Large Bowel Obstruction

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• Results in an accumulation of intestinal
contents, fluid, and gas proximal to the
obstruction which can lead to severe
distention and perforation unless some
gasand fluid can flow back through the ileal
valve.
 Manifestations
• Symptoms:
• 1. Constipation
• 2. abdominal distention
• 3.Vomiting but not rare
• 4.Lower abdominal cramps unproductive of feces
Large bowel obstruction differs clinically from small
bowel obstruction in that the symptoms develop
and progress relatively slowly
• Signs:
• 1. Weakness
• 2.Weight loss
• 3. anorexia
 Diagnostic Findings
• 1.Abdominal x–ray shows distention of the
colon proximal to the obstruction.
• 2.CT findings
• 3.MRI findings
• 4. Barium enema
 Medical Management
• 1.Nasogastric suction
• 2.IV fluids and electrolytes
• 3.Urinary catheter are needed before
emergency operation.
• 4.Obstructing cancers of the colon can often
be treated by a single-stage
• resection and anastomosis
 Nursing Management
• 1.Monitor for worsening of symptoms
• 2.Provide emotional support and comfort