Related Experiment Video
Updated: Jul 13, 2025
08:20
Murine Distal Colostomy, A Novel Model of Diversion Colitis in C57BL/6 Mice
Published on: July 12, 2018
13.1K
Management of Colonic Emergencies
Haddon Pantel1, Vikram B Reddy1
1Colon and Rectal Surgery, Yale University School of Medicine, 450 George Street, New Haven, CT 06510, USA.
The Surgical Clinics of North America
|October 14, 2023
Summary
Colonic emergencies stem from diverse pathologies. Surgical options are limited, focusing on diversion or colectomy, with complexity arising from non-surgical interventions and timing of surgery.
Area of Science:
- Gastroenterology
- Colorectal Surgery
Background:
- Colonic emergencies present a broad spectrum of pathological conditions.
- Surgical intervention is often necessary for acute colonic conditions.
Purpose of the Study:
- To outline the surgical management strategies for colonic emergencies.
- To highlight the decision-making process involving non-surgical and surgical options.
Main Methods:
- Review of common etiologies for colonic emergencies.
- Description of standard surgical procedures: proximal diversion, segmental colectomy, and total abdominal colectomy with end ileostomy.
- Discussion of factors influencing the choice between non-surgical, endoscopic, and surgical management.
Main Results:
- Surgical management options for colonic emergencies are primarily proximal diversion, segmental colectomy, or total abdominal colectomy with end ileostomy.
- The complexity lies in determining the optimal timing and approach, considering non-surgical and endoscopic alternatives.
Conclusions:
- Effective management of colonic emergencies requires a thorough understanding of diverse etiologies and a strategic approach to surgical intervention.
- The decision to operate and the specific surgical technique depend on a nuanced evaluation of the patient's condition and available non-operative treatments.
Related Concept Videos
01:21Inflammatory Bowel Disease V: Surgical Management
161
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
161
01:25Endoscopic Procedures II: Colonoscopy
112
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
112
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
97
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
97
01:28Esophageal Varices-II: Clinical Features and Management
74
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
74
01:14Prevention of Further Absorption of Poison
835
In cases of acute poisoning, the primary objective is to prevent further absorption of the toxic substance into the body. Immediate interventions using various decontamination techniques targeting the gastrointestinal (GI) tract can achieve this. Decontamination is crucial to prevent poison from entering the systemic circulation, which involves washing affected areas with water and mild soap and removing contaminated clothing. Once external decontamination is done, attention must be turned to...
835
01:28Esophageal Perforation-II: Clinical Manifestations and Management
70
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
70