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Large Bowel Obstruction: Current Techniques and Trends in Management

  • Andrew T. Schlussel
  • Erik Q. Roedel
Chapter

Abstract

The treatment of a large bowel obstruction remains a complex surgical decision-making process. The presentation of this condition is quite variable, with multiple treatment strategies both endoscopically and operatively. Furthermore, with the advent of self-expanding metallic stents, patients may now be converted from an emergent to semi-elective operation, potentially avoiding a permanent stoma. However, there is still a role for a segmental or extended resection and the need for a diverting or end colostomy. Maintaining an algorithmic approach to the management of this condition is critical, and patients should be individualized based on their clinical status, as well as the location and etiology of the obstruction.

Keywords

Large bowel obstruction Colostomy Self-expanding metallic stent Dilation Decompression Disimpaction 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  • Andrew T. Schlussel
    • 1
  • Erik Q. Roedel
    • 2
  1. 1.Department of SurgeryMadigan Army Medical CenterTacomaUSA
  2. 2.Department of SurgeryTripler Army Medical CenterHonoluluUSA

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