Cecostomy

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Abstract
SURCEONS differ in their attitudes toward cecostomy in the management of obstruction of the large bowel caused by carcinoma; some favor cecostomy, some are opposed to it. This division of opinion is not surprising because obstruction of the colon caused by cancer is relatively uncommon and reliable information, based on broad experience, is not readily obtainable. In some charitable and public institutions, there are records of many patients with obstruction of the colon of this type, but although the series Of patients may be large, often the surgical management of the patients is conducted by junior surgeons and surve)s of the records must be evaluated with caution. The objective of this presentation is to add to the record a report of my personal experience with 970 patients with carcinoma of the colon, of which 105 (10.8%) had acute obstruction. (The rectum was involved in 690.) Thirty-four patients underwent cecostomy anti the records of these patients form the basis for this report. However, the cecostomy was performed as a part of a special method of decompressing the colon and it is to this procedure that l will devote special attention.

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