Management of Intestinal Obstruction

Abstract

Objective Intestinal obstruction is a blockage of the intestinal content through bowel. The block must be complete and permanent. Obstruction may be mechanical, simple or strangulated, and paralytic. The purpose of this chapter is to clarify, also evaluating our surgical experience, the steps to diagnose and the ways to treat intestinal obstructions. MethodsIn the period , we have treated patients with the clinical presentation of intestinal obstruction. "cute mechanical small bowel obstructions were the most frequent . % , whereas acute large bowel obstructions were the less frequent . % . Some steps in the physical examination and plain radiography are as follows• Preliminary diagnosis simple versus strangulated obstruction.• First-step diagnosis mechanical or paralytic obstruction.• Second-step diagnosis define the level of obstruction .• Third-step diagnosis kind of obstacle. ResultsIn our experience, all complete intestinal obstructions have been treated with urgent surgery. Various types of surgical procedures have been employed based on intraoperative pathological findings Conclusion Surgical emergency is the first choice of treatment in strangulation obstruction and in simple complete mechanical obstruction of small and large bowel. Generally, paralytic ileus can be resolved with the treatment that caused it. Intestinal pseudo-obstruction is a syndrome characterized by a complete dilatation generally of large bowel without mechanical obstacle. The chronic pseudo-obstruction can be idiopathic or secondary to systemic disease.

Mesocolic hernia after laparoscopic transverse colectomy: A case report

“…Third, with a mesenteric defect in this area, the most proximal small intestine is likely to be incarcerated. Proximal small bowel obstruction may cause severe gastrointestinal symptoms with subsequent dehydration and metabolic alkalosis [11].…”

Colorectal Cancer—The “Parent” of Low Bowel Obstruction

“…With the exception of obstructions with ischemic mechanism from the beginning (complicated parietal defects, intestinal intussusceptions and volvulus, internal hernias, etc. ), those of the simple obstructive type present a clinical, dynamic mosaic, which frequently fails the attempts of systematization, creating taxonomic controversies, but justifies hydro-electrolytic, acid-base and nutritional rebalancing measures and finally the surgical procedure [ 5 ].…”

Surgical Recovery of Intestinal Obstructions: Pre- and Postoperative Care and How Could it Be Prevented?

“…Intestinal obstructions can be due to very simple benign causes that need to be considered or malignant causes where no intervention apart from palliative surgical interventions can be performed [1][2][3][4][5][6]. Here, we will examine this entity with a wide clinical, treatment, and follow-up margin.…”