Occlusive colonic obstruction (literature review)
DOI: 10.32364/2587-6821-2025-9-4-1
Occlusive colonic obstruction (literature review)
D.V. Cherdantsev1,2, O.V. Pervova1,2, A.A. Pozdnyakov1,2, G.S. Budaev1, S.V. Komissarov3, B.I. Yefremov1, A.O. Gavrilova1
1Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University, Krasnoyarsk, Russian Federation
2Krasnoyarsk Regional Clinical Hospital, Krasnoyarsk, Russian Federation
3I.S. Berzon Krasnoyarsk Interdistrict Clinical Hospital No. 20, Krasnoyarsk, Russian Federation
Acute intestinal obstruction is a disease characterized by a disorder of the intestinal passage through the gastrointestinal tract. Occlusive colonic obstruction (OCO) can be a complication of various diseases, including colorectal cancer (CRC), or may be caused by other factors. This article provides a review of Russian and international publications regarding current classifications, diagnostic methods, and surgical treatment tactcis for patients with OCO. Differential diagnosis of OCO requires the surgeon to possess knowledge and to utilize modern diagnostic equipment. Colonic obstruction is associated with the risk of perforation and the development of fecal peritonitis. The mortality rate in cases of this type of obstruction can reach up to 50%, with postoperative complications occurring in up to 65% of cases. Therefore, the optimal management of this patient category remains an urgent issue, as there is currently no standard treatment protocol for such cases. This paper examines diagnostic methods and various treatment modalities for OCO, including both single-stage and multi-stage approaches.
Keywords: colorectal cancer, occlusive colonic obstruction, treatment tactics, classification, mortality, coloproctology.
For citation: Cherdantsev D.V., Pervova O.V., Pozdnyakov A.A., Budaev G.S., Komissarov S.V., Yefremov B.I., Gavrilova A.O. Occlusive colonic obstruction (literature review). Russian Medical Inquiry. 2025;9(4):191–196 (in Russ.). DOI: 10.32364/2587-6821-2025-9-4-1
ABOUT THE AUTHORS:
Dmitry V. Cherdantsev — Dr. Sc. (Med.), Professor, Head of the Department of Hospital Surgery named after Professor A.M. Dykhno with a course of Postgraduate Education, Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University; 1, Partisana Zheleznyaka str., Krasnoyarsk, 660022, Russian Federation; ORCID iD 0000-0002-4743-4565
Olga V. Pervova — Dr. Sc. (Med.), Professor of the Department of Hospital Surgery named after Professor A.M. Dykhno with a course of Postgraduate Education, Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University; 1, Partizana Zheleznyaka str., Krasnoyarsk, 660022, Russian Federation; surgeon of Krasnoyarsk Regional Clinical Hospital; 3А, Partizana Zheleznyaka str., Krasnoyarsk, 660022, Russian Federation; ORCID iD 0000-0002-2797-1611
Artyom A. Pozdnyakov — C. Sc. (Med.), Associate Professor of the Department of Hospital Surgery named after Professor A.M. Dykhno with a course of Postgraduate Education, Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University; 1, Partizana Zheleznyaka str., Krasnoyarsk, 660022, Russian Federation; surgeon of Krasnoyarsk Regional Clinical Hospital; 3А, Partizana Zheleznyaka str., Krasnoyarsk, 660022, Russian Federation; ORCID iD 0000-0001-7441-2815
Geser S. Budaev — applicant of the the Department of Hospital Surgery named after Professor A.M. Dykhno with a course of Postgraduate Education, Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University; 1, Partizana Zheleznyaka str., Krasnoyarsk, 660022, Russian Federation; surgeon of Krasnoyarsk Regional Clinical Hospital; ORCID iD 0009-0004-2476-5654
Stanislav V. Komissarov — C. Sc. (Med.), Head of the Coloproctology Department of the I.S. Berzon Krasnoyarsk Interdistrict Clinical Hospital No. 20; 12, Instrumentalnaya str., Krasnoyarsk, 660123, Russian Federation; ORCID iD 0009-0005-9814-724X
Boris I. Efremov — postgraduate student at the Department of Hospital Surgery named after Professor A.M. Dykhno with a course of Postgraduate Education, Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University; 1, Partizana Zheleznyaka str., Krasnoyarsk, 660022, Russian Federation; ORCID iD 0009-0002-4908-5618
Anna O. Gavrilova — 6th-year student of the Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University; 1, Partizana Zheleznyaka str., Krasnoyarsk, 660022, Russian Federation; ORCID iD 0009-0000-4511-5774
Contact information: Anna O. Gavrilova, e-mail: anna-gavrilova20@yandex.ru
Financial Disclosure: no authors have a financial or property interest in any material or method mentioned.
There is no conflict of interest.
Received 13.03.2025.
Revised 07.04.2025.
Accepted 30.04.2025.
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