Bowel obstruction and pseudo-obstruction

Charles J. Kahi, Douglas K. Rex

Research output: Contribution to journalReview article

52 Scopus citations


The gastroenterologist is frequently involved in the care of patients with bowel obstruction and pseudo-obstruction. In the case of obstruction, the central problem is determining which patients should be managed surgically. In both SBO and LBO, evidence of vascular compromise to the gut mandates surgical intervention. Most patients with pseudo-obstruction respond to conservative therapy or neostigmine. Endoscopic decompression is indicated in recalcitrant cases, with surgery reserved as a last resort.

Original languageEnglish (US)
Pages (from-to)1229-1247
Number of pages19
JournalGastroenterology Clinics of North America
Issue number4
StatePublished - Dec 2003


ASJC Scopus subject areas

  • Gastroenterology

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