COLORECTAL CANCERS OCCURRING WITH ILEUS

Introduction: To establish the clinical profiles of the newly diagnosed colorectal cancers in patients presenting to the emergency service with ileus symptoms. Materials and Method: The study was carried out with the retrospective examination of the patients who presented to a tertiary emergency service with non-specific ileus symptoms and were diagnosed with colorectal cancer for the first time. The clinical, laboratory and radiologic data of the patients were recorded in the study form compiled from the Hospital Information Management System and the emergency service presentation files. Results: 102 patients who presented to the emergency service due to ileus and were diagnosed with a mass were included in the study. Of these patients mean age was 66.50±12.30 (mean±standard deviation). During the presentation, the Charlson Comorbidity Index was considered as 1.00 [Interquartile Range 0.00 – 2.00] while the median value of the modified Glasgow Prognostic Score was 1.00 [Interquartile Range 0.00 - 2.00]. The modified Glasgow Prognostic Score was statistically significant (p<0.001), especially in the patients in whom perforation developing as a late complication was observed. Conclusion: The frequency of being diagnosed with colorectal cancers by presenting to the emergency service with non-specific symptoms is increasing despite the routine cancer screening in the healthcare systems. In this process, the difficulties in making appointments during the hospital presentations under elective conditions and the long time interval until the diagnosis gave rise to the necessity for patients to consider faster diagnosis and treatment options through the emergency service. Keywords: Colorectal Neoplasms; Ileus; Emergency; Prognosis.