Arrêt de service programmé du vendredi 10 juin 16h jusqu’au lundi 13 juin 9h. Pour en savoir plus
Accéder directement au contenu Accéder directement à la navigation
Article dans une revue

What are the predictive factors of caecal perforation in patients with obstructing distal colon cancer?

Abstract : AimIn the presence of large bowel obstruction, the choice of treatment is determined by the patient's general status, the tumour characteristics and the perceived risk of caecal perforation. This study was designed to evaluate the predictive factors of impending caecal perforation, and also investigated the use of caecal volumetry. MethodFrom January 2011 to June 2016, patients with obstructive distal colon cancer undergoing emergency laparotomy, for whom a pretreatment CT scan was available, were included in this retrospective, case-control, two-centre study. Two patient groups were defined: patients with and without impending caecal perforation. The primary end-point of the study was a determination of predictive factors for caecal perforation. ResultsA total of 72 patients (45 men, 62.5%) were included. Univariate analysis revealed that the presence of pericaecal fluid (P<0.0001), caecal pneumatosis (P<0.0001), mean maximum caecal diameter (P=0.001), mean caecal diameter at the ileocaecal junction (P=0.0001) and mean caecal volume (P=0.001) were associated with caecal perforation. Receiver operating characteristic curve analysis revealed that a caecal volume greater than 400cm(3) (P<0.0001), a maximum caecal diameter >9cm (P=0.002) and a caecal diameter at the ileocaecal junction >7.5cm (P=0.001) were associated with impending caecal perforation. In multivariate analysis, only caecal volume >400cm(3) (P=0.001) was correlated with the risk of impending caecal perforation. ConclusionCaecal volumetry is an easy and useful tool to predict impending caecal perforation in patients with large bowel obstruction.
Type de document :
Article dans une revue
Liste complète des métadonnées

https://hal-u-picardie.archives-ouvertes.fr/hal-03596411
Contributeur : Louise Dessaivre Connectez-vous pour contacter le contributeur
Soumis le : jeudi 3 mars 2022 - 16:08:02
Dernière modification le : samedi 5 mars 2022 - 03:26:22

Identifiants

Citation

Charles Sabbagh, Nicolas Siembida, T. Yzet, B. Robert, C. Chivot, et al.. What are the predictive factors of caecal perforation in patients with obstructing distal colon cancer?. COLORECTAL DISEASE, 2018, 20 (8), pp.688-695. ⟨10.1111/codi.14056⟩. ⟨hal-03596411⟩

Partager

Métriques

Consultations de la notice

6