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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]

Classic Presentation History The patient with a small bowel obstruction will usually present with abdominal pain, abdominal distension, vomiting, and inability to pass flatus. In a proximal obstruction nausea and vomiting are more prevalent. [saem.org]

Gastrointestinal

  • 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]

    […] obstruction, chronic abdominal pain, pelvic pain, and infertility.[28] 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]

Neurologic

  • Rabies

    Molodecky N.A., Soon I.S., Rabi D.M., Ghali W.A., Ferris M., Chernoff G., Benchimol E.I., Panaccione R., Ghosh S., Barkema H.W. et al.“Increasing Incidence and Prevalence of the Inflammatory Bowel Diseases With Time, Based on Systematic Review”. [ragazzicoraggiosi.it]

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]

[…] complete blood count, urine pregnancy test followed with quantitative blood beta-hCG Imaging: transvaginal ultrasound If patient is unstable: IV fluid resuscitation, urgent obstetrics and gynecology consultation If patient is stable: continue diagnostic workup [en.wikipedia.org]

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]

To avoid unnecessary radicality in treatment, colon tumors with an uncertain preoperative diagnosis should undergo further diagnostic steps in order to clarify their nature. [hungary.pure.elsevier.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]

Prognosis

Citation metadata Abstract : Introduction: The aim of this study was to evaluate the characteristic features and both early and late term prognosis of premature infants who were followed-up with NEC in the neonatal intensive care unit. [go.gale.com]

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%.[26] Cases of SBO related to cancer are more complicated and require additional [en.wikipedia.org]

Etiology

The most important etiological factors were prematurity, hypoxia and enteral feeding. [go.gale.com]

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]

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]

Colonic diverticulosis and diverticular disease: Epidemiology, risk factors, and pathogenesis. https://www.uptodate.com/contents/search. Accessed July 24, 2018. Tursi A, et al. [mayoclinic.org]

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]

[…] transfusion If patient is unstable: general or trauma surgery consultation with subsequent exploratory laparotomy and possible splenectomy If patient is stable: medical management, consultation of interventional radiology for possible arterial embolization Epidemiology [en.wikipedia.org]

Pathophysiology

In: Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management. 10th ed. Philadelphia, Pa.: Saunders Elsevier; 2016. http://www.clinicalkey.com. Accessed Sept. 10, 2015. Glancy DG. Intestinal obstruction. [mayoclinic.org]

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]

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]

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]

Presently there are no therapies to prevent small bowel obstruction except avoiding the risks (such as surgical techniques to avoid adhesions, which are being explored) or lysis of existing adhesions to prevent some recurrences. [metrowestdailynews.com]

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]

However, this highly complex operations usually will necessitate the creation of a temporary colostomy in order to prevent the passage of feces into the freshly reconstructed anus. [colonandrectalspecialists.com]

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