Gok M.A.; Malik K.I.; Jeff A.; Sadat M.M.; Ward S.J.; Khan U.A; Surgical Endoscopy and Other Interventional Techniques,

Emergency versus elective colorectal resections for malignancy: A single centre experience

Colorectal cancer is the 3rd most common malignancy in men & women in
the UK. Colorectal cancer presents as a surgical emergency in 30% of cases as
obstruction, perforation, abdominal pain, haemorrhage or sepsis. Emergency colorectal
cancer has been associated with high post-operative morbidity & mortality. The aim of
the study is to assess emergency colorectal malignant resections at a District General
Hospital.

This is a retrospective study carried out since January 2007 till September 2013 at Macclesfield District General Hospital.

Collection notes: Academic-License. Please when asked to pick an institution please pick
NHS. Please also note access is from 1997 to date only.

 

 

Conclusion: The patients who underwent emergency colorectal resection were generally an older population, with multiple co-morbidities (higher ASA status) and poor outcomes in terms of: longer inpatient stay and reduced survival as compared to the planned elective cases. This study supports the bowel screening initiatives to detect early colorectal cancers. In the emergency situation, an aggressive early management should be employed in the absence of widespread disseminated malignancy.
Journal: Conference Abstract

Full Text: Available from Springer NHS Pilot 2014 (NESLi2) in Surgical Endoscopy

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