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Non-endoscopic Management of Acute Mechanical Colonic Obstruction and Pseudo-obstruction

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GI Endoscopic Emergencies

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Abstract

Acute colonic obstruction is either due to acute colonic pseudo-obstruction (ACPO) or mechanical colonic obstruction (MCO). The clinical presentation is similar in both conditions. Radiologic imaging is the principal determinant for the diagnosis and differentiation of ACPO and MCO. The evaluation and management of ACPO include careful review and modification of predisposing factors, including metabolic derangements and medications that impair motility. Management options for ACPO include pharmacologic agents that promote colonic motility and endoscopic decompression. Acute MCO generally requires endoscopic or surgical intervention for definitive therapy. A multidisciplinary approach, with the involvement of gastroenterologists, surgeons, and interventional radiologists, will optimize patient outcomes.

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Acknowledgments

We thank Dr. Jeffrey Olpin, Department of Radiology, University of Utah, for providing the figures and captions.

Author information

Authors and Affiliations

  1. Division of Gastroenterology, Hepatology and Nutrition, University of Utah School of Medicine, Salt Lake City, UT, 84132, USA

    Alison E. Oakes M.D.

  2. University of Utah HSC, 30 N 1900 E, Salt Lake City, UT, 84132, USA

    Alison E. Oakes M.D.

  3. Division of Gastroenterology, Hepatology and Nutrition, University of Utah School of Medicine, Salt Lake City, UT, 84132, USA

    John C. Fang M.D.

Authors
  1. Alison E. Oakes M.D.
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  2. John C. Fang M.D.
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Correspondence to John C. Fang M.D. .

Editor information

Editors and Affiliations

  1. Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA

    Louis M. Wong Kee Song

  2. Medical College of Wisconsin-Green Bay Campus, Prevea Center for Digestive Health, Green Bay, Wisconsin, USA

    Emmanuel C. Gorospe

  3. Division of Gastroenterology and Hepatology, University of North Carolina, Chapel Hill, North Carolina, USA

    Todd H. Baron

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Oakes, A.E., Fang, J.C. (2016). Non-endoscopic Management of Acute Mechanical Colonic Obstruction and Pseudo-obstruction. In: Wong Kee Song, L., Gorospe, E., Baron, T. (eds) GI Endoscopic Emergencies. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-3085-2_8

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  • DOI: https://doi.org/10.1007/978-1-4939-3085-2_8

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-3084-5

  • Online ISBN: 978-1-4939-3085-2

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