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Clin Colon Rectal Surg 2021; 34(04): 251-261
DOI: 10.1055/s-0041-1729922
Review Article

Malignant Large Bowel Obstruction

Roberta L. Muldoon
1   Vanderbilt University Medical Center Nashville, Tennessee
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Abstract

Large bowel obstruction is a serious and potentially life-threatening surgical emergency which is associated with high morbidity and mortality rate. The most common etiology is colorectal cancer which accounts for over 60% of all large bowel obstructions. Proper assessment, thoughtful decision-making and prompt treatment is necessary to decrease the high morbidity and mortality which is associated with this entity. Knowledge of the key elements regarding the presentation of a patient with a large bowel obstruction will help the surgeon in formulating an appropriate treatment plan for the patient. Comprehensive knowledge and understanding of the various treatment options available is necessary when caring for these patients. This chapter will review the presentation of patients with malignant large bowel obstruction, discuss the various diagnostic modalities available, as well as discuss treatment options and the various clinical scenarios in which they are most appropriately utilized.

Keywords

malignant bowel obstruction - colon cancer - palliative treatment - anastomosis


Publication History

Article published online:
20 July 2021

© 2021. Thieme. All rights reserved.

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