Emergency Endoscopic Decompression With Colonic Stenting in Acute Malignant Colonic Obstruction
Davron B. Tulyaganov,
Mirkamol A. Hoshimov,
Bobir I. Shukurov,
Jhakhongir B. Yarov,
Furkat K. Gulomov,
Muhammadkhon A. Khomidov https://doi.org/10.35401/2541-9897-2025-10-1-79-85
Abstract
We report a case of emergency endoscopic decompression for acute left-sided malignant colonic obstruction in a 63-year-old patient. A rectosigmoid colon tumor was detected by unenhanced radiography, multislice computed tomography, and barium enema. We performed an emergency colonoscopy, which confirmed the rectosigmoid colon tumor, and successful endoscopic decompression with the self-expandable metal stent placement. Seven days later, the patient underwent radical surgery in the second stage: open resection of the rectosigmoid colon with end-to-end decendorectoanastomosis. On day 7 after the second surgery, the patient was discharged from the clinic in a satisfactory condition.
About the Authors
Davron B. Tulyaganov
Republican Research Center of Emergency Medicine
Uzbekistan
Uzbekistan
Davron B. Tulyaganov, Dr. Sci. (Med.), General Director
Kichik halqa yoʻli koʻchasi, 2, Tashkent, 100115
Mirkamol A. Hoshimov
Republican Research Center of Emergency Medicine
Uzbekistan
Uzbekistan
Mirkamol A. Hoshimov, Head of the Endoscopy Unit
Kichik halqa yoʻli koʻchasi, 2, Tashkent, 100115
Bobir I. Shukurov
Republican Research Center of Emergency Medicine
Uzbekistan
Uzbekistan
Bobir I. Shukurov, Cand. Sci. (Med.), Senior Researcher, Emergency Surgery Division
Kichik halqa yoʻli koʻchasi, 2, Tashkent, 100115
Jhakhongir B. Yarov
Republican Research Center of Emergency Medicine
Uzbekistan
Uzbekistan
Jhakhongir B. Yarov, Basic Doctoral Student
Kichik halqa yoʻli koʻchasi, 2, Tashkent, 100115
Furkat K. Gulomov
Republican Research Center of Emergency Medicine
Uzbekistan
Uzbekistan
Furkat K. Gulomov, Surgeon, Admissions and Diagnostics Unit
Kichik halqa yoʻli koʻchasi, 2, Tashkent, 100115
Muhammadkhon A. Khomidov
Republican Research Center of Emergency Medicine
Uzbekistan
Uzbekistan
Muhammadkhon A. ugli Khomidov, Surgeon, Emergency Surgery Division No. 3
Kichik halqa yoʻli koʻchasi, 2, Tashkent, 100115
References
1. Age-Standardized Rate (World) per 100 000, Incidence, Both sexes, in 2022. International Agency for Research on Cancer. https://gco.iarc.who.int/today/en/dataviz/bars?mode=cancer&group_populations=1
2. Colorectal cancer burden in EU-27. ECIS - European Cancer Information System. Accessed January 15, 2021. https://ecis.jrc.ec.europa.eu/sites/default/files/2023-12/Colorectal_cancer_enMar_2021.pdf
3. Arnold M, Sierra MS, Laversanne M, Soerjomataram I, Jemal A, Bray F. Global patterns and trends in colorectal cancer incidence and mortality. Gut. 2017;66(4):683–691.PMID: 26818619. https://doi.org/10.1136/gutjnl-2015-310912
4. XiY, Xu P. Global colorectal cancer burden in 2020 and projections to 2040. Transl Oncol. 2021;14(10):101174. PMID: 34243011. PMCID: PMC8273208. https://doi.org/10.1016/j.tranon.2021.101174
5. Siegel RL, Torre LA, Soerjomataram I, et al. Global patterns and trends in colorectal cancer incidence in young adults. Gut. 2019;68(12):2179–2185. PMID: 31488504. https://doi.org/10.1136/gutjnl-2019-319511
6. Vuik FE, Nieuwenburg SA, Bardou M, et al. Increasing incidence of colorectal cancer in young adults in Europe over the last 25 years. Gut. 2019;68(10):1820–1826. PMID: 31097539. PMCID: PMC6839794. https://doi.org/10.1136/gutjnl-2018-317592
7. Chernikovskiy IL, Gelfond VM, Zagryadskikh AS, Savchuk SA. Minimally-invasive surgery for colorectal cancer in elderly patients. Siberian Journal of Oncology. 2016;15(3):28–36. (In Russ.). https://doi.org/10.21294/1814-4861-2016-15-3-28-36
8. Khitaryan AG, Miziev IA, Glumov ОE, Karpova IO, Kovalev SA, Orekhov AA. Using a self-expanding metal stents in acute obstructive bowel obstruction. Khirurgiya. Prilozhenie k zhurnalu Consilium Medicum. 2016;(1):5–8. (In Russ.).
