Large Bowel Obstruction


Small bowel Obstruction(85%) Large bowel Obstruction (15%)
• Adhesions from previous surgery (60%)
• Malignant tumor (20%)
• Herniation (10%)
• Inflammatory bowel disease (5%)
• Volvulus (3%)
• Misc (2%)
• Neoplasm (60%)
• Diverticulitis (20%)
• Volvulus (10-15%)
• Intussusception (< 5%)
• Misc

Background

Pathophysiology

Diagnostics

Treatment

  1. Initial/Prep/Goals
  2. Medical/Pharmaceutical
  3. Surgical/Procedural

Disposition

  1. All patients to be admitted with this diagnosis
  2. Appropriate fluid resuscitation, antibiotics given if needed
  3. Surgical consult and definite admission (possible non-surgical if pseudo-obstruction present)