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J Gastrointest Surg. 2013 Nov;17(11):2007-12. doi: 10.1007/s11605-013-2343-x. Epub 2013 Sep 19.

Colorectal emergencies: review and controversies in the management of large bowel obstruction.

Author information

1
Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY, 10065, USA, yeoh@mskcc.org.

Abstract

INTRODUCTION:

Traditionally, large bowel obstruction (LBO) has been managed as an operative emergency. Its causes and treatments are an important part of general surgical and colon and rectal surgery practices.

DISCUSSION:

While management has traditionally been emergent laparotomy with resection or removal of underlying pathology, newer methodologies and treatments over the last decade have required treating physicians to consider a number of other options, including nonoperative options such as stenting, when treating these patients.

CONCLUSION:

Given these changes, treating a patient with LBO requires a thoughtful assessment and comprehensive understanding of underlying pathology, assessment of the patient's comorbidities and up-to-date knowledge of modern options for treatment.

PMID:
24048614
DOI:
10.1007/s11605-013-2343-x
[Indexed for MEDLINE]

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