9. Darbishgadjiev ShO, Baulin AA, Zimin YuI, Baulin VA, Baulina OA. Results of surgical treatment of colorectal cancer. The Journal of Scientific Articles “Health and Education Millennium”. 2018;20(4):42–46. (In Russ.).
10. Shabunin AV, Bagateliya ZA, Gugnin AV. Implementation of multistage approach for colorectal cancer with bowel obstruction in surgeon units of Moscow. Koloproktologia. 2018;(4):7–15. (In Russ.).
11. Aliev SA, Zeinalov NA, Aliev ES. Colonic stenting in the surgical treatment of colorectal cancer complicated by ileus. Onkologiya. Zhurnal imeni P.A. Gertsena. 2017;6(2):60–65. (In Russ.). https://doi.org/10.17116/onkolog20176260-65
12. Kaplan J, Strongin A, Adler DG, Siddiqui AA. Enteral stents for the management of malignant colorectal obstruction. World J Gastroenterol. 2014;20(37):13239–13245. PMID: 25309061. PMCID: PMC4188882. https://doi.org/10.3748/wjg.v20.i37.13239
13. Jemal A, Bray F, Center MM, Ferlay J, Ward E, Forman D. Global cancer statistics. CA Cancer J Clin. 2011;61(2):69–90. Published correction appears in CA Cancer J Clin. 2011;61(2):134. PMID: 21296855. https://doi.org/10.3322/caac.20107
14. Ghazal AH, El-Shazly WG, Bessa SS, El-Riwini MT, Hussein AM. Colonic endolumenal stenting devices and elective surgery versus emergency subtotal/total colectomy in the management of malignant obstructed left colon carcinoma. J Gastrointest Surg. 2013;17(6):1123–1129. PMID: 23358847. https://doi.org/10.1007/s11605-013-2152-2
15. Gash K, Chambers W, Ghosh A, Dixon AR. The role of laparoscopic surgery for the management of acute large bowel obstruction. Colorectal Dis. 2011;13(3):263–266. PMID: 19906058. https://doi.org/10.1111/j.1463-1318.2009.02123.x
16. Tulyaganov DB, Yarov JB, Gulomov FK, Mustafayev AL. Two-stage minimally invasive treatment of a patient with sigmoid colon cancer complicated by acute colonic obstruction: stenting of tumor stricture and laparoscopic anterior rectal resection. Grekov’s Bulletin of Surgery. 2024;182(6):60–64. (In Russ.). https://doi.org/10.24884/0042-4625-2023-182-6-60-64
17. Arezzo A, Passera R, Lo Secco G, et al. Stent as bridge to surgery for left-sided malignant colonic obstruction reduces adverse events and stoma rate compared with emergency surgery: results of a systematic review and meta-analysis of randomized controlled trials. Gastrointest Endosc. 2017;86(3):416–426. PMID: 28392363. https://doi.org/10.1016/j.gie.2017.03.1542
18. Tsuleiskiri BT, Yartsev PA, Blagovestnov DA, Lebedev AG, Grishin AV, Zaitsev GA. Colon stenting in obturation colon obstruction. Journal of new medical technologies, eEdition. 2022;16(4):33– 41. (In Russ.).
Review
For citations:
Tulyaganov D.B., Hoshimov M.A., Shukurov B.I., Yarov J.B., Gulomov F.K., Khomidov M.A. Emergency Endoscopic Decompression With Colonic Stenting in Acute Malignant Colonic Obstruction. Innovative Medicine of Kuban. 2025;10(1):79-85. (In Russ.) https://doi.org/10.35401/2541-9897-2025-10-1-79-85
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