True and false large bowel obstruction

Farmer, K. C. R.; Rw, Phillips

doi:10.1016/0950-3528(91)90043-z

Cited by 17 publications

(8 citation statements)

References 57 publications

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“…8 Technically, it utilises a highly mobile segment of the bowel, the ileum, to transpose it towards the left colon and perform the ileocolonic anastomosis without tension. 8,9 ERH has also been conducted laparoscopically, 7,10 and in both elective and emergency settings. 11,12 In cases of obstructing tumours of the left colon, it simultaneously removes the caecum, which is the segment at highest risk of perforation (Laplace law).…”

mentioning

confidence: 99%

Extended right hemicolectomy and left hemicolectomy for colorectal cancers between the distal transverse and proximal descending colon

Gravante

Elshaer

Parker

et al. 2016

annals

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mentioning

confidence: 99%

Extended right hemicolectomy and left hemicolectomy for colorectal cancers between the distal transverse and proximal descending colon

Gravante

Elshaer

Parker

et al. 2016

annals

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“…There were three mortalities (6%) in patients with sigmoid volvulus. 10,11 At ten months follow-up all patients were alive except three patients. All deaths in those patients with colorectal carcinoma were due to the effects of the disease ranging from pulmonary metastasis to liver metastasis Anterior resection with primary colorectal anastamosis 1…”

Section: Resultsmentioning

confidence: 96%

Untitled

2019

MIJOSUR

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Background: Adult acute large bowel obstruction is an infrequent cause of acute intestinal obstruction and is an emergency condition that requires early identification and intervention. It is associated with significant morbidity and mortality, especially if it progresses to bowel ischemia. The aims of this study was to analyse various modes of presentation of acute large obstruction, etiology, age distribution, sex incidence and various therapeutic modalities of treatment and complications. Materials and Methods: This is a study of adult patients with acute large bowel obstruction over a 3-years period. The diagnosis of acute large bowel obstruction was made from history, clinical examination and radiographic features. Various surgical procedures carried out, complications were recorded and analysed. Results: : A total of 50 patients aged 20-80 years, with a median age of 50 years, presented with features consistent with large bowel obstruction. Of these, 35 had sigmoid volvulus of which three were gangrenou and majority were offered sigmoid colectomy and primary colorectal anastomosis with or without covering ileostomy and three treated with hartmann procedure. Fifteen patients had colon cancer, three had left hemicolectomy and primary colocolic anastomosis; three, sigmoid colectomy and primary colorectal anastomosis; one, anterior resection and primary colorectal anastomosis; three decompressive colostomy and two, right hemicolectomy and primary ileocolic anastomosis; three, hartmann's procedure. four cases had wound infection, 3 cases had respiratory tract infection and two cases had anastamotic leak. Operative mortality occurred in three patients with sigmoid volvulus. Conclusion: This study on acute large bowel obstruction provides knowledge about disease burden in our geographical area and various aspects of management.

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“…Bowel obstruction or pseudo-obstruction can be the result of mechanical causes or motility disturbances [3]. The syndrome of acute colonic pseudo-obstruction is well delineated but its aetiology remains poorly understood [4-7].…”

Section: Introductionmentioning

confidence: 99%

The role of colonoscopy in the management of intestinal obstruction: a 20-year retrospective study

et al. 2010

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PurposeThe aim of the study was to assess the use colonoscopy over time in the assessment of large bowel obstruction in a tertiary university hospital.MethodsRetrospective analysis of surgical and colonoscopy records for the years 1990-2009 in a university hospital. All patients diagnosed with non-conservatively managed bowel obstruction were included.ResultsWe recorded 644 patients diagnosed with non-conservatively managed bowel obstruction. Four hundred forty-one (67.3%) were managed only by surgery, 157 (23.6%) were managed by colonoscopy, and 46 (6.9%) by combined colonoscopy and surgery. Patients over 77 years were more likely to receive colonoscopy as monotherapy or combined with surgery as compared to younger patients. Management by colonoscopy only and by combined colonoscopy and surgery increased over time.ConclusionsColonoscopy in the management of non-conservatively treated bowel obstruction increased over time. However, therapeutic colonoscopy still has a limited role in bowel obstruction either as monotherapy or combined with surgery.

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True and false large bowel obstruction

Cited by 17 publications

References 57 publications

Extended right hemicolectomy and left hemicolectomy for colorectal cancers between the distal transverse and proximal descending colon

Extended right hemicolectomy and left hemicolectomy for colorectal cancers between the distal transverse and proximal descending colon

Untitled

The role of colonoscopy in the management of intestinal obstruction: a 20-year retrospective study

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