scholarly journals Large Bowel Obstruction in the Emergency Department: Imaging Spectrum of Common and Uncommon Causes

2017 ◽  
Vol 7 ◽  
pp. 15 ◽  
Author(s):  
Subramaniyan Ramanathan ◽  
Vijayanadh Ojili ◽  
Ravi Vassa ◽  
Arpit Nagar
Keyword(s):  
Computed Tomography ◽  
Bowel Obstruction ◽  
Large Bowel ◽  
Delayed Diagnosis ◽  
Standard Of Care ◽  
Large Bowel Obstruction ◽  
High Morbidity ◽  
Comprehensive Review ◽  
Plain Radiographs

Although large bowel obstruction (LBO) is less common than small bowel obstruction, it is associated with high morbidity and mortality due to delayed diagnosis and/or treatment. Plain radiographs are sufficient to diagnose LBO in a majority of patients. However, further evaluation with multidetector computed tomography (MDCT) has become the standard of care to identify the site, severity, and etiology of obstruction. In this comprehensive review, we illustrate the various causes of LBO emphasizing the role of MDCT in the initial diagnosis and detection of complications along with the tips to differentiate from disease which can mimic LBO.

scholarly journals A case of colonic gallstone ileus with a spontaneous evacuation

1970 ◽  
Vol 9 (1) ◽  
pp. 47-49 ◽  
Author(s):  
A Bajracharya ◽  
OP Pathania ◽  
S Adhikary ◽  
CS Agrawal
Keyword(s):  
Bowel Obstruction ◽  
Large Bowel ◽  
Gallstone Ileus ◽  
Abdominal Distension ◽  
The Elderly ◽  
Large Bowel Obstruction ◽  
High Morbidity ◽  
Diagnostic Challenge ◽  
History Of ◽  
Spontaneous Evacuation

Colonic gallstone is an uncommon entity with a high morbidity and mortality due to various reasons. It remains a diagnostic challenge because of delayed and non-specific presentations, especially in the elderly population, often with multiple co-morbidities. We present a case of colonic gallstone ileus with spontaneous evacuation in a 67 years female who had a threeday history of intermittent bouts of colicky abdominal pain, vomiting , constipation and progressive abdominal distension, features of large bowel obstruction treated non operatively for 72 hours and passage of the stone spontaneously. Keywords: gallstone ileus; large bowel obstruction; colonic gallstone DOI: 10.3126/hren.v9i1.4363Health Renaissance, 2011: Vol.9 No.1:47-49

The role of laparoscopic surgery for the management of acute large bowel obstruction

2011 ◽  
Vol 13 (3) ◽  
pp. 263-266 ◽  
Author(s):  
K. Gash ◽  
W. Chambers ◽  
A. Ghosh ◽  
A. R. Dixon
Keyword(s):  
Laparoscopic Surgery ◽  
Bowel Obstruction ◽  
Large Bowel ◽  
Large Bowel Obstruction

A Clinical Evaluation of Endoscopicallyplaced Self-Expanding Metallic Stents in Patients with Acute Large Bowel Obstruction

2009 ◽  
Vol 98 (3) ◽  
pp. 143-147 ◽  
Author(s):  
H.-C. Pommergaard ◽  
P. Vilmann ◽  
H. L. Jakobsen ◽  
M. P. Achiam
Keyword(s):  
Mortality Rate ◽  
Bowel Obstruction ◽  
Large Bowel ◽  
Clinical Success ◽  
Large Bowel Obstruction ◽  
Metallic Stents ◽  
Safe Procedure ◽  
Bridge To Surgery ◽  
Mortality And Morbidity

Background and Aims: Self-expanding metallic stents (SEMS) have since 1991 established themselves as an option in the treatment of large bowel obstruction. The aim of this study was to evaluate the use of SEMS in management of acute colorectal obstructions at a Danish Surgical Gastroenterology center. Material and Methods: Retrospective review of charts from all patients who, in the period Marts 2002 to December 2007 underwent insertion of a SEMS for an acute large bowel obstruction. Results: Of 45 patients included, SEMS was intended as a bridge to surgery in 20 patients and as palliation in 25 patients. For malignant etiology, the SEMS procedure was a technical and clinical success in 97.4% of the cases. Complications occurred in 21%, mortality rate 2,6%. For benign etiology, the SEMS procedure was a technical success in 85.7%, and a clinical success in 71.4%. Complications occurred in 71.4% of the benign cases with a mortality rate of 28,6%. Conclusions: placement of SEMS for acute large bowel obstruction with malignant etiology is an effective and safe procedure with low mortality and morbidity. However results for benign obstructions are questionable and more research is needed to determine the role of SEMS.

COMPUTED TOMOGRAPHY IN THE ASSESSMENT OF SUSPECTED LARGE BOWEL OBSTRUCTION

2007 ◽  
Vol 77 (3) ◽  
pp. 160-165 ◽  
Author(s):  
Garth C. Beattie ◽  
Robert T. Peters ◽  
Susanne Guy ◽  
Richard M. Mendelson
Keyword(s):  
Computed Tomography ◽  
Bowel Obstruction ◽  
Large Bowel ◽  
Large Bowel Obstruction

scholarly journals Secondary colonic stent insertion in acute large bowel obstruction following primary stent failure

2020 ◽  
Vol 102 (2) ◽  
pp. 141-143
Author(s):  
A Lazzaro ◽  
A Saini ◽  
C Elton ◽  
GK Atkin ◽  
IC Mitchell ◽  
...  
Keyword(s):  
High Risk ◽  
Bowel Obstruction ◽  
Large Bowel ◽  
Large Bowel Obstruction ◽  
Definitive Treatment ◽  
Stent Insertion ◽  
Bridge To Surgery ◽  
Duration Of Efficacy ◽  
Colonic Stent

Introduction Colonic stent insertion has been shown to be an effective treatment for patients with acute large bowel obstruction, either as a bridge to surgery or as definitive treatment. However, little is known of the role of secondary stent insertion following primary stent failure in patients considered inappropriate or high risk for emergency surgery. Methods Fourteen patients presenting with acute large bowel obstruction who had previously been treated with colonic stent insertion were studied. All underwent attempted placement of a secondary stent. Results Technical deployment of the stent was accomplished in 12 patients (86%) but only 9 (64%) achieved clinical decompression. Successful deployment and clinical decompression of a secondary stent was associated with older age (p=0.038). Sex, pathology, site of obstruction, duration of efficacy of initial stent and cause of primary failure were unrelated to outcome. No procedure related morbidity or mortality was noted following repeated intervention. Conclusions Secondary colonic stent insertion appears an effective, safe treatment in the majority of patients presenting with acute large bowel obstruction following failure of a primary stent.

scholarly journals Role of Multi Detector CT in Diagnosis of Small and Large Bowel Obstruction

2021 ◽  
Vol 0 (0) ◽  
pp. 0-0
Author(s):  
Hagar Abdellatef ◽  
Ahmed Yousef ◽  
Hamada Khater ◽  
Adel Abdel Rahman
Keyword(s):  
Bowel Obstruction ◽  
Large Bowel ◽  
Large Bowel Obstruction
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