Large Bowel Obstruction

Daniel L. Feingold, Fergal J. Fleming
Large Bowel Obstruction is a topic covered in the ASCRS Textbook of Colon and Rectal Surgery.

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Key Concepts

  • Perforation associated with obstructing colonic neoplasms may either be at the site of the tumor or the cecum based on the law of Laplace.
  • Sigmoid volvulus is usually best treated with endoscopic detorsion followed by sigmoid resection.
  • Cecal volvulus is typically best managed with urgent right hemicolectomy.
  • Neostigmine is often successful in the management of acute colonic pseudo-obstruction.

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Key Concepts

  • Perforation associated with obstructing colonic neoplasms may either be at the site of the tumor or the cecum based on the law of Laplace.
  • Sigmoid volvulus is usually best treated with endoscopic detorsion followed by sigmoid resection.
  • Cecal volvulus is typically best managed with urgent right hemicolectomy.
  • Neostigmine is often successful in the management of acute colonic pseudo-obstruction.

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Last updated: January 26, 2022