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Pseudo-obstruction of the large bowel
Journal of the Royal Society of Medicine
|April 1, 1983
Summary
Acute pseudo-obstruction of the large bowel requires prompt diagnosis via barium enema. Conservative management is key, with surgery reserved for specific indications.
Area of Science:
- Gastroenterology
- Colorectal Surgery
Background:
- Acute pseudo-obstruction of the large bowel is a recognized clinical entity.
- Symptoms and signs often mimic mechanical large bowel obstruction.
Purpose of the Study:
- To describe the aetiology and diagnosis of acute pseudo-obstruction of the large bowel.
- To outline the recommended management strategies and surgical indications.
Main Methods:
- Presentation of thirty patients with acute pseudo-obstruction.
- Diagnostic utility of emergency barium enema examination in suspected large bowel obstruction.
Main Results:
- Barium enema is crucial for differentiating pseudo-obstruction from mechanical blockage.
- Conservative management, including nasogastric suction and intravenous fluids, is effective.
Conclusions:
- Prompt diagnosis of pseudo-obstruction is essential for appropriate management.
- Conservative treatment is the mainstay, with careful consideration of surgical indications.