Trends in demographics and management of obstructing colorectal cancer
| Autor: | Zaheer Moolla, Thandinkosi E. Madiba |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Adult
Male medicine.medical_specialty Colorectal cancer medicine.medical_treatment Rectum Black People India White People South Africa Sex Factors Internal medicine Colostomy medicine Humans Aged Demography Retrospective Studies Splenic flexure business.industry Incidence (epidemiology) Age Factors Retrospective cohort study Vascular surgery Middle Aged medicine.disease digestive system diseases Surgery medicine.anatomical_structure Acute Disease Female Stents business Colorectal Neoplasms Intestinal Obstruction Abdominal surgery |
| Zdroj: | World journal of surgery. 38(9) |
| ISSN: | 1432-2323 |
| Popis: | Obstructing colorectal cancer (CRC) has an aggressive clinical course and poorer prognosis. With the increasing incidence and differing clinical and pathologic spectrum of CRC among Black patients, as well as a paucity of African studies, regional analysis is required. Our aim was to describe the demographics and management of obstructing CRC among the different racial groups in South Africa and to compare these parameters with international standards. Patients referred to Inkosi Albert Luthuli Central Hospital, Durban, South Africa, with CRC between 2000 and 2012 were followed prospectively. Demographic information, site of obstruction, and management of patients who underwent emergency surgery for malignant large bowel obstruction were analyzed separately. CRC was diagnosed in 1,425 patients. A total of 203 three patients (14.3 %) required emergent treatment for acute large bowel obstruction. The mean age at presentation with obstructing CRC was 59 years. Black patients presented significantly younger (50 years) than White (64), Indian (60), or Colored (61) patients (p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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