Colorectal Oncologic Emergencies: Recognition, Management, and Outcomes

Surg Clin North Am. 2024 Jun;104(3):631-646. doi: 10.1016/j.suc.2023.12.003. Epub 2023 Dec 18.

Abstract

Colorectal cancer is the third most frequent type of malignancy in the United States, and the age at diagnosis is decreasing. Although the goal of screening is focused on prevention and early detection, a subset of patients inevitably presents as oncologic emergencies. Approximately 15% of patients with colorectal cancer will present as surgical emergencies, with the majority being due to either colonic perforation or obstruction. Patients presenting with colorectal emergencies are a challenging cohort, as they often present at an advanced stage with an increase in T stage, lymphovascular invasion, and metachronous liver disease.

Keywords: Colorectal emergency; Obstruction; Oncologic emergency; Perforation.

Publication types

  • Review

MeSH terms

  • Colorectal Neoplasms* / diagnosis
  • Colorectal Neoplasms* / pathology
  • Colorectal Neoplasms* / therapy
  • Emergencies*
  • Humans
  • Intestinal Obstruction / diagnosis
  • Intestinal Obstruction / etiology
  • Intestinal Obstruction / therapy
  • Intestinal Perforation / diagnosis
  • Intestinal Perforation / etiology
  • Intestinal Perforation / surgery
  • Intestinal Perforation / therapy