Skip to main content
SpringerLink
Log in
Book cover

Coloproctology pp 377–386Cite as

Colonic and Rectal Obstruction

  • Chapter
  • First Online:

  • 4258 Accesses

Part of the book series: European Manual of Medicine ((EUROMANUAL))

Abstract

Colonic/rectal obstruction, also known as large-bowel obstruction, is a serious condition that needs careful and prompt diagnostic and therapeutic measures to obviate harmful complications and even death. Colorectal cancer is the main cause of this obstruction in Western countries. Recent technological innovations (on-table lavage, colonic stents) have changed the therapeutic strategy, with a marked benefit for patient outcomes. Understanding the various etiological hypotheses, as well as the clinical presentation and the use of appropriate tests, make selecting the best treatment option possible. The preferred approach should be determined on an individual basis and tailored to the particular situation.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Cataldo PA. Large bowel obstruction. Sem Colon Rectal Surg. 2001;12:140–53.

    Google Scholar 

  2. Sawai RS. Management of colonic obstruction: a review. Clin Colon Rectal Surg. 2012;25:200–3.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Yeo HL, Lee SW. Colorectal emergencies: review and controversies in the management of large bowel obstruction. J Gastrointest Surg. 2013;17:2007–12.

    Article  PubMed  Google Scholar 

  4. Gash K, Chambers W, Ghosh A, et al. The role of laparoscopic surgery for the management of acute large bowel obstruction. Colorectal Dis. 2011;13:263–6.

    Article  CAS  PubMed  Google Scholar 

  5. Douglas JM, Stahl TJ. Obstructing cancer: overview and prognosis. Sem Colon Rectal Surg. 2001;12:154–7.

    Google Scholar 

  6. Frager D, Rovno HD, Baer JW, et al. Prospective evaluation of colonic obstruction with computed tomography. Abdom Imaging. 1998;23:141–6.

    Article  CAS  PubMed  Google Scholar 

  7. Frago RD, Ramirez E, Millan M, et al. Current management of acute malignant large bowel obstruction: a systematic review. Am J Surg. 2014;207:127–38.

    Article  PubMed  Google Scholar 

  8. Sagar J. Colorectal stents for the management of malignant colonic obstructions. Cochrane Database Syst Rev. 2011;11, CD007378.

    Google Scholar 

  9. van den Berg MW, Sloothaak DA, Dijkgraaf MGW, et al. Bridge-to-surgery versus emergency surgery for acute malignant colonic obstruction. Br J Surg. 2014;101:867–73.

    Article  PubMed  Google Scholar 

  10. Tan CJ, Dasari BVM, Gardiner K. Systematic review and meta-analysis of randomized clinical trials of self-expanding metallic stents as a bridge to surgery versus emergency surgery for malignant left-sided large bowel obstruction. Br J Surg. 2012;99:469–76.

    Article  CAS  PubMed  Google Scholar 

  11. Ye G-H, Cui Z, Chen L, et al. Colonic stenting vs emergency surgery for acute left-sided malignant colonic obstruction: a systematic review and meta-analysis. World J Gastroenterol. 2012;18:5608–15.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Cirochi R, Farinella E, Trastulli S, et al. Safety and efficacy of endoscopic colonic stenting as a bridge to surgery in the management of intestinal obstruction due to left colon and rectal cancer: a systematic review and meta-analysis. Surg Oncol. 2013;22:14–21.

    Article  Google Scholar 

  13. Huang X, Lv B, Zhang S, et al. Preoperative colonic stents versus emergency surgery for acute left-sided malignant colonic obstruction: a meta-analysis. J Gastrointest Surg. 2014;18:584–91.

    Article  PubMed  Google Scholar 

  14. Ye G-H, Cui Z, Chen L, et al. Perforation in colorectal stenting: a meta-analysis and a search for risk factors:. Gastrointest Endosc. 2014;6:970–82.

    Google Scholar 

  15. Matsuda A, Miyashita M, Matsumoto S, et al. Comparison of long-term outcomes of colonic stent as “bridge to surgery” and emergency surgery for malignant large-bowel obstruction: a meta-analysis. Ann Surg Oncol. 2015;22:497–504.

    Article  PubMed  Google Scholar 

  16. Grundmann RT. Primary colon resection or Hartmann’s procedure in malignant left-sided large bowel obstruction? The use of stents as a bridge to surgery. World J Gastroenterol. 2013;5:1–4.

    Google Scholar 

  17. Chereau N, Lefevre JH, Lefrancois M, et al. Management of malignant left colonic obstruction: is an initial temporary colostomy followed by surgical resection a better option? Colorectal Dis. 2013;15:e646–53.

    Article  CAS  PubMed  Google Scholar 

  18. SCOTIA Study Group. Single-stage treatment for malignant left-sided colonic obstruction: a prospective randomised clinical trial comparing subtotal colectomy with segmental resection following intraoperative irrigation. Br J Surg. 1995;82:1622–7.

    Article  Google Scholar 

  19. Fuertes MJ, Navarro DC. Resection and primary anastomosis without diverting ileostomy for left colon emergencies: is it a safe procedure? World J Surg. 2012;36:1148–53.

    Article  Google Scholar 

  20. Ballantyne G. Review of sigmoid volvulus: history and results of treatment. Dis Colon Rectum. 1982;25:494–501.

    Article  CAS  PubMed  Google Scholar 

  21. Raveentiran V, Madiba TE, Atamanalp SS, et al. Volvulus of the sigmoid colon. A review of 93 cases and current aspects of treatment. Colorectal Dis. 2010;12:e1–17.

    Google Scholar 

  22. Gopal K, Lim Y, Banerjee B. “Twisted tape sign”: its significance in recurrent sigmoid volvulus. Review of sigmoid volvulus. Radiography. 2005;11:272–6.

    Article  Google Scholar 

  23. Witherspoon P, Wright DM. Three-dimensional magnetic image guided percutaneous endoscopic sigmoidopexy for the treatment of recurrent sigmoid volvulus. Colorectal Dis. 2010;12:72–3.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Faculty of Medicine and University Hospital, Coimbra, Portugal

    J. Pimentel MD, PhD

  2. Department of Surgery B, University Hospital of Coimbra, 3000-075, Coimbra, Portugal

    J. Pimentel MD, PhD

Authors
  1. J. Pimentel MD, PhD
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to J. Pimentel MD, PhD .

Editor information

Editors and Affiliations

  1. End- und Dickdarm-Zentrum Mannheim, Mannheim, Germany

    Alexander Herold

  2. Clinique de chirurgie digestive et endocrinienne, Institut des maladies de l’appareil digestif, Hotel Dieu, Nantes, France

    Paul-Antoine Lehur

  3. Chirurgische Klinik mit Poliklinik, Universitaet Erlangen, Erlangen, Germany

    Klaus E. Matzel

  4. UCD School of Medicine, St Vincent’s University Hospital, Dublin, Ireland

    P. Ronan O'Connell

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Pimentel, J. (2017). Colonic and Rectal Obstruction. In: Herold, A., Lehur, PA., Matzel, K., O'Connell, P. (eds) Coloproctology. European Manual of Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-53210-2_33

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-53210-2_33

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-53208-9

  • Online ISBN: 978-3-662-53210-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation