大肠梗阻：病因、诊断和处理

IF 1.2 4区医学 Q4 GASTROENTEROLOGY & HEPATOLOGY

Clinics in Colon and Rectal Surgery Pub Date : 2023-12-29 DOI:10.1055/s-0043-1777452

Kevin A. Chen, Muneera R. Kapadia

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引用次数: 0

摘要

大肠梗阻（LBO）通常需要紧急手术治疗。诊断依赖于敏锐的病史和体格检查，对于病情稳定的患者，还需要进行计算机断层扫描（CT）成像。由于 LBO 患者结肠穿孔的死亡率很高，因此需要果断做出手术决策，以获得最佳治疗效果。本综述旨在概述 LBO 的病因、诊断和一般处理原则，以及最常见病因（包括结肠直肠癌和狭窄）的具体处理方法。

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Large Bowel Obstruction: Etiologies, Diagnosis, and Management

Large bowel obstructions (LBOs) often require urgent surgical intervention. Diagnosis relies on astute history and physical examination, as well as imaging with computed tomography (CT) scan for stable patients. Because of the high mortality associated with colonic perforation in patients with LBOs, decisive surgical decision-making is needed for optimal outcomes. This review seeks to provide an overview of the etiologies of LBO, diagnosis, and general management principles, as well as specific management for the most common etiologies, including colorectal cancer and strictures.

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来源期刊

Clinics in Colon and Rectal Surgery GASTROENTEROLOGY & HEPATOLOGYSURGERY-SURGERY

CiteScore

2.60

自引率

7.10%

发文量

期刊介绍： Clinics in Colon and Rectal Surgery is a review journal that publishes topic-specific issues on diseases of the small bowel, colon, rectum, and anus. Designed for clinicians, researchers, and educators involved with diseases of the intestinal tract, the journal covers a broad spectrum of basic information, controversial clinical issues, and established and innovative diagnostic techniques. Issue topics comprehensively cover the entire specialty over a 3-4 year period, allowing the articles to serve as study material for educational programs and certifying examinations. The inclusion of research and clinical material also allows physicians to remain knowledgeable of current advances in the specialty.