Retrospective Study
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Oncol. Mar 15, 2025; 17(3): 102728
Published online Mar 15, 2025. doi: 10.4251/wjgo.v17.i3.102728
New scoring system for the evaluation obstructive degrees based on computed tomography for obstructive colorectal cancer
Xin-Chang Shang-Guan, Jun-Rong Zhang, Chao-Nan Lin, Shuai Chen, Yong Wei, Wen-Xuan Chen, Lin Pan, Li-Qin Huang, Shao-Hua Zheng, Xian-Qiang Chen
Xin-Chang Shang-Guan, Jun-Rong Zhang, Shuai Chen, Yong Wei, Wen-Xuan Chen, Xian-Qiang Chen, Department of Emergency Surgery, Fujian Medical University Union Hospital, Fuzhou 350001, Fujian Province, China
Chao-Nan Lin, Lin Pan, Li-Qin Huang, Shao-Hua Zheng, College of Physics and Information Engineering, Fuzhou University, Fuzhou 350001, Fujian Province, China
Co-first authors: Xin-Chang Shang-Guan and Jun-Rong Zhang.
Co-corresponding authors: Shao-Hua Zheng and Xian-Qiang Chen.
Author contributions: Chen XQ had full access to all the data in the study and takes responsibility for the integrity of the data and accuracy of the data analysis; Shang-Guan XC, Zhang JR, contributed equally to this work and should be considered as co-first authors; Shang-Guan XC, Zhang JR, Zheng SH and Chen XQ contributed to concept and design; Lin CN, Chen S, Chen WX, Pan L and Huang LQ contributed to acquisition, analysis, and interpretation of data; Shang-Guan XC, Zhang JR, Chen S and Lin CN contributed to drafting of the manuscript; Zhang JR, Wei Y and Zheng SH contributed to critical revision of the manuscript for important intellectual content; Shang-Guan XC, Lin CN and Chen S contributed to statistical analysis; Shang-Guan XC, Zhang JR and Chen XQ contributed to funding; Pan L, Zheng SH and Huang LQ contributed to administrative, technical, and material support; Zhang JR, Huang LQ and Chen XQ contributed to supervision.
Supported by the Youth Foundation of Fujian Provincial Health Commission, No. 2021QNA014; and the Construction Project of Fujian Province Minimally Invasive Medical Center, No. [2021]76.
Institutional review board statement: This study was approved by the ethics committee of Fujian Medical University Union Hospital (Approval No. 2022KY102).
Informed consent statement: All patients signed the surgical consent form before surgery and gave informed consent to the pathological examination of postoperative specimens. In addition, this study was a retrospective study, using only the patient's medical records, and there was no intervention in the treatment of the patient, let alone the risk of increasing the patient. This study was committed to protecting patient privacy.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
Data sharing statement: The datasets used in the current study are available from the corresponding author upon reasonable request.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xian-Qiang Chen, MD, Department of Emergency Surgery, Fujian Medical University Union Hospital, No. 29 Xinquan Road, Fuzhou 350001, Fujian Province, China. cxq760818@163.com
Received: October 28, 2024
Revised: December 27, 2024
Accepted: January 13, 2025
Published online: March 15, 2025
Processing time: 110 Days and 9.2 Hours
Core Tip

Core Tip: This retrospective, single-center, observational study explores the relationship between computed tomography-based obstructive degree (CTOD) and the colorectal obstruction scoring system (CROSS) score and evaluates whether the CTOD could affect short-term and long-term prognoses. In this study of 173 patients, CTOD severe obstruction was an independent risk factor. Complications in the form of emergency interventions were more common in patients with CTOD-CROSS non-severe obstruction. The proposed CTOD may be useful in preoperative treatment decision-making and help prevent unnecessary emergency interventions and complications in certain patients.