Question 297
0
A 78-year-old woman with coronary artery disease and congestive heart failure presents with symptoms of large bowel obstruction. Computed tomography (CT) shows a large obstructing descending colon mass with numerous hepatic and pulmonary lesions suggestive of metastatic disease. There is no evidence of bowel perforation or ischemia. Flexible endoscopy shows a large near complete obstructing carcinoma in the descending colon. Which of the following is the most appropriate next step?
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Citation
"Question 297." CARSEP XII, ASCRS U, www.ascrsu.com/ascrs/view/CARSEP XII/3094297/all/Malignancy. Accessed 21 April 2026.
Question 297. CARSEP XII. https://www.ascrsu.com/ascrs/view/CARSEP XII/3094297/all/Malignancy. Accessed April 21, 2026.
Question 297. In CARSEP XII https://www.ascrsu.com/ascrs/view/CARSEP XII/3094297/all/Malignancy
Question 297 [Internet]. In: CARSEP XII. [cited 2026 April 21]. Available from: https://www.ascrsu.com/ascrs/view/CARSEP XII/3094297/all/Malignancy.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC
T1 - Question 297
ID - 3094297
BT - CARSEP XII
UR - https://www.ascrsu.com/ascrs/view/CARSEP XII/3094297/all/Malignancy
DB - ASCRS U
DP - Unbound Medicine
ER -
CARSEP XII

