Management of colonic obstruction: a review.

Abstract:

:Large bowel obstruction is a common problem with many different causes, the most common being colorectal adenocarcinoma, extracolonic adenocarcinoma, diverticular disease, volvulus, and inflammatory bowel disease. The nature of the obstruction can influence the best management. Historically, treatment of obstruction consisted of surgical removal of the obstruction if possible and decompression of the bowel with an ostomy. Other strategies for managing obstruction have evolved as alternatives to stomas, including primary resection with anastomosis and endoscopic stent placement. The choice of treatment can therefore be tailored to the individual patient with good success.

journal_name

Clin Colon Rectal Surg

authors

Sawai RS

doi

10.1055/s-0032-1329533

subject

Has Abstract

pub_date

2012-12-01 00:00:00

pages

200-3

issue

4

eissn

1531-0043

issn

1530-9681

pii

25200

journal_volume

25

pub_type

杂志文章,评审
  • Learning Transanal Total Mesorectal Excision.

    abstract::A dynamic evolution is occurring in transanal surgery. Transanal techniques began with intraluminal surgical removal of rectal masses and have progressed to transanal total mesorectal excision (taTME) for rectal cancer. TaTME was first performed in 2009 by Sylla, Rattner, Delgado, and Lacy. This article documents the ...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0039-3402779

    authors: McLemore EC,Lavi P,Attaluri V

    更新日期:2020-05-01 00:00:00

  • Establishing a successful clinical research program.

    abstract::Clinical research (CR) is a natural corollary to clinical surgery. It gives an investigator the opportunity to critically review their results and develop new strategies. This article covers the critical factors and the important components of a successful CR program. The first and most important step is to build a de...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0034-1376171

    authors: Scoglio D,Fichera A

    更新日期:2014-06-01 00:00:00

  • Medical treatment of ulcerative colitis.

    abstract::Ulcerative colitis is a chronic inflammatory disease of the colon with an increasing incidence worldwide. The medical management of this disease continues to expand as drugs to induce and maintain remission are sought to avoid the need for colectomy. This article will review the standard of care for the treatment of m...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章

    doi:10.1055/s-2004-823066

    authors: Mahadevan U

    更新日期:2004-02-01 00:00:00

  • Inherited colorectal cancer syndromes.

    abstract::Colorectal cancer is common in the Western world; ~5% of individuals diagnosed with colorectal cancer have an identifiable inherited genetic predisposition to this malignancy. Genetic testing and rational clinical management recommendations currently exist for the management of individuals with a variety of colorectal...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章

    doi:10.1055/s-0029-1242459

    authors: Gryfe R

    更新日期:2009-11-01 00:00:00

  • Is There Any Reason to Still Consider Lateral Lymph Node Dissection in Rectal Cancer? Rationale and Technique.

    abstract::Nodal dissemination in locally advanced rectal cancer occurs mainly in two directions: upward and lateral. Lateral node involvement has been demonstrated; however, lateral lymph node dissection (LLND) is not routinely performed in Western countries and the focus is more on neoadjuvant treatment regimens. The main reas...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0037-1606112

    authors: Kusters M,Uehara K,Velde CJHV,Moriya Y

    更新日期:2017-11-01 00:00:00

  • Management of the malignant polyp.

    abstract::In the United States, the prevalence of adenomatous polyps found during colonoscopic evaluation ranges from 25 to 41%, and of these, 2 to 5% contain invasive malignancy. The management of the malignant polyp continues to be challenging. Endoscopic resection by polypectomy has been shown to be sufficient for management...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章

    doi:10.1055/s-0028-1089944

    authors: Ramirez M,Schierling S,Papaconstantinou HT,Thomas JS

    更新日期:2008-11-01 00:00:00

  • The Role of Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy for Appendiceal Tumors and Colorectal Adenocarcinomas.

    abstract::Peritoneal surface disease (PSD) has historically been used interchangeably with the term peritoneal carcinomatosis (PC) and has a dismal natural history. A variety of malignant pathologies, including colorectal and appendiceal primary tumors, can disseminate throughout the peritoneal cavity, leading to bowel obstruct...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0038-1642052

    authors: Kuncewitch M,Levine EA,Shen P,Votanopoulos KI

    更新日期:2018-09-01 00:00:00

  • ISR for T1-2 Low Rectal Cancer: A Japanese Approach.

    abstract::The evolution over the past 20 years of anal preservation in rectal cancer surgery has been truly remarkable. Intersphincteric resection (ISR) reported by Schiessel in 1994 in Australia has been shown to enable anal preservation even for cancers quite close to the anus. In Japan, ISR via the detachment of the anal can...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0040-1714240

    authors: Ito M

    更新日期:2020-11-01 00:00:00

  • Parasitic colitides.

    abstract::Parasitic infections are a major worldwide health problem, and they account for millions of infections and deaths each year. Most of the infections as well as the morbidity and mortality from these diseases occur in the developing world in rural regions. However, these diseases have become more common in Western count...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-970199

    authors: Goldberg JE

    更新日期:2007-02-01 00:00:00

  • Miscellaneous Perianal Afflictions.

    abstract::This article provides an overview of hidradenitis suppurativa, lichen planus, lichen sclerosis, calcinosis cuti, pyogenic granuloma, intertrigo, and seborrheic keratosis. This article also focuses on recognition and management of these pleomorphic afflictions of the perianal region. ...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0039-1687836

    authors: Hagerman GF,Silva-Velazco J,Molina-Lopez JF

    更新日期:2019-09-01 00:00:00

  • Update on Sporadic Colorectal Cancer Genetics.

    abstract::Our understanding of the genetics of colorectal cancer has changed dramatically over recent years. Colorectal cancer can be classified in multiple different ways. Along with the advent of whole-exome sequencing, we have gained an understanding of the scale of the genetic changes found in sporadic colorectal cancer. We...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0037-1602234

    authors: Hardiman KM

    更新日期:2018-05-01 00:00:00

  • Use of intra-abdominal drains.

    abstract::The use of drains in colorectal surgery has been a subject of debate for several decades. Prophylactic drainage of the peritoneal cavity has become less popular in recent years. This change is due to several studies demonstrating that intraperitoneal drains do not adequately drain the peritoneal cavity and do not prev...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0033-1351134

    authors: Puleo FJ,Mishra N,Hall JF

    更新日期:2013-09-01 00:00:00

  • Multispecialty clinic practice.

    abstract::A multispecialty clinic practice is a common practice arrangement for colorectal surgeons. A practice of this type has a variety of features, both positive and negative. This article explores the location, practice patterns, lifestyles, compensation, and academic opportunities associated with a multispecialty clinic p...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章

    doi:10.1055/s-2006-948023

    authors: Beck DE,Margolin DA

    更新日期:2006-08-01 00:00:00

  • Laparoscopic surgery for crohn disease: a brief review of the literature.

    abstract::Crohn disease remains a challenging clinical entity, both medically and surgically. It frequently presents in early adulthood and imposes a lifetime exposure to chronic inflammation that can affect the entire gastrointestinal tract. Although the mainstay of therapy is treatment with immunomodulating drugs, ∼70 to 90% ...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0033-1348051

    authors: Aarons CB

    更新日期:2013-06-01 00:00:00

  • Abdominal wall reconstruction in patients with digestive tract fistulas.

    abstract::Abdominal wall reconstruction in the digestive tract fistula patient is a complex issue. The authors review the available data and present information regarding the timing of surgery, techniques of abdominal wall reconstruction, hernia repair, and discuss pitfalls associated with the various options. A simple and basi...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章

    doi:10.1055/s-0030-1262988

    authors: Johnson EK,Tushoski PL

    更新日期:2010-09-01 00:00:00

  • Mentorship.

    abstract::The world of medicine is in a state of flux with major and substantive changes in its educational model. Students, residents, and junior attendings can no longer rely entirely on experiential development through clinical immersion. Instead, to attain similar levels of knowledge, technique, and situational comfort, the...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0033-1356720

    authors: Platz J,Hyman N

    更新日期:2013-12-01 00:00:00

  • Preoperative evaluation and risk management.

    abstract::All colorectal operations carry significant associated risk. To facilitate the best outcomes it is essential to perform a comprehensive evaluation of patient risk preoperatively. Once risk factors are identified the appropriate steps must be taken to minimize their effects. The evaluation of the patient can be broken ...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章

    doi:10.1055/s-0029-1202870

    authors: Parsons DP

    更新日期:2009-02-01 00:00:00

  • Genitourinary Considerations in Reoperative and Complex Colorectal Surgery.

    abstract::Genitourinary structures are at risk of injury during colorectal surgery. The incidence of injury is low; however, the risk is higher in cases involving severe inflammatory or infectious processes, locally advanced or recurrent cancer, previous radiation, and reoperation. Consideration of the anatomical relationship b...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0036-1580629

    authors: Althumairi AA,Efron JE

    更新日期:2016-06-01 00:00:00

  • Transanal Minimally Invasive Surgery.

    abstract::Transanal minimally invasive surgery (TAMIS) was first described in 2010 as a crossover between single-incision laparoscopic surgery and transanal endoscopic microsurgery (TEM) to allow access to the proximal and mid-rectum for resection of benign and early-stage malignant rectal lesions. The TAMIS technique can also ...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0035-1555008

    authors: deBeche-Adams T,Nassif G

    更新日期:2015-09-01 00:00:00

  • Complex and Reoperative Colorectal Surgery: Setting Expectations and Learning from Experience.

    abstract::A range of topics are covered in this issue dedicated to complex and reoperative colorectal surgery, from radiation-induced surgical problems, to enterocutaneous fistulas and locally advanced or recurrent rectal cancer. Common themes include the importance of operative planning and patient counseling on the expected f...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0036-1580634

    authors: Kin C

    更新日期:2016-06-01 00:00:00

  • Future Directions.

    abstract::Transanal total mesorectal excision (taTME) is a novel technique that has evolved over the years to address the challenges of low rectal cancer surgery by applying the principles and benefits of laparoscopic surgery to more historic transanal techniques. It has been popularized through its use in rectal cancer, but th...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0039-3402781

    authors: Soares AS,Chand M

    更新日期:2020-05-01 00:00:00

  • Management of Intestinal Failure: The High-Output Enterostomy and Enterocutaneous Fistula.

    abstract::This article provides an overview of the pathophysiology, causes, investigations, and management of high-output enterostomy and enterocutaneous fistula. High-output stoma and enterocutaneous fistula can result in intestinal failure and this is often fatal if not managed properly. The management involves reducing fluid...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0037-1598163

    authors: Adaba F,Vaizey CJ,Warusavitarne J

    更新日期:2017-07-01 00:00:00

  • Timing of elective surgery for diverticular disease.

    abstract::The timing of elective surgery for the treatment of diverticular disease is constantly evolving. Historically, the indications for elective surgery were relatively consistent. It was recommended that patients undergo elective resection after two documented attacks of uncomplicated diverticulitis or after one attack of...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章

    doi:10.1055/s-0029-1236161

    authors: Margolin DA

    更新日期:2009-08-01 00:00:00

  • Current Status of Segmental Colectomy in Select Crohn's Disease Patients.

    abstract::Crohn's disease is a complex disease with a varying clinical and anatomical spectrum. One-third of patients with Crohn's will have disease confined to the colon. In this article, the authors review the surgical treatment options for colonic Crohn's disease including the current status of performing segmental colectomy...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0039-1683906

    authors: Heriot A,Smart P

    更新日期:2019-07-01 00:00:00

  • Role of professional societies in career development.

    abstract::Professional medical societies serve several functions that may benefit society, the sponsoring medical profession, and individual members. Several professional societies are available for colorectal surgeons to join and participate in. Reasons to join include service, educational offerings, networking, and companions...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章

    doi:10.1055/s-0031-1278406

    authors: Beck DE

    更新日期:2011-06-01 00:00:00

  • Expanding Uses of HIPEC for Locally Advanced Colorectal Cancer: A European Perspective.

    abstract::Locally advanced colorectal cancer is a challenge for surgeons and medical oncologist; 10 to 20% colorectal cancer debut as locally advanced disease, with tumors extending through the colon wall with perforation and/or invasion of adjacent organs or structures. Those locally advanced tumors have a worse prognostic at ...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0040-1713742

    authors: Cortes-Guiral D,Glehen O

    更新日期:2020-09-01 00:00:00

  • Perioperative Fluid Management in the Enhanced Recovery after Surgery (ERAS) Pathway.

    abstract::Fluid management is an essential component of the Enhanced Recovery after Surgery (ERAS) pathway. Optimal management begins in the preoperative period and continues through the intraoperative and postoperative phases. In this review, we outline current evidence-based practices for fluid management through each phase o...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0038-1676476

    authors: Zhu AC,Agarwala A,Bao X

    更新日期:2019-03-01 00:00:00

  • Colorectal lymphoma.

    abstract::Lymphoma involving the colon and rectum is rare and can occur either as primary colorectal lymphoma or as a manifestation of systemic disease. Most patients with primary colorectal lymphoma present with abdominal pain, and obstruction is unusual. Although lesions may be evident on radiographic studies, the findings ar...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章

    doi:10.1055/s-2006-942344

    authors: Quayle FJ,Lowney JK

    更新日期:2006-05-01 00:00:00

  • Pruritus Ani.

    abstract::Pruritus ani is a common condition with many different potential causes. Because of this, it can be difficult to treat. It is important to identify and eliminate any inciting factors, which are often unintentional consequences of the patient's attempts to alleviate symptoms. If no reversible cause is found, simple mea...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0035-1570391

    authors: Ansari P

    更新日期:2016-03-01 00:00:00

  • Postoperative Complications: Looking Forward to a Safer Future.

    abstract::Colorectal surgery patients frequently suffer from postoperative complications. Patients with complications have been shown to be at higher risk for mortality, poor oncologic outcomes, additional complications, and worse quality of life. Complications are increasingly recognized as markers of quality of care with more...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0036-1584501

    authors: Tevis SE,Kennedy GD

    更新日期:2016-09-01 00:00:00