Application of transanal ileus tube in acute obstructive left-sided colorectal cancer.

Objective: The efficacy of transanal ileus tube in acute obstructive left-sided colorectal cancer was discussed.

Methods: A total of 101 cases of acute obstructive left-sided colorectal cancer were divided into two treatment groups. For the experimental group consisting of 52 cases, decompression was performed using transanal ileus tube along with drainage and flushing as preparations for one-stage resection and anastomosis. For the control group consisting of 49 cases, the traditional preoperative preparation including fasting and water deprivation, gastrointestinal (GI) decompression, enema and nutritional therapy was performed.

Results: After the ileus tube was indwelled for 3 days, the abdominal circumference, GI decompression amount, and maximum transverse diameter of colon proximal to obstruction changed significantly in the experimental group. The response rate within 24 h and the operation rate of one-stage resection and anastomosis were higher. The incidence and mortality rate after surgery were reduced, the hospitalization time was shorter, and less expenditures were incurred.

Conclusions: Decompression using transanal ileus tube along with drainage and flushing as preparations for one-stage resection and anastomosis is a safe and effective method for treating acute obstructive left-sided colorectal cancer.