Abstract
There are many causes of colonic obstruction ranging from anatomic to physiologic etiologies (Table 28.1). The type of obstructions also differ depend on region. In the United States, the most common cause of adult colonic obstruction is colorectal cancer, whereas in Russia and Africa, colonic volvulus is much more common. Clinical presentation, diagnosis, and management differ depending on the etiology; however, the initial assessment of the patient is similar regardless.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Phang PT, MacFarlane JK, Taylor RH, Cheifetz R, Davis N, Hay J, McGregor G, Speers C, Coldman A. Effect of emergent presentation on outcome from rectal cancer management. Am J Surg. 2003;185:450–4.
Hunerbein M, Krause M, Moesta KT, Rau B, Schlag PM. Palliation of malignant rectal obstruction with self-expanding metal stents. Surgery. 2005;137:42–7.
Watt AM, Faragher IG, Griffin TT, Rieger NA, Maddern GJ. Self-expanding metallic stents for relieving malignant colorectal obstruction: a systematic review. Ann Surg. 2007;246:24–30.
Ronnekleiv-Kelly SM, Kennedy GD. Management of stage IV rectal cancer: palliative options. World J Gastroenterol. 2011;17(7): 835–47.
Ballantyne GH, Brandner MD, Beart RW, Ilstrup DM. Volvulus of the colon, incidence and mortality. Ann Surg. 1985;202(1):83–92.
Habre J, Sautot-Vial N, Marcotte C, Benchimol D. Clinical image caecal volvulus. Am J Surg. 2008;196:e48–e9.
Martin MJ, Steele SR. Twists and turns: a practical approach to volvulus and intussusception. Scand J Surg. 2010;99:93–102.
Rosenblat JM, Rozenblit AM, Wolf EL, DuBrow RA, Den EI, Levsky JM. Findings of cecal volvulus at CT. Radiology. 2010;256:169–75.
Raveenthiran V, Madiba TE, Atamanalp SS, De U. Volvulus of the sigmoid colon. Colorectal Dis. 2010;12:e1–e17.
Lau KCN, Miller BJ, Schache DJ, Cohen JR. A study of large-bowel volvulus in urban Australia. Can J Surg. 2006;49(3):203–7.
Chung YF, Eu KW, Nyam DC, Leong AF, Ho YH, Seow-Choen F. Minimizing recurrence after sigmoid volvulus. Br J Surg. 1999;86(2):231–3.
Morrissey TB, Deitch EA. Recurrence of sigmoid volvulus after surgical intervention. Am Surg. 1994;60(5):329–31.
Katsikogiannis N, Machairiotis N, Zarogoulidis P, Sarika E, Stylianaki A, Zisoglou M, et al. Management of sigmoid volvulus avoiding sigmoid resection. Case Rep Gastroenterol. 2012;6(2):293–9.
De Giorgio R, Knowles CH. Acute colonic pseudo-obstruction. Br J Surg. 2009;96:229–39.
Amaro R, Rogers AI. Neostigmine infusion: new standard of care for acute colonic pseudo-obstruction? Am J Gastroenterol. 2000;95:304–5.
Ponec RJ, Saunders MD, Kimmey MB. Neostigmine for the treatment of the acute colonic pseudo-obstruction. N Engl J Med. 1999;341:137–41.
Van der Spoel JI, van Oudemans-Straaten HM, Stoutenbeek CP, Bosman RJ, Zandstra DF. Neostigmine resolves critical illness-related colonic ileus in intensive care patients with multiple organ failure: a prospective, double-blind, placebo-controlled trial. Intensive Care Med. 2001;27:822–7.
Kurer MA, Davey C, Khan S, Chintapatla S. Colorectal foreign bodies: a systemic review. Colorectal Dis. 2010;12:851–61.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2013 Springer Science+Business Media New York
About this chapter
Cite this chapter
Ly, Q.P., Edney, J.A. (2013). Acute Colonic Obstruction. In: Moore, L., Turner, K., Todd, S. (eds) Common Problems in Acute Care Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6123-4_28
Download citation
DOI: https://doi.org/10.1007/978-1-4614-6123-4_28
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4614-6122-7
Online ISBN: 978-1-4614-6123-4
eBook Packages: MedicineMedicine (R0)