Occlusive colonic obstruction (literature review)

Acute intestinal obstruction is a disease characterized by a disorder of the intestinal passage through the gastrointestinal tract Occlusive colonic obstruction (OCO) can be a complication of various diseases, including colorectal cancer (CRC), or may be caused by other factors. This article provides a review of Russian and international publications regarding current classifications, diagnostic methods, and surgical treatment tactcis for patients with OCO Differential diagnosis of OCO requires the surgeon to possess knowledge and to utilize modern diagnostic equipment Colonic obstruction is associated with the risk of perforation and the development of fecal peritonitis The mortality rate in cases of this type of obstruction can reach up to 50%, with postoperative complications occurring in up to 65% of cases. Therefore, the optimal management of this patient category remains an urgent issue, as there is currently no standard treatment protocol for such cases. This paper examines diagnostic methods and various treatment modalities for OCO, including both single-stage and multi-stage approaches. KEYWORDS: colorectal cancer, occlusive colonic obstruction, treatment tactics, classification, mortality, coloproctology. FOR CITATION: Cherdantsev D.V., Pervova O.V., Pozdnyakov A.A., Budaev G.S., Komissarov S.V., Yefremov B.I., Gavrilova A.O. Occlusive colonic obstruction (literature review). Russian Medical Inquiry. 2025;9(4):191–196 (in Russ.). DOI: 10.32364/2587-6821-2025-9-4-1