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Introduction <p>Concurrent colorectal pathology and aortic disease is uncommon, with its reported incidence in the range of 0.49 to 4.0% [<CitationRef CitationID="CR1">1</CitationRef>, <CitationRef CitationID="CR2">2</CitationRef>]. Risk factors common to both conditions include smoking, obesity, and diabetes mellitus. While consensus regarding approaches to treatment is still lacking, various management options may be considered: staged vs synchronous approach, colorectal pathology vs aortic disease first, endovascular vs open repair of aortic disease.</p> Case Presentation <p>We managed four cases with these concomitant conditions. We aimed to describe treatment strategies employed utilizing a multidisciplinary team (MDT) approach for patients seen at the Philippine General Hospital (PGH).</p> Conclusion <p>In patients presenting with concurrent colorectal pathology and aortic disease, surgical management is driven by the urgency of presentation, and the MDT approach is important for treatment planning as to the type and timing of surgery.</p>

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The Management of Concurrent Colorectal Pathology and Aortic Disease at a Philippine Tertiary Referral Center: Case Report/Series

  • 期刊论文

  • 发表日期：

    2026年2月13日

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  • Kelvin R-jay V. Esposo,
  • Marc Paul J. Lopez,
  • Sofia Isabel T. Manlubatan,
  • Carlo Martin H. Garcia

摘要

Introduction

Concurrent colorectal pathology and aortic disease is uncommon, with its reported incidence in the range of 0.49 to 4.0% [1, 2]. Risk factors common to both conditions include smoking, obesity, and diabetes mellitus. While consensus regarding approaches to treatment is still lacking, various management options may be considered: staged vs synchronous approach, colorectal pathology vs aortic disease first, endovascular vs open repair of aortic disease.

Case Presentation

We managed four cases with these concomitant conditions. We aimed to describe treatment strategies employed utilizing a multidisciplinary team (MDT) approach for patients seen at the Philippine General Hospital (PGH).

Conclusion

In patients presenting with concurrent colorectal pathology and aortic disease, surgical management is driven by the urgency of presentation, and the MDT approach is important for treatment planning as to the type and timing of surgery.