COLONIC OBSTRUCTION

Left Colon:
   1. Correct fluid & electrolyte imbalances
   2. Surgical decompression by a loop type colostomy of rt colon, followed by rx. In 2-3 wks
   3. Consider Left colon Rx with colostomy in selected patients
   4. Acute left colon obstruction CAN NOT be adequately decompressed via a long NG tube

Right Colon:
   1. Decompression using long NG tube
   2. Correct dehydration and electrolyte imbalances
   3. Primary segmental rx. Of obstructed colon with area of venous and lymphatic spread 