Curbside Consultation of the Colon: 49 Clinical Questions

Brooks D. Cash, MD, FACP, CDR, MC, USN

Question 30: What Are The Treatment Options For A Patient With Metastatic Colon Cancer Who Has A Malignant Sigmoid Stricture? (continued)

Brooks D. Cash, MD, FACP, FACG

Malignant colonic obstruction is the most common reason for emergent large bowel surgery, accounting for up to 85% of such cases. Patients with colorectal cancer who present with obstruction have a 5-year survival rate of less than 29%.1 Approximately 15% to 30% of patients with colorectal cancer present with colonic obstruction, and historically the management of these patients involved creation of a diverting colostomy. This management schema has several drawbacks. Patients with malignant colonic obstructions cannot undergo a 1-stage operative tumor resection and re-anastamosis of the…