Malignant large bowel obstruction

* Perforation or pending perforation (eg, pneumatosis coli), clinically unstable (tachycardic, hypotensive, or with lactic acidotic), severe symptoms.

¶ The need for proximal diversion depends upon the location of the obstructing lesion, condition of the proximal colon, and medical comorbidities of the patient.

Graphic 132576 Version 2.0

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