Heather L Yeo1, Sang W Lee. 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.
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.
Authors: Hester Yui Shan Cheung; Chi Chiu Chung; Wilson Wen Chieng Tsang; James Cheuk Hoo Wong; Kevin Kwok Kay Yau; Michael Ka Wah Li Journal: Arch Surg Date: 2009-12