Large Bowel Obstruction: Etiologies, Diagnosis, and Management.

Clin Colon Rectal Surg

Division of Gastrointestinal Surgery, Department of Surgery, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.

Published: November 2024

AI Article Synopsis

  • - Large bowel obstructions (LBOs) usually need urgent surgery, with diagnosis based on patient history, physical exams, and CT scans for stable individuals.
  • - Timely and effective surgical decisions are crucial due to the high risk of death from colonic perforation in LBO cases.
  • - The review covers LBO causes, diagnostic methods, general management strategies, and specific treatments for common issues like colorectal cancer and strictures.

Article Abstract

Large bowel obstructions (LBOs) often require urgent surgical intervention. Diagnosis relies on astute history and physical examination, as well as imaging with computed tomography (CT) scan for stable patients. Because of the high mortality associated with colonic perforation in patients with LBOs, decisive surgical decision-making is needed for optimal outcomes. This review seeks to provide an overview of the etiologies of LBO, diagnosis, and general management principles, as well as specific management for the most common etiologies, including colorectal cancer and strictures.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11466520PMC
http://dx.doi.org/10.1055/s-0043-1777452DOI Listing

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