Document Detail


A novel technique to relieve a closed-loop obstruction secondary to a competent ileocecal valve and an unresectable mid-colon tumor.
MedLine Citation:
PMID:  17634765     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A competent ileocecal valve complicates the surgical treatment of an unresectable obstructing mid-colon tumor. Specifically, it may not be feasible to bypass with a colocolotomy, especially when the sigmoid colon has limited mobility or if the ascending colon is severely distended and edematous. A technique is described in which the closed loop obstruction is relieved at its proximal extent by an ileocecal valvuloplasty. A circular stapling device is fired across the ileocecal valve. Once the ileocecal valve is rendered competent, a loop ileostomy or a colocolotomy can be constructed, providing effective palliation for this difficult situation.
Authors:
Andrew McKay; Oliver F Bathe
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Publication Detail:
Type:  Journal Article     Date:  2007-07-17
Journal Detail:
Title:  Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract     Volume:  11     ISSN:  1091-255X     ISO Abbreviation:  J. Gastrointest. Surg.     Publication Date:  2007 Oct 
Date Detail:
Created Date:  2007-09-12     Completed Date:  2007-12-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9706084     Medline TA:  J Gastrointest Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1365-7     Citation Subset:  IM    
Affiliation:
Department of Surgery, University of Calgary, Calgary, AB, Canada.
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MeSH Terms
Descriptor/Qualifier:
Colonic Neoplasms / complications*
Decompression, Surgical / methods*
Digestive System Surgical Procedures*
Humans
Ileocecal Valve / surgery*
Intestinal Obstruction / etiology,  surgery*
Palliative Care
Surgical Staplers

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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