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Case Reports
. 2018 May 29;6(7):1324-1329.
doi: 10.1002/ccr3.1616. eCollection 2018 Jul.

Oral nutrition for left-sided malignant colonic obstruction after decompression with a transanal drainage tube: A case series of 6 patients

Affiliations
Case Reports

Oral nutrition for left-sided malignant colonic obstruction after decompression with a transanal drainage tube: A case series of 6 patients

Shigehiro Kojima et al. Clin Case Rep. .

Abstract

Oral nutrition with a low-residue diet for left-sided malignant colonic obstruction after decompression with a transanal drainage tube is safe and can be considered a viable preoperative management option for appropriate patients.

Keywords: bridge to surgery; colorectal cancer; malignant bowel obstruction; obstructive colon cancer; self‐expandable metal stent.

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Figures

Figure 1
Figure 1
Line graph showing the time‐series changes in the serum albumin concentration and PNI. Five of six patients showed an increasing trend after correction of dehydration. In Patient 4, who developed postoperative anastomotic leakage, the PNI continued to decrease until the operation. AD, admission; 1 W, 1 week after placement of a transanal drainage tube; OP, operation; PNI, prognostic nutritional index
Figure 2
Figure 2
Line graph showing the time‐series changes in the serum concentration of rapid turnover proteins. The serum concentrations of rapid turnover proteins continued to worsen until the operation in Patient 4. AD, admission; 1 W, 1 week after placement of a transanal drainage tube; OP, operation

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