Surgery for Large Bowel Obstruction: Is It Always Necessary?
Published: Jan 16, 2024
Surgery is often needed for large bowel obstruction, but not always. Find out when surgery is the best option and what alternatives exist.
Contents
When Surgery is Inevitable
Surgery becomes necessary when there's a risk of perforation or if the patient is unstable. Options include resection or creating a stoma to divert fecal flow. These procedures help relieve obstruction and prevent complications.
Endoscopic Stenting: A Non-Surgical Option
For some patients, especially with left-sided obstructions, endoscopic stenting can be an alternative. This involves placing a stent to open the blockage, offering relief without immediate surgery. It's a viable option for those who are not surgical candidates.

Post-Surgery Recovery: What to Expect
Recovery from large bowel obstruction surgery varies but often involves hospital stay and careful monitoring. Patients can expect to gradually return to normal activities, with follow-up care to ensure full recovery.
Frequently Asked Questions
Not always, but necessary if there's risk of perforation or instability.
It's a procedure to place a stent and relieve obstruction without surgery.
Options include resection or creating a stoma to divert flow.
It involves hospital stay and gradual return to activities.
Key Takeaways
Surgical intervention is crucial for severe cases, but alternatives like stenting exist for others.
References
- Biondo S, ParΓ©s D, Frago R, et al. Dis Colon Rectum 2004; 47:1889.
- Frago R, Ramirez E, Millan M, et al. Am J Surg 2014; 207:127.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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