In the management of acute left @entity694 there is a tendency to perform immediate resection with @entity254 . We evaluated 27 consecutive @entity1 (mean age 73.8 years) with acute left @entity694 and gross dilatation of the proximal colon treated by the "traditional" staged procedure. After caecostomy, no further resection was performed in two @entity1 . In 25 @entity1 , the obstructing @entity5 was resected after a median period of 14 days. In 17 (68%) @entity1 the caecostomy was closed simultaneously. In 8 @entity1 this was done at a third stage. Histologic examination revealed @entity66 in 6 and @entity420 in 19 @entity1 . No @entity204 occurred after caecostomy nor was there major morbidity. After colonic resection, one in-hospital, nonprocedure related, @entity204 occurred (mortality rate 4%). In 21 @entity1 with an @entity254 no dehiscence occurred. Other @entity260 occurred in 5 @entity1 (morbidity rate 20%). The median hospital stay for @entity1 with a two-stage procedure was 32 days and with a three-stage procedure 39.5 days. The staged procedure in the management of acute @entity694 is still a safe and acceptable procedure in elderly @entity1 with @entity697 . To shorten the hospital stay the period between caecostomy and colonic resection should be reduced and it is best to close the caecostomy simultaneously.

Caecostomy in the management of acute left XXXX .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity697 :: ('MESH:D000208', 'Disease') :: ['acute large bowel obstruction'] @entity66 :: ('MESH:D004194', 'Disease') :: ['diverticular disease'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumour'] @entity254 :: ('MESH:C563598', 'Disease') :: ['anastomosis'] @entity260 :: ('MESH:D011183', 'Disease') :: ['postoperative complications'] @entity694 :: ('MESH:D003110', 'Disease') :: ['colonic obstruction'] @entity420 :: ('MESH:D000230', 'Disease') :: ['adenocarcinoma'] @entity204 :: ('MESH:D003643', 'Disease') :: ['deaths', 'death']
@entity694 :: (MESH:D003110,Disease) :: ['colonic obstruction']
