Clin Colon Rectal Surg 2024; 37(06): 376-380
DOI: 10.1055/s-0043-1777452
Review Article

Large Bowel Obstruction: Etiologies, Diagnosis, and Management

Kevin A. Chen
1   Division of Gastrointestinal Surgery, Department of Surgery, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina
,
Muneera R. Kapadia
1   Division of Gastrointestinal Surgery, Department of Surgery, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina
› Author Affiliations

Funding None.
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Abstract

Large bowel obstructions (LBOs) often require urgent surgical intervention. Diagnosis relies on astute history and physical examination, as well as imaging with computed tomography (CT) scan for stable patients. Because of the high mortality associated with colonic perforation in patients with LBOs, decisive surgical decision-making is needed for optimal outcomes. This review seeks to provide an overview of the etiologies of LBO, diagnosis, and general management principles, as well as specific management for the most common etiologies, including colorectal cancer and strictures.



Publication History

Article published online:
29 December 2023

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