Bowel Obstruction

Under a bowel obstruction refers to a significant mechanical degradation or a complete stop of transportation of intestinal contents. Symptoms include pain with spasm character, vomiting, constipation and Luftverhalt. The diagnosis is clinically and confirmed by survey radiographs of the abdomen. The treatment consists in fluid replacement, extraction via the gastric tube and in the majority of cases with complete closure in operative procedures.

The mechanical shutter is divided into closures of the small intestine (incl. The duodenum) and the colon. The closure may be partially or completely. While 85% of partial small bowel closures regress even without surgical intervention, 85% of the entire small bowel obstruction require surgery.

Under a bowel obstruction refers to a significant mechanical degradation or a complete stop of transportation of intestinal contents. Symptoms include pain with spasm character, vomiting, constipation and Luftverhalt. The diagnosis is clinically and confirmed by survey radiographs of the abdomen. The treatment consists in fluid replacement, extraction via the gastric tube and in the majority of cases with complete closure in operative procedures. The mechanical shutter is divided into closures of the small intestine (incl. The duodenum) and the colon. The closure may be partially or completely. While 85% of partial small bowel closures regress even without surgical intervention, 85% of the entire small bowel obstruction require surgery. Etiology Overall, the most common causes of a mechanical fastener adhesions, hernias and tumors. Other common causes include diverticulitis (diverticulitis), foreign body (incl. Gallstones), volvulus (rotation of the intestine on its mesentery), intussusception (invagination of an intestinal segment to another, intussusception) and Stuhleinklemmung. Individual segments of the bowel are affected differently (s. Causes of intestinal obstruction). Causes of intestinal obstruction localization cause colon tumors (usually at the splenic flexure), diverticulitis (usually in the sigmoid colon), volvulus of the sigmoid colon or cecum, fecal impaction, Hirschsprung’s disease, Crohn’s disease duodenum adults carcinoma of the duodenum or pancreatic head, peptic ulcer disease newborns Atresia, volvulus, membranes, Annular pancreas jejunum and ileum adult hernia, adhesions (often), tumors, foreign bodies, Meckel’s diverticulum, Crohn’s disease (rare), Ascaris infestation, volvulus of the midgut, intussusception by tumor (rare) newborns meconium ileus, volvulus in malrotiertem intestine atresia, intussusception pathophysiology In the simple mechanical installation of the closure without damaging vessels arises. Above the closure is acquired liquid and food, and digestive secretions accumulate air. The proximal intestine expands while collapsing the distal segments. The normal secretory and absorptive functions of the mucosa are reduced and the intestinal wall is edematous and jammed. The severe distension of the bowel is selbstperpetuierend and progressive and enhances the peristaltic secretory disorders and thus increases the risk of dehydration and progression toward strangulation. The strangulation is a snap with damaged blood flow. It is produced in about 25% of patients with small bowel obstruction. It is generally associated with a hernia, volvulus or intussusception. A strangulation may develop h in infarction and gangrene already within the 6th First, create a venous occlusion, followed by arterial, with the result of a rapidly forming Darmwandischämie. Ischemic bowel is edematous and infected, resulting in gangrene and perforation. When colon closure rarely strangulation on (with the exception of volvulus) occurs. A perforation can be used in an ischemic segment (typically small intestine) or occur in more pronounced dilatation of the intestine. The risk is ? 13 cm in diameter at large extension of the cecum. At the sealing a perforation of a tumor or of a diverticulum can occur. Tips and Risks A strangulation may develop h in infarction and gangrene already within the 6th Symptoms and signs The small bowel obstruction usually gets immediately after its formation produce symptoms: abdominal cramps around the navel or in the epigastric region, vomiting and – in patients with complete closure – constipation. Patients with partial closure can develop diarrhea. A severe, constant pain draws the suspicion of strangulation. There is no strangulation, the abdomen is not sensitive to pain. Typical is a hyperactive, accompanied by high-ranking bowel sounds peristalsis with peristaltic waves and cramps. Sometimes dilated bowel loops are feeling. Enters an infarction, the abdomen is tensioned and the auscultation shows a so-called. Silent abdomen or minimal peristalsis. Circulatory shock and oliguria are serious indications of a late stage of a simple closure or strangulation. A colon closure usually shows a less pronounced symptoms, which, compared with a small bowel obstruction, also developed more slowly. It occurs increasing constipation and abdominal distention. Vomiting can also occur (usually a few hours after the occurrence of other symptoms), but is not common. Cramping in the lower abdomen not lead to bowel movements. The physical examination typically shows a distended abdomen with loud Borborygmi. There is no pressure sensitivity and the rectum is usually empty. Often, a mass can be palpated at the site of an obstructive tumor. General symptoms are usually relatively low, and fluid and electrolyte deficiencies rare in a large bowel obstruction. Zäkumvolvulus figure provided by Parswa Ansari, M.D. var model = {thumbnailUrl: ‘/-/media/manual/professional/images/cecal_volvulus_high_de.jpg?la=de&thn=0&mw=350’ imageUrl: ‘/-/media/manual/professional/images/cecal_volvulus_high_de.jpg?la = en & thn = 0 ‘, title:’ Zäkumvolvulus ‘description:’ u003Ca id = “v38395146 ” class = “”anchor “” u003e u003c / a u003e u003cdiv class = “”para “” u003e u003cp u003eDer cecum is rotated by the mesentery

Health Life Media Team

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