Adhesional obstruction of the colon

Holt, Richard W.; Wagner, Robert C.

doi:10.1007/bf02555640

Cited by 10 publications

(5 citation statements)

References 2 publications

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“…The more mobile and redundant the colon is the more predisposed it is to adhesive obstruction. 16 Adhesions can be congenital, idiopathic, or acquired. 17 Idiopathic adhesions can occur from various sources of abdominal inflammation, for example inflammation of appendices epiploicae or salpingitis.…”

Section: Adhesive Diseasementioning

confidence: 99%

Large Bowel Obstruction

Johnson

Hawkins

2021

Clin Colon Rectal Surg

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Nearly one-quarter of bowel obstructions occur in the large bowel. As with all bowel obstructions, large bowel obstructions have three defining characteristics: partial or complete, intrinsic or extrinsic, benign or malignant. The work-up for a large bowel obstruction should focus on the etiology of the obstruction as well as severity. Management strategy is contingent on the previous characteristics and can include endoscopy, diversion, or resection. This chapter will discuss common and rare etiologies of large bowel obstructions as well as management strategies for clinical guidance.

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Section: Adhesive Diseasementioning

confidence: 99%

Large Bowel Obstruction

Johnson

Hawkins

2021

Clin Colon Rectal Surg

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“…The origin of these adhesions can be congenital [1, 2], inﬂammatory, post-traumatic or iatrogenic following previous surgery [3, 4]. …”

Section: Discussionmentioning

confidence: 99%

Large bowel obstruction secondary to adhesive bands

El-Masry

Geevarghese

2015

Journal of Surgical Case Reports

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Large bowel obstruction (LBO) is most commonly due to malignancy, volvulus, hernia, diverticular disease and inflammatory bowel disease. LBO due to adhesions is unusual. A literature review was conducted which revealed that only a few such cases have been reported. We report two cases of LBO secondary to adhesions in patients, one with and one without a past abdominal surgical history. We highlight that while rare, the aetiology of LBO secondary to adhesions must be considered in the differential diagnosis in patients presenting with obstructive symptoms.

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“…We had one patient with faecal impaction who was treated with the manual evacuation of stools and enemas (Holt & Wagner, 1984). Adhesions are common in small bowel and rare in the large bowel.…”

Section: Medical Science L Analysis Articlementioning

confidence: 99%

“…He underwent modified Duhamel's procedure. Anotherpatient had anal stenosis with rectal polyps he underwent anal dilation with polypectomy which was benign on histopathological examination (Holt & Wagner, 1984).…”

Section: Medical Science L Analysis Articlementioning

confidence: 99%

“…The major complication seen in our study was wound infection, which was present in 8 patients amounting to 20%. The majority of cases developing wound infection were those complicated by strangulation, perforation, malignancy or following resections (Holt & Wagner, 1984). The case of obstructed inguinal hernia developed scrotal oedema post-operatively, followed by wound infection.…”

Section: Complications Morbidity and Mortalitymentioning

confidence: 99%

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The importance of timely management: Large bowel obstruction - Aetiology and its outcomes

Kalloli¹,

Kenawadkar²,

Gadvi³

et al. 2022

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Introduction: Large bowel obstruction (LBO) is one of the most frequent cases encountered by a surgeon in the emergency department. It accounts for 6.3% of all intestinal obstructions. In the acute setting, it often presents with abdominal distention, vomiting and constipation. This study aims to analyse clinical and aetiopathological features associated with large bowel obstruction and the outcome of various modalities of managing LBO. Patients and Methods: In this prospective study, patients above 18 years of age presenting to the emergency department of our hospital with features suggestive of dynamic intestinal obstruction were selected. After confirmation of the diagnosis and its underlying aetiology, they were managed either surgically or conservatively. The patient outcome in terms of complications and mortality were evaluated. Results: Out of 53 patients, 29 were males and 24 were females. The most common cause of large bowel obstruction was colonic malignancy in 27 patients (50.94%) followed by colonic volvulus in 15 patients (28.30%). Majority of patients (45) underwent surgery. The most common procedure done in our study was resection and anastomosis in 29 patients. 20% of the cases suffered from wound infection. Out of 53 cases in our study 27 patients had an uneventful post-operative period and 13 patients had delayed recovery. The total number of deaths in the study was 5 (12.5%). Conclusion: Prompt diagnosis and timely appropriate surgery in large bowel obstruction with available modern equipment and anaesthesia reduces morbidity, mortality, hospital stay and gives a satisfactory outcome.

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Adhesional obstruction of the colon

Cited by 10 publications

References 2 publications

Large Bowel Obstruction

Large Bowel Obstruction

Large bowel obstruction secondary to adhesive bands

The importance of timely management: Large bowel obstruction - Aetiology and its outcomes

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