CECOSTOMY AND COLOSTOMY IN ACUTE COLON OBSTRUCTIONS

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Abstract
The relative merits of cecostomy and colostomy as decompressive measures in acute large bowel obstruction have long been debated. During the past decade the management of large bowel lesions has undergone many changes; chemotherapeutic and antibiotic agents are now extensively employed, and single stage procedures with end-to-end anastomoses are considered in most instances the procedures of choice. However, when the lesion has produced complete obstruction, surgical decompression must still precede definitive surgery. Under these circumstances the surgeon is often confronted with the choice between two procedures, cecostomy or colostomy. For this reason it was considered worth while to review our experiences with these measures during the past 13 years at Cleveland City Hospital. MATERIAL Between Jan. 1, 1940, and Jan. 1, 1953, 99 patients with acute large bowel obstruction were admitted to City Hospital, Cleveland. During this period there were 161,765 admissions to the hospital and 27,241 admissions to the

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