Decision making obstruction

  • How do you deal with obstruction?

    Most partial blockages get better on their own.
    Your doctor may give you a special diet that's easier on your intestines.
    Enemas of air or fluid can help clear blockages by raising the pressure inside your bowels.
    A mesh tube called a stent is a safe option for people who are too sick for surgery..

  • How do you rule out an obstruction?

    Tests and procedures used to diagnose intestinal obstruction include:

    1. Physical exam.
      2. Your doctor will ask about your medical history and your symptoms.
    2. X-ray.
      3. To confirm a diagnosis of intestinal obstruction, your doctor may recommend an abdominal X-ray.
    3. Computerized tomography (CT)
    4. Ultrasound
    5. Air or barium enema

  • How does obstruction occur?

    Causes of intestinal obstruction may include fibrous bands of tissue (adhesions) in the abdomen that form after surgery; hernias; colon cancer; certain medications; or strictures from an inflamed intestine caused by certain conditions, such as Crohn's disease or diverticulitis..

  • How many types of obstruction are there?

    There are two types of small bowel obstruction: functional — there is no physical blockage, however, the bowels are not moving food through the digestive tract. mechanical — there is a blockage preventing the movement of food..

  • What is possible obstruction?

    A bowel obstruction is a partial or complete blockage of your small intestine or large intestine (bowels).
    The most common causes include scar tissue forming after abdominal surgery, hernias and colon cancer.
    A bowel obstruction is a medical emergency that requires immediate care..

  • What would cause obstruction?

    Causes of intestinal obstruction may include fibrous bands of tissue (adhesions) in the abdomen that form after surgery; hernias; colon cancer; certain medications; or strictures from an inflamed intestine caused by certain conditions, such as Crohn's disease or diverticulitis..

  • Tests and procedures used to diagnose intestinal obstruction include:

    1. Physical exam.
      2. Your doctor will ask about your medical history and your symptoms.
    2. X-ray.
      3. To confirm a diagnosis of intestinal obstruction, your doctor may recommend an abdominal X-ray.
    3. Computerized tomography (CT)
    4. Ultrasound
    5. Air or barium enema
  • Obstruction frequently causes abdominal pain, nausea, vomiting, constipation, obstipation, and distention.
    This activity explains the pathophysiology, classification, evaluation, and management in patients with bowel obstruction.
  • There are two types of small bowel obstruction: functional — there is no physical blockage, however, the bowels are not moving food through the digestive tract. mechanical — there is a blockage preventing the movement of food.
Nov 1, 2016Decision on surgery should be taken in paediatric patient by 24 hours, in young age, in virgin abdomen and large BO by 48hrs and within 3-5 days 
Nov 1, 2016There are two decisions conservative or operative. If conservative is chosen, the responsibility of the treating team is to operate before the 
Various factors are considered for taking the decision on operative or non-operative management. The factors considered are age of the patients, duration of obstruction, volume of nasogastric aspirate, findings on the radiological imaging, previous abdominal surgeries and malignancy.

How to predict operative management of bowel obstruction (Bo)?

Predicting the conservative or operative management of Bowel Obstruction (BO) is difficult.
BO in young age, in unscarred abdomen and Large Bowel Obstruction (LBO) needs early surgery.
Decision on surgery should be taken in paediatric patient by second day and preferably between 3-5 days of admission in adults.

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What factors are considered to make a decision on operative or non-operative management?

Various factors are considered for taking the decision on operative or non-operative management.
The factors considered are age of the patients, duration of obstruction, volume of nasogastric aspirate, findings on the radiological imaging, previous abdominal surgeries and malignancy.
Decision in Small Bowel Obstruction (SBO) .

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What factors should be considered when making a decision in small bowel obstruction?

Decision in Small Bowel Obstruction (SBO) Clinical presentation of pain, vomiting, distension and constipation, laboratory and radiographic factors should all be considered when making a decision about treatment of BO .
One must rule out an abdominal wall hernia as a cause of BO, which is seen in 26.8% of cases in virgin abdomen .

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What is a small bowel obstruction?

obstruction is the most common disorder afflicting the small bowel. the days of not letting the sun set on a small bowel obstruction (SBo) perhaps allowed for less complex surgical decision-making algorithms than to watchfully wait and wonder about the state .


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