Edit concept Question Editor Create issue ticket

Partial Intestinal Obstruction

Partial Bowel Obstruction


Presentation

  • Lipoma within jejunal duplication presenting as abdominal bloating and partial intestinal obstruction is an exceptional clinical entity.[ncbi.nlm.nih.gov]
Neonatal Intestinal Obstruction
  • intestinal obstructions classifiable to P76.- obstruction of duodenum ( K31.5 ) postprocedural intestinal obstruction ( K91.3- ) stenosis of anus or rectum ( K62.4 ) Paralytic ileus and intestinal obstruction without hernia K56.60 ICD-10-CM Diagnosis[icd10data.com]
  • J Pediatr Surg 47:772–781 PubMed CrossRef Google Scholar Casaccia G, Trucchi A, Nahom A, et al. (2003) The impact of cystic fibrosis on neonatal intestinal obstruction: the need for prenatal/neonatal screening.[link.springer.com]
  • Congenital gastrointestinal malformations can cause neonatal intestinal obstruction. Another cause of meconium ileus is cystic fibrosis.[patient.info]
  • Bilious emesis is the cardinal feature of neonatal intestinal obstruction, and mandates urgent evaluation to exclude malrotation with volvulus.[elearning.sumdu.edu.ua]
Hodgkin Lymphoma
  • In this report, we present a six-year-old male patient with partial intestinal obstruction due to refractory Non-Hodgkin's lymphoma (NHL) whose partial obstruction was successfully treated with Taxol(R) without any surgical intervention.[ncbi.nlm.nih.gov]
  • More information Non-Hodgkin lymphoma Non-Hodgkin lymphoma Non-Hodgkin s lymphoma Definition: - clonal tumours of mature and immature B cells, T cells or NK cells - highly heterogeneous, both histologically and clinically Non-Hodgkin lymphoma More information[healthdocbox.com]
Sputum
  • Occasionally, sputum or gastric aspirates may contain larvae as they migrate through the lungs during the pulmonary phase, and they may be detected before ova are present in the stool. There is no effective serological test for ascariasis.[academic.oup.com]
Persistent Vomiting
  • Other patients with obstruction and large volume vomiting may prefer NGT insertion to avoid persistent vomiting.[wmpcg.co.uk]
  • Venting gastrostomy in a fit patient with gastroduodenal or jejunal obstruction and persistent vomiting may relieve symptoms. TPN is only appropriate for a very small group of patients with a longer prognosis. Refer to specialist advice.[palliativecareguidelines.scot.nhs.uk]
  • Metabolic alkalosis can be seen in patients with persistent vomiting. Hematocrit may be elevated in severe dehydration.[saem.org]
  • PAIN IN PT WITH AF AND ATHEROSCLEROSIS -PERSISTENT VOMITING AND DEFECATION THEN PASSAGE OF ALTERED BLOOD -HYPOVOLUMIC SHOCK • INVESTIGATIONS: - NEUTROPHIL LEUKOCYTOSIS - ABD XRAY: ABSENCE OF GAS IN THICKENED SMALL INTESTINES • TREATMENT: - ANTI-COAGULANT[slideshare.net]
  • Persistent vomiting can result in dehydration.[healthofchildren.com]
Chronic Abdominal Pain
  • Chronic abdominal pain or the fear of pain is a common complaint in children with chronic intestinal pseudo-obstruction and may be treated with behavioral or relaxation therapy as well as with non-narcotic medicines.[chp.edu]
  • abdominal pain, pelvic pain, and infertility. [27] Other animals [ edit ] References [ edit ] a b c d e f g h i j k l Gore, RM; Silvers, RI; Thakrar, KH; Wenzke, DR; Mehta, UK; Newmark, GM; Berlin, JW (November 2015).[en.wikipedia.org]
  • Common clinical findings include chronic abdominal pain, intermittent vomiting, weight loss, failure to thrive, malabsorption, and diarrhea. Vomiting is either bilious or nonbilious.[elearning.sumdu.edu.ua]
Abdominal Rigidity
  • This mass may be difficult to locate in inconsolable infants because of abdominal rigidity from muscle straining. Early on, vomiting of undigested food may occur. As attacks continue, emesis may turn bilious.[elearning.sumdu.edu.ua]
Biliary Colic
  • Symptoms of biliary colic, leading to an ileus, may occur as a single ascaride moves in and out of the biliary tract within a period of a few days to 1 week [ 1 ].[academic.oup.com]
Flushing
  • If I do in an attempt to flush things out of my system, it will almost always make things worse or cause me to vomit.[crohnsdisease.com]
  • It is characterized by episodic flushing of the face, neck and upper chest, as well as the presence of watery diarrhea. As the disease progresses, the episodes of flushing may last more than 30 minutes.[healio.com]
  • If your GIT is well-supplied with blood, then you can be assured of its proper functioning. 2) Increase fiber This enables you to flush out the toxins out of your body in a more efficient and regular way.[webdicine.com]
Dysmenorrhea
  • Typically endometriosis patients complain of dysmenorrhea, pelvic pain, ovulation pain, dyspareunia and dyschezia, while patients with IBS complain of abdominal pain associated with a change in the frequency or consistency of stools and abdominal bloating[karger.com]
Forgetful
  • That does not mean you should just go about your day and forget what is happening to your body. It means you have been given a chance to help yourself before it gets to a more dire state.[crohnsdisease.com]
Flaccid Paralysis
  • If the obs is not relieved, the bowel begins to dilate  reduction in peristaltic strength  flaccidity & paralysis This is a protective phenomenon to prevent vascular damage 2 to increased intraluminal pressure Radiation enteritis is a bowel pathology[slideshare.net]

Workup

  • See Workup for more detail.[emedicine.medscape.com]
  • Surgical Bowel obstruction requires a swift workup to establish whether emergent surgery is necessary! References: [1][amboss.com]
Colonic Stricture
  • As the infection heals, scars may form in the intestinal wall – at times encircling the colon to form colon strictures. As strictures age and tighten, they may gradually block the colon by tightening. 7.[med-health.net]
  • stricture Colonic pseudopolyp w obstruction Colonic pseudopolyp with obstruction Crohns disease of colon w obstruction Crohns disease of colon w stenosis Crohns disease of colon with obstruction Crohns disease of colon with stenosis Crohn's disease of[icd9data.com]

Treatment

  • Treatment was continued with Taxol(R) and resulted in total cure of the ileus with reduction of palpable tumor mass over 24 h without necessitating any surgery.[ncbi.nlm.nih.gov]
  • In small bowel obstruction, treatment is often non-surgical.[healthhype.com]
  • Br J Clin Pract, 1990 , vol. 44 (pg. 243 - 4 ) 4 Comparative efficacy of albendazole and three brands of mebendazole in the treatment of ascariasis and trichuriasis, East Afr Med J, 2004 , vol. 81 (pg. 134 - 8 ) 5 Selective mass treatment with ivermectin[academic.oup.com]
  • To avoid unnecessary radicality in treatment, colon tumors with an uncertain preoperative diagnosis should undergo further diagnostic steps in order to clarify their nature. This could allow a more optimal therapeutic planning.[hungary.pure.elsevier.com]

Prognosis

  • Prognosis is good, if treatment starts early. On the other hand, severe untreated bowel obstruction with strangulation regularly ends with death. In small bowel obstruction, treatment is often non-surgical.[healthhype.com]
  • Outlook (Prognosis) The outcome depends on the cause of the blockage. Most of the time, the cause is easily treated.[nicklauschildrens.org]
  • Prognosis [ edit ] The prognosis for non-ischemic cases of SBO is good with mortality rates of 3–5%, while prognosis for SBO with ischemia is fair with mortality rates as high as 30%. [25] Cases of SBO related to cancer are more complicated and require[en.wikipedia.org]
  • Outlook (Prognosis) The outcome depends on the cause of the blockage. Most of the time, the cause is successfully treated.[mountsinai.org]
  • TPN is only appropriate for a very small group of patients with a longer prognosis. Refer to specialist advice. A specific review date should be set which is discussed in advance with the patient prior to commencing TPN.[palliativecareguidelines.scot.nhs.uk]

Etiology

  • Mechanical bowel obstruction : disturbance of bowel passage due to a structural barrier, resulting in disruption of intestinal transit Paralytic ileus : temporarily impaired peristalsis of the gastrointestinal tract in the absence of mechanical obstruction Etiology[amboss.com]
  • Luminal contrast studies computed tomography (CT scan) ultrasonography (US) Once the diagnosis of bowel obstruction is entertained, location, severity and etiology are to be determined.[ddc.musc.edu]
  • The etiology of the obstruction varies greatly, depending on the age that it occurs and the past surgical history.[elearning.sumdu.edu.ua]
  • […] small bowel decompression and intravenous fluids o Surgical intervention may be necessary if there are signs and symptoms of strangulation, peritonitis or lack of response to conservative treatment Differentiating SBO from Paralytic Ileus SBO Ileus Etiology[learningradiology.com]
  • Etiology Causes can be divided into congenital and acquired. Acquired causes may be extrinsic causing compression, intrinsic, or luminal.[radiopaedia.org]

Epidemiology

  • Epidemiology of pediatric inflammatory bowel disease: A systematic review of international trends”. Inflammatory Bowel Disease 2011; 17 (1), 423–439. Castro M., Papadatou B., Baldassare M., Balli F. et al.[ragazzicoraggiosi.it]
  • Insights from a population-based epidemiological study and implications in surgical management. Ann Surg 253:223–230 PubMed CrossRef Google Scholar Yousefzadeh DK (1983) Tubular colonic duplication: review of 1876–1981 literature.[link.springer.com]
  • Epidemiology Of all patients admitted to hospital with intestinal obstruction, most have small intestinal obstruction. Significant numbers of colorectal malignancies present with obstruction.[patient.info]
Sex distribution
Age distribution

Pathophysiology

  • Andrus CH, Ponsky JL (1988) Bezoars: classification, pathophysiology, and treatment.Am J Gastroenterol 83: 476-478.[omicsonline.org]
  • […] common), tumors, Meckel diverticulum , Crohn disease (uncommon), Ascaris infestation , midgut volvulus, intussusception by tumor (rare), foreign body , and gallstones (rare) Neonates Meconium ileus , volvulus of a malrotated gut, atresia, intussusception Pathophysiology[merckmanuals.com]
  • Pathophysiology: Process (Occurs quickly in closed loop obstruction) Obstruction forms in either Small Bowel (much more common) or Large Bowel Bowel dilates proximal to obstruction Flatus and Bowel Movement s cease Dehydration results from Vomiting, minimal[fpnotebook.com]
  • Pediatr Surg Int 25:795–798 PubMed CrossRef Google Scholar Carlyle BE, Borowitz DS, Glick PL (2012) A review of pathophysiology and management of fetuses and neonates with meconium ileus for the pediatric surgeon.[link.springer.com]
  • Pathophysiology Small bowel obstruction leads to rapid accumulation of fluid and gas in the bowel proximal to the site of obstruction.[surgwiki.com]

Prevention

  • CASE REPORT - A protruding, ulcerated and firm tumor preventing the investigation of the coecum was found by endoscopy in the ascending colon of a 50-year-old woman, who was subsequently operated on.[hungary.pure.elsevier.com]
  • Bowel obstructions can be painful and occur when a blockage prevents intestinal contents from properly passing through the digestive tract.[med-health.net]
  • High-fiber diet ( fiber supplements, if necessary), drinking enough fluid, active life style and avoiding unnecessary stress are recommended to prevent constipation and diverticulosis.[healthhype.com]
  • When to Contact a Medical Professional Call your health care provider if you: Cannot pass stool or gas Have a swollen abdomen (distention) that does not go away Keep vomiting Prevention Prevention depends on the cause.[nicklauschildrens.org]
  • When to Contact a Medical Professional Call your provider if you: Cannot pass stool or gas Have a swollen abdomen (distention) that does not go away Keep vomiting Prevention Prevention depends on the cause.[mountsinai.org]

Ask Question

5000 Characters left Format the text using: # Heading, **bold**, _italic_. HTML code is not allowed.
By publishing this question you agree to the TOS and Privacy policy.
• Use a precise title for your question.
• Ask a specific question and provide age, sex, symptoms, type and duration of treatment.
• Respect your own and other people's privacy, never post full names or contact information.
• Inappropriate questions will be deleted.
• In urgent cases contact a physician, visit a hospital or call an emergency service!