부산대학교 도서관

Background: Intestinal obstruction caused by advanced or recurrent cancer is a common complication in patients with gastrointestinal and ovarian tumors. Conservative management is utilized in its management whenever feasible sometimes surgery is required in otherwise medically fit patients whose symptoms fail to improve with conservative measures. The patient's disease status is also an important factor in management decision-making. Case: This report presents a novel surgical technique for reestablishing intestinal continuity in patients presenting with proximal obstruction illustrated with a brief case presentation. Results: The patient's postoperative course was uneventful, she tolerated a solid diet on postoperative day 5, and was able to go home on postoperative day 7. At her first-follow up visit, she had the expected gradual decrease in ostomy output and a corresponding increase in rectal output. Four (4) weeks later, the she was subjected to definitive ileocolostomy closure. Conclusions: Double-barreled ileocolostomy is both feasible and simple and may be a helpful technique for appropriately selected patients. (J GYNECOL SURG 26:283) [ABSTRACT FROM AUTHOR]