonic malignancy. Gastrointest Endosc. 69:675–680. 2009. View Article : Google Scholar : PubMed/NCBI

12 

Baron TH, Kee Song LM Wong and Repici A: Role of self-expandable stents for patients with colon cancer (with videos). Gastrointest Endosc. 75:653–662. 2012. View Article : Google Scholar : PubMed/NCBI

13 

Di Giorgio P, De Luca L, Rivellini G, Sorrentino E, D'amore E and De Luca B: Endoscopic dilation of benign colorectal anastomotic stricture after low anterior resection: A prospective comparison study of two balloon types. Gastrointest Endosc. 60:347–350. 2004. View Article : Google Scholar : PubMed/NCBI

14 

Ferlitsch A, Reinisch W, Püspök A, Dejaco C, Schillinger M, Schöfl R, Pötzi R, Gangl A and Vogelsang H: Safety and efficacy of endoscopic balloon dilation for treatment of Crohn's disease strictures. Endoscopy. 38:483–487. 2006. View Article : Google Scholar : PubMed/NCBI

15 

Adler DG: Colonic strictures: Dilation and stents. Gastrointest Endosc Clin N Am. 25:359–371. 2015. View Article : Google Scholar : PubMed/NCBI

16 

Bravi I, Ravizza D, Fiori G, Tamayo D, Trovato C, De Roberto G, Genco C and Crosta C: Endoscopic electrocautery dilation of benign anastomotic colonic strictures: A single-center experience. Surg Endosc. 30:229–232. 2016. View Article : Google Scholar : PubMed/NCBI

17 

Brandimarte G, Tursi A and Gasbarrini G: Endoscopic treatment of benign anastomotic colorectal stenosis with electrocautery. Endoscopy. 32:461–463. 2000. View Article : Google Scholar : PubMed/NCBI

18 

Shin SJ, Kim TI, Kim BC, Lee YC, Song SY and Kim WH: Clinical application of self-expandable metallic stent for treatment of colorectal obstruction caused by extrinsic invasive tumors. Dis Colon Rectum. 51:578–583. 2008. View Article : Google Scholar : PubMed/NCBI

19 

Ng KC, Law WL, Lee YM, Choi HK, Seto CL and Ho JW: Self-expanding metallic stent as a bridge to surgery versus emergency resection for obstructing left-sided colorectal cancer: A case-matched study. J Gastrointest Surg. 10:798–803. 2006. View Article : Google Scholar : PubMed/NCBI

20 

Huang X, Lv B, Zhang S and Meng L: Preoperative colonic stents versus emergency surgery for acute left-sided malignant colonic obstruction: A meta-analysis. J Gastrointest Surg. 18:584–591. 2014. View Article : Google Scholar : PubMed/NCBI

21 

Tan CJ, Dasari BV and Gardiner K: Systematic review and meta-analysis of randomized clinical trials of self-expanding metallic stents as a bridge to surgery versus emergency surgery for malignant left-sided large bowel obstruction. Br J Surg. 99:469–476. 2012. View Article : Google Scholar : PubMed/NCBI

22 

Occhionorelli S, Tartarini D, Cappellari L, Stano R and Vasquez G: Colonic stent placement as a bridge to surgery in patients with left-sided malignant large bowel obstruction. An observational study. G Chir. 35:283–289. 2014.PubMed/NCBI

23 

Sagar J: Role of colonic stents in the management of colorectal cancers. World J Gastrointest Endosc. 8:198–204. 2016. View Article : Google Scholar : PubMed/NCBI

24 

Katsanos KH, Maliouki M, Tatsioni A, Ignatiadou E, Christodoulou DK, Fatouros M and Tsianos EV: The role of colonoscopy in the management of intestinal obstruction: A 20-year retrospective study. BMC Gastroenterol. 10:1302010. View Article : Google Scholar : PubMed/NCBI

Related Articles

  • Abstract
  • View
  • Download
  • Twitter
Copy and paste a formatted citation
Spandidos Publications style
Chen Q, Yu Q, Yu JJ, Liu M, Xie HP, Cheng B, Guao QZ, Liao GQ and Qin H: Observational study of colonoscopy techniques used for acute colorectal obstruction: A single‑center experience. Mol Clin Oncol 6: 355-361, 2017.
APA
Chen, Q., Yu, Q., Yu, J., Liu, M., Xie, H., Cheng, B. ... Qin, H. (2017). Observational study of colonoscopy techniques used for acute colorectal obstruction: A single‑center experience. Molecular and Clinical Oncology, 6, 355-361. https://doi.org/10.3892/mco.2017.1133
MLA
Chen, Q., Yu, Q., Yu, J., Liu, M., Xie, H., Cheng, B., Guao, Q., Liao, G., Qin, H."Observational study of colonoscopy techniques used for acute colorectal obstruction: A single‑center experience". Molecular and Clinical Oncology 6.3 (2017): 355-361.
Chicago
Chen, Q., Yu, Q., Yu, J., Liu, M., Xie, H., Cheng, B., Guao, Q., Liao, G., Qin, H."Observational study of colonoscopy techniques used for acute colorectal obstruction: A single‑center experience". Molecular and Clinical Oncology 6, no. 3 (2017): 355-361. https://doi.org/10.3892/mco.2017.1133
Copy and paste a formatted citation
x
Spandidos Publications style
Chen Q, Yu Q, Yu JJ, Liu M, Xie HP, Cheng B, Guao QZ, Liao GQ and Qin H: Observational study of colonoscopy techniques used for acute colorectal obstruction: A single‑center experience. Mol Clin Oncol 6: 355-361, 2017.
APA
Chen, Q., Yu, Q., Yu, J., Liu, M., Xie, H., Cheng, B. ... Qin, H. (2017). Observational study of colonoscopy techniques used for acute colorectal obstruction: A single‑center experience. Molecular and Clinical Oncology, 6, 355-361. https://doi.org/10.3892/mco.2017.1133
MLA
Chen, Q., Yu, Q., Yu, J., Liu, M., Xie, H., Cheng, B., Guao, Q., Liao, G., Qin, H."Observational study of colonoscopy techniques used for acute colorectal obstruction: A single‑center experience". Molecular and Clinical Oncology 6.3 (2017): 355-361.
Chicago
Chen, Q., Yu, Q., Yu, J., Liu, M., Xie, H., Cheng, B., Guao, Q., Liao, G., Qin, H."Observational study of colonoscopy techniques used for acute colorectal obstruction: A single‑center experience". Molecular and Clinical Oncology 6, no. 3 (2017): 355-361. https://doi.org/10.3892/mco.2017.1133
Follow us
  • Twitter
  • LinkedIn
  • Facebook
About
  • Spandidos Publications
  • Careers
  • Cookie Policy
  • Privacy Policy
How can we help?
  • Help
  • Live Chat
  • Contact
  • Email to our Support Team