Prevention of acute resection in obstructive colorectal cancer using a four-stage obstruction protocol

The four-stage obstruction protocol effectively manages colorectal cancer-related obstruction. In 94% of curative patients, deterioration was prevented, avoiding emergency surgery and its risks. While emergency resection was previously considered standard in stage 3, the protocol avoided this in most patients. Accurate staging and close monitoring remain essential to prevent deterioration.

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Publication Details

Journal
Surgical Oncology
Published
2026-02-18
DOI
https://doi.org/10.1016/j.suronc.2026.102385
Primary Topic
Intestinal and Peritoneal Adhesions
Type
article
Field-Weighted Citation Impact
0.00
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article

Prevention of acute resection in obstructive colorectal cancer using a four-stage obstruction protocol

Eric P. van der Stok, Flip M. Kruyt, Gerhards Mf, Elize W. Lockhorst et al.
Surgical Oncology
Intestinal and Peritoneal Adhesions
article

Prevention of acute resection in obstructive colorectal cancer using a four-stage obstruction protocol

Eric P. van der Stok, Flip M. Kruyt, Gerhards Mf, Elize W. Lockhorst, Cornelis Verhoef, Paul D. Gobardhan, Hendrik A. Marsman, Mats L. Kleinjan
article en

Abstract

The four-stage obstruction protocol effectively manages colorectal cancer-related obstruction. In 94% of curative patients, deterioration was prevented, avoiding emergency surgery and its risks. While emergency resection was previously considered standard in stage 3, the protocol avoided this in most patients. Accurate staging and close monitoring remain essential to prevent deterioration.

Surgical OncologyVol. 65
OLVG (NL), Amphia Ziekenhuis (NL), Erasmus MC Cancer Institute (NL)
Good health and well-being
Openalex Percentile: Top 52%
Intestinal and Peritoneal Adhesions
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