Perspectives on Mechanical Small Bowel Obstruction in Adults

Abstract

Small bowel obstruction is a serious and costly medical condition indicating often emergency surgery. Delay in operative intervention may lead to an unnecessary bowel resection, an increased risk of perforation and an overall worsening of patient morbidity and mortality. A thorough history and examination would distinguish simple from strangulation obstruction and facilitate appropriate management. The article reviewed small bowel obstruction and emphasized the importance of history taking and examination in the early diagnosis of its cause, thus, facilitating appropriate management.

Mechanical Small Bowel Obstruction Incidence, Causes, Signs, and Symptoms in Al – Yarmouk Teaching Hospital

“…When adhesions were responsible for (60%) of mechanical small bowel obstruction in him also study our study like study done in 2015 by Amit sastry (22) in this study the adhesions were the commonest cause of MOSB. Adhesions are frequentcause of intestinal obstruction, intra-abdominal adhesions between previous abdominal scar and underlying organ occur commonly as result of laboratory (12,17) in our study the cases that have a previous scar were 62 cases (67.339%) and this like study done in 2017 by ceanaH (17). The second most common cause of mechanical small bowel obstruction in our study was obstructed hernia 27 cases (29.34?…”

“…1 and this result similar to study was done by Hasan Fehmi Kueuk 31 (54.4% / 45.6%)at 2010 and different from study was done at 2015 by Amit sastry, maria Grigoreva when the result was slightly higher of females. The visceral pain of intestinal colic is from increased peristalsis against the obstructive lesion is usually referred towards the midline rather than being localized as the midline origin of development (12,18). Origin of development (12,18).…”

“…The visceral pain of intestinal colic is from increased peristalsis against the obstructive lesion is usually referred towards the midline rather than being localized as the midline origin of development (12,18). Origin of development (12,18). The onset of the obtrusive symptoms is usually sudden with high small bowel obstruction but more gradual with low small bowel obstruction (12).…”

“…The onset of the obstructive symptoms is usually sudden with high small bowel obstruction but more gradual with low small bowel obstruction. The colicky pain comes with greater frequency in high small bowel obstruction, about every 5 minutes in jejunal obstruction but every 30minutes in ideal obstruction (12). Consequences of bowel obstruction are progressive dehydration, electrolyte imbalance and systemic toxicity due to migration of toxins and bacteria translocation either through the intact but ischemic bowel or through perforation (12,18).…”

“…The colicky pain comes with greater frequency in high small bowel obstruction, about every 5 minutes in jejunal obstruction but every 30minutes in ideal obstruction (12). Consequences of bowel obstruction are progressive dehydration, electrolyte imbalance and systemic toxicity due to migration of toxins and bacteria translocation either through the intact but ischemic bowel or through perforation (12,18). All patients of mechanical bowel obstruction are potential candidates for major abdominal surgery with long term morbidity and possible mortality.…”