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Large Bowel Obstruction: Current Techniques and Trends in Management

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Emergency General Surgery

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Abstract

The treatment of a large bowel obstruction remains a complex surgical decision-making process. The presentation of this condition is quite variable, with multiple treatment strategies both endoscopically and operatively. Furthermore, with the advent of self-expanding metallic stents, patients may now be converted from an emergent to semi-elective operation, potentially avoiding a permanent stoma. However, there is still a role for a segmental or extended resection and the need for a diverting or end colostomy. Maintaining an algorithmic approach to the management of this condition is critical, and patients should be individualized based on their clinical status, as well as the location and etiology of the obstruction.

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Authors and Affiliations

  1. Department of Surgery, Madigan Army Medical Center, Tacoma, WA, USA

    Andrew T. Schlussel

  2. Department of Surgery, Tripler Army Medical Center, Honolulu, HI, USA

    Erik Q. Roedel

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  1. Andrew T. Schlussel
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  2. Erik Q. Roedel
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Editors and Affiliations

  1. Dell Medical School, University of Texas at Austin, Austin, TX, USA

    Carlos V. R. Brown

  2. Trauma and Surgical Critical Care, University of Southern California, Los Angeles, CA, USA

    Kenji Inaba

  3. Madigan Army Medical Center, Tacoma, WA, USA

    Matthew J. Martin

  4. Brigham and Womens’s Hospital, Harvard Medical School, Boston, MA, USA

    Ali Salim

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Schlussel, A.T., Roedel, E.Q. (2019). Large Bowel Obstruction: Current Techniques and Trends in Management. In: Brown, C., Inaba, K., Martin, M., Salim, A. (eds) Emergency General Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-96286-3_24

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