Abstract
BackgroundSo far there have been limited studies about the risk factors for benign small bowel obstruction (SBO) after colorectal cancer surgery. This study aimed to determine the factors affecting the development of benign SBO following curative resection in patients with rectal cancer.MethodsPatients (3472) receiving curative resection of rectal cancer at the Department of Colorectal Cancer, Tianjin Medical University Cancer Institute and Hospital, between January 2003 and December 2012 were retrospectively studied. The incidence of benign SBO and its risk factors were then determined.ResultsThe incidence of benign SBO was 7.3% (253/3472) in follow-up studies with an average time of 68 months. Further, 27% (68/253) of the patients received operative treatment because of the signs of strangulation or the lack of clinical improvement with conservative management. Open surgery and radiotherapy were defined as the risk factors for benign SBO after curative resection in patients with rectal cancer (P < 0.001).ConclusionOpen surgery plus radiotherapy led to an increased risk of benign SBO in rectal cancer patients receiving curative resection.
Highlights
There have been limited studies about the risk factors for benign small bowel obstruction (SBO) after colorectal cancer surgery
These findings cannot demonstrate the accurate incidence of benign SBO following curative resection in rectal cancer patients
We determined the incidence of benign SBO and its risk factors following curative resection for rectal cancer, providing guidance for operative treatment of rectal cancer patients
Summary
There have been limited studies about the risk factors for benign small bowel obstruction (SBO) after colorectal cancer surgery. This study aimed to determine the factors affecting the development of benign SBO following curative resection in patients with rectal cancer. The said findings were obtained based on information from various colorectal surgeries, such as anorectal procedures, or different diseases like carcinomatosis. These findings cannot demonstrate the accurate incidence of benign SBO following curative resection in rectal cancer patients. We determined the incidence of benign SBO and its risk factors following curative resection for rectal cancer, providing guidance for operative treatment of rectal cancer patients
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