Bowel obstruction and pseudo-obstruction.

نویسندگان

  • Charles J Kahi
  • Douglas K Rex
چکیده

The gastroenterologist is frequently involved in the care of patients with bowel obstruction and pseudo-obstruction. In the case of obstruction, the central problem is determining which patients should be managed surgically. In both SBO and LBO, evidence of vascular compromise to the gut mandates surgical intervention. Most patients with pseudo-obstruction respond to conservative therapy or neostigmine. Endoscopic decompression is indicated in recalcitrant cases, with surgery reserved as a last resort.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Intestinal Pseudo-Obstruction as an Unusual Gastrointestinal Presentation in Pediatric Human Immunodeficiency Virus Infection

Intestinal pseudo-obstruction is a condition in which the intestine’s ability to push food through is reduced. It often leads to the dilation of the various parts of the bowel. It can be idiopathic or inherited from a parent, or caused by another disease. We report a rare case of human immunodeficiency virus (HIV) infection in a 3-year-old boy who referred with acute abdominal pain, and was lat...

متن کامل

انسداد کاذب روده یا سندرم 0gilvie

ABSTRACT Acute pseudo–obstruction of the colon or ogilvie syndrome results in massive colonic dilatation that may lead to a life threatening perforation. Pseudo–obstruction are terms used to denote a condition in which patients appear to have signs and symptoms suggestive of intestinal obstