大腸癌イレウスに合併した閉塞性大腸炎症例の検討

概要

論文の詳細を見る
Clinicopathological chracteristics of 10 patients with colorectal cancer complicated by obstructive colitis (OC group) were compared with of 40 patients with colorectal cancer complicated not by OC but by bowel obstruction (control group). In the OC group, the mean age (73.8 years) was higher than that of the control group, cardiovascular disease that required treatment was in 9 of 10 patients, and the mean duration of illness was longer than in the control group (p<0.05). OC occurred frequently in patients with ileus cancer of the rectum (4/10, 40%) and in those with ileus cancer of the sigmoid colon (4/13, 30.8%). In the OC group, cancer was non-circumferential in 40% of the patients, but the tumor diameter or the oral / anal girth ratio of the tumor was not different from the control group. The occurrene of OC was not necessarily dependent on the stage of the cant er or the severity of obstruction and was also unrelated to the degree of intestinal dilation. Normal mucosa was present at a width of 3-55cm between the oral margin of the cancer and the lesion of OC in all patients. Exploration for OC in the intestine on the oral side of the cancer is considered to be important for treatment of colorectal cancer with bowel obstruction.
日本大腸肛門病学会の論文