Acute Colonic Pseudo-obstruction



Acute colonic pseudo-obstruction is a common condition, typically seen in hospitalised patients. It may be difficult to distinguish from mechanical large bowel obstruction on clinical grounds and radiological confirmation is important to definitively diagnose the condition. Treatment options are varied and include conservative therapies, pharmacological decompression, endoscopic decompression and surgery. Evidence supporting these different interventional measures is presented, along with a suggested management algorithm.


Colonic Transit Time Colonic Ischemia Dilate Colon Osmotic Laxative Colonoscopic Decompression 


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© Springer-Verlag London Limited 2012

Authors and Affiliations

  1. 1.Colorectal Surgical Unit, Department of SurgeryNorthern General Hospital, Sheffield Teaching Hospitals NHS Foundation TrustSheffield, S YorksUK

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