Advertisement

Acute Colonic Obstruction

  • Quan P. Ly
  • James A. Edney
Chapter

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.

Keywords

Colonic Obstruction Contrast Enema Twisted Tape Sigmoid Volvulus Cecal Volvulus 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    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.PubMedCrossRefGoogle Scholar
  2. 2.
    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.PubMedCrossRefGoogle Scholar
  3. 3.
    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.PubMedCrossRefGoogle Scholar
  4. 4.
    Ronnekleiv-Kelly SM, Kennedy GD. Management of stage IV rectal cancer: palliative options. World J Gastroenterol. 2011;17(7): 835–47.PubMedCrossRefGoogle Scholar
  5. 5.
    Ballantyne GH, Brandner MD, Beart RW, Ilstrup DM. Volvulus of the colon, incidence and mortality. Ann Surg. 1985;202(1):83–92.PubMedCrossRefGoogle Scholar
  6. 6.
    Habre J, Sautot-Vial N, Marcotte C, Benchimol D. Clinical image caecal volvulus. Am J Surg. 2008;196:e48–e9.PubMedCrossRefGoogle Scholar
  7. 7.
    Martin MJ, Steele SR. Twists and turns: a practical approach to volvulus and intussusception. Scand J Surg. 2010;99:93–102.PubMedGoogle Scholar
  8. 8.
    Rosenblat JM, Rozenblit AM, Wolf EL, DuBrow RA, Den EI, Levsky JM. Findings of cecal volvulus at CT. Radiology. 2010;256:169–75.PubMedCrossRefGoogle Scholar
  9. 9.
    Raveenthiran V, Madiba TE, Atamanalp SS, De U. Volvulus of the sigmoid colon. Colorectal Dis. 2010;12:e1–e17.PubMedGoogle Scholar
  10. 10.
    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.PubMedGoogle Scholar
  11. 11.
    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.PubMedCrossRefGoogle Scholar
  12. 12.
    Morrissey TB, Deitch EA. Recurrence of sigmoid volvulus after surgical intervention. Am Surg. 1994;60(5):329–31.PubMedGoogle Scholar
  13. 13.
    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.PubMedCrossRefGoogle Scholar
  14. 14.
    De Giorgio R, Knowles CH. Acute colonic pseudo-obstruction. Br J Surg. 2009;96:229–39.PubMedCrossRefGoogle Scholar
  15. 15.
    Amaro R, Rogers AI. Neostigmine infusion: new standard of care for acute colonic pseudo-obstruction? Am J Gastroenterol. 2000;95:304–5.PubMedGoogle Scholar
  16. 16.
    Ponec RJ, Saunders MD, Kimmey MB. Neostigmine for the treatment of the acute colonic pseudo-obstruction. N Engl J Med. 1999;341:137–41.PubMedCrossRefGoogle Scholar
  17. 17.
    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.PubMedCrossRefGoogle Scholar
  18. 18.
    Kurer MA, Davey C, Khan S, Chintapatla S. Colorectal foreign bodies: a systemic review. Colorectal Dis. 2010;12:851–61.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  1. 1.Department of SurgeryUniversity of Nebraska Medical CenterOmahaUSA
  2. 2.Department of Surgical Oncology, 984030 Nebraska Medical CenterUniversity of Nebraska Medical CenterOmahaUSA

Personalised recommendations