Clinical Case Database / Category: Case Based Discussion

A logical approach to management of a common surgical emergency

Publication details

Mr SK Dutta
Foundation Years Journal, volume 1, issue 3, p.132 (123Doc Education, London, June 2007)


Large bowel obstruction is a common and very familiar surgical emergency. About 15-20% of patients with colorectal cancer present this way; of these, about 70% tend to be above 70 years of age. Approximately 20-25% of patients have distant metastasis at presentation and a significant of them may have other comorbidities. Management of these patients therefore requires very thorough and meticulous care.

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Mr SK Dutta

Hillingdon Hospital


1.  Botterill I.D., Sagar P.M.: Intestinal obstruction. Surgery Volume 18: 2 February 2000

2.  Carty N.J., Ravichandram D.: The management of malignant Large bowel obstructions. Recent Advances in Surgery 19. London 1996: 1-18

3.  Roe P.G.: Assessment and maintenance of flid and electrolyte balance. Surgery Volume 18: 3 March 2000

4.  Lopez-Kostner F., Hool G.R., Lavery I.C.: Management and causes of acute large bowel obstruction. Surg clin North Am. 1997 Decem.

5.  Gatsoulis N., Roukounakis N., Kafetzis I., Mavrakis G.: Surgical management of large bowel obstruction due to colonic cancer. Tech Coloproctol. 2004 Nov; 8 Suppl 1: S82-4


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T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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