All patients with suspected small bowel obstruction should be hospitalized, the treatment of acute intestinal obstruction and diagnosis must be at the same time. Treatment should be based on this fact: surgery on clear strangulating obstruction diagnosis is essential.
Small bowel obstruction nasal catheter insertion, and to attract. Small bowel obstruction, using a long tube rather than surgery, a simple intubation aspiration can be tested in the treatment of early postoperative adhesions or obstruction caused by repeated obstruction without abdominal symptoms. Although to spend two or three hours to improve the situation of the poor state of patients with dehydration and access to certain Bainiaoliang, but most surgeons tend to early Caesarean section.
Indwelling catheter in the bladder to monitor Bainiaoliang. Should start intravenous fluids (Ringer's lactate solution suitable) and the electrolyte. If repeated vomiting, serum sodium and potassium may be reduced, should be added, and must continue to maintain fluid balance, every day should be at least a determination of serum electrolytes. Dehydration of patients, the determination of central venous pressure can be helpful. If possible, try to remove the primary lesion. Measures should be taken to prevent recurrence, including hernia repair, and removal of foreign body completely releasable adhesive.
Obstruction of gallstones can be removed stones resection, but also at the same time or after a cholecystectomy (see section 48 of cholelithiasis). Gastrolithiasis is another reason for the cause of the obstruction can be removed by endoscopy (see section 24). More common approach is adopted by the laparotomy intestinal resection removed. Diffuse involvement of the small intestine, peritoneal cancer adult small bowel obstruction due to the leading cause of death. Short-circuit any obstruction to the efforts seems to be the only short-term help.
Adults, including the treatment of duodenal obstruction removal or resection of the lesion could not be used in palliative gastrojejunostomy of (the child patient's treatment can be found in section 201 of gastrointestinal defects).
Basically, the treatment of intestinal obstruction and similar small-bowel obstruction. In the need for emergency surgery before nasal gastric attract, intravenous fluids and electrolytes and indwelling catheter.
Usually be Ⅰ stage resection and anastomosis of the treatment of obstructive colon cancer. Other options include changing the colon ostomy and anastomosis, the occasional need to make ostomy for further extension of resection. When diverticula inflammation caused obstruction, it may be associated with perforation. If a perforation and diffuse peritonitis, although it is very difficult to involvement with the region, but there are indications for surgery, colon resection and postoperative stoma, the anastomosis should be postponed. Fecal impaction often occurred in the rectum, fingers will be available feces removal. However, the mere bezoar or barium or with a mixture of acid can cause complete obstruction (often in the sigmoid colon), the need for laparotomy.
Cecal reverse involvement Changduan including the treatment of resection and anastomosis or by cecal ostomy will be fixed in the caecum normal position. Reversed in the sigmoid colon, abdominal X-ray that the expansion of intestinal loop of sigmoid colon, rectum or long endoscopic tube can be used for regular bowel loop decompression, surgical resection and anastomosis may be delayed a few days, not for resection, recurrence is almost inevitable.
Small bowel obstruction nasal catheter insertion, and to attract. Small bowel obstruction, using a long tube rather than surgery, a simple intubation aspiration can be tested in the treatment of early postoperative adhesions or obstruction caused by repeated obstruction without abdominal symptoms. Although to spend two or three hours to improve the situation of the poor state of patients with dehydration and access to certain Bainiaoliang, but most surgeons tend to early Caesarean section.
Indwelling catheter in the bladder to monitor Bainiaoliang. Should start intravenous fluids (Ringer's lactate solution suitable) and the electrolyte. If repeated vomiting, serum sodium and potassium may be reduced, should be added, and must continue to maintain fluid balance, every day should be at least a determination of serum electrolytes. Dehydration of patients, the determination of central venous pressure can be helpful. If possible, try to remove the primary lesion. Measures should be taken to prevent recurrence, including hernia repair, and removal of foreign body completely releasable adhesive.
Obstruction of gallstones can be removed stones resection, but also at the same time or after a cholecystectomy (see section 48 of cholelithiasis). Gastrolithiasis is another reason for the cause of the obstruction can be removed by endoscopy (see section 24). More common approach is adopted by the laparotomy intestinal resection removed. Diffuse involvement of the small intestine, peritoneal cancer adult small bowel obstruction due to the leading cause of death. Short-circuit any obstruction to the efforts seems to be the only short-term help.
Adults, including the treatment of duodenal obstruction removal or resection of the lesion could not be used in palliative gastrojejunostomy of (the child patient's treatment can be found in section 201 of gastrointestinal defects).
Basically, the treatment of intestinal obstruction and similar small-bowel obstruction. In the need for emergency surgery before nasal gastric attract, intravenous fluids and electrolytes and indwelling catheter.
Usually be Ⅰ stage resection and anastomosis of the treatment of obstructive colon cancer. Other options include changing the colon ostomy and anastomosis, the occasional need to make ostomy for further extension of resection. When diverticula inflammation caused obstruction, it may be associated with perforation. If a perforation and diffuse peritonitis, although it is very difficult to involvement with the region, but there are indications for surgery, colon resection and postoperative stoma, the anastomosis should be postponed. Fecal impaction often occurred in the rectum, fingers will be available feces removal. However, the mere bezoar or barium or with a mixture of acid can cause complete obstruction (often in the sigmoid colon), the need for laparotomy.
Cecal reverse involvement Changduan including the treatment of resection and anastomosis or by cecal ostomy will be fixed in the caecum normal position. Reversed in the sigmoid colon, abdominal X-ray that the expansion of intestinal loop of sigmoid colon, rectum or long endoscopic tube can be used for regular bowel loop decompression, surgical resection and anastomosis may be delayed a few days, not for resection, recurrence is almost inevitable.
