Muldoon Roberta L
Vanderbilt University Medical Center Nashville, Tennessee.
Clin Colon Rectal Surg. 2021 Jul;34(4):251-261. doi: 10.1055/s-0041-1729922. Epub 2021 Jul 20.
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.
大肠梗阻是一种严重且可能危及生命的外科急症，其发病率和死亡率很高。最常见的病因是结直肠癌，占所有大肠梗阻病例的60%以上。进行恰当评估、审慎决策并及时治疗，对于降低与此病症相关的高发病率和死亡率至关重要。了解大肠梗阻患者临床表现的关键要素，将有助于外科医生为患者制定合适的治疗方案。在护理这些患者时，全面了解和掌握各种可用的治疗选择是必要的。本章将回顾恶性大肠梗阻患者的临床表现，讨论各种可用的诊断方法，以及治疗选择和最适合使用这些方法的各种临床情况。
