Large bowel obstruction: A staged approach

D. R. Bajakian, R. M. Steinhagen

Research output: Contribution to journalArticlepeer-review


Colonic obstruction has traditionally been managed with multi-staged procedures: Initial diversion, with or without resection, and subsequent reestablishment of intestinal continuity. Recently, there has been an increasing trend toward single-stage resection with primary anastomosis. Although single-stage approaches have increased in popularity, the majority of patients with colonic obstruction are, and should continue to be, treated with multi-staged procedures. For patients who are ill, who have significant medical comorbidities, or who already have gangrene of the bowel or fecal peritonitis, staged approaches are mandatory. The condition of the patient, the cause of the obstruction, and the experience of the surgeon are all crucial in determining the safest course in any particular situation.

Original languageEnglish
Pages (from-to)174-177
Number of pages4
JournalSeminars in Colon and Rectal Surgery
Issue number3
StatePublished - 2001


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