Core Concepts in Colonoscopy

Douglas G Adler, MD

Chapter 9: Colon Decompression (continued)

Robert E. Sedlack, MD, MHPE

  It is not uncommon for a gastroenterologist to be asked to assist in the care of patients with large-bowel obstruction or pseudo-obstruction. Not all obstructions require endoscopic intervention. An understanding of the best management strategies for the many possible causes of obstruction will help guide one through the decision-making process and interventions offered. This chapter will review the common causes of this problem and the various decompression methods available. INITIAL EVALUATION The most critical initial factors that dictate the timing and intervention to be used are…