ASCRS Textbook of Colon and Rectal Surgery
Large Bowel Obstruction
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
Citation
Feingold, Daniel L, and Fergal J Fleming. "Large Bowel Obstruction." ASCRS Textbook of Colon and Rectal Surgery, 2022. ASCRS U, www.ascrsu.com/ascrs/view/ASCRS-Textbook-of-Colon-and-Rectal-Surgery/2285033/all/Large_Bowel_Obstruction.
Feingold DL, Fleming FJ. Large Bowel Obstruction. ASCRS Textbook of Colon and Rectal Surgery. 2022. https://www.ascrsu.com/ascrs/view/ASCRS-Textbook-of-Colon-and-Rectal-Surgery/2285033/all/Large_Bowel_Obstruction. Accessed December 9, 2023.
Feingold, D. L., & Fleming, F. J. (2022). Large Bowel Obstruction. In ASCRS Textbook of Colon and Rectal Surgery https://www.ascrsu.com/ascrs/view/ASCRS-Textbook-of-Colon-and-Rectal-Surgery/2285033/all/Large_Bowel_Obstruction
Feingold DL, Fleming FJ. Large Bowel Obstruction [Internet]. In: ASCRS Textbook of Colon and Rectal Surgery. ; 2022. [cited 2023 December 09]. Available from: https://www.ascrsu.com/ascrs/view/ASCRS-Textbook-of-Colon-and-Rectal-Surgery/2285033/all/Large_Bowel_Obstruction.
* Article titles in AMA citation format should be in sentence-case
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AU - Fleming,Fergal,
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UR - https://www.ascrsu.com/ascrs/view/ASCRS-Textbook-of-Colon-and-Rectal-Surgery/2285033/all/Large_Bowel_Obstruction
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