Indication and operation skills of colonoscopy for bowel obstruction / 中国实用外科杂志

ABSTRACT

As one of the major acute abdomen in general surgery,the treatment of bowel obstruction has made great progress at present,but it is still a difficult problem for doctors to deal with.The key question is to make clear the cause of obstruction,the choice of treatment method and operation time. With the progress of technology and equipment,colonoscopy has been applied more and more to the diagnosis and treatment of intestinal obstruction from the contraindications of bowel obstruction to the present,and become an important means to judge the state of illness,guide and implement treatment. However, the emergency colonoscopy for patients with bowel obstruction has its own particularity,which is different from the selective colonoscopy.From the preparation of tract before examination,such as not taking cathartic,and trying to be as simple and effective as possible, to the colonoscopy for patients with bowel obstruction,surgeons should take different schemes and skills according to the different causes and positions of obstruction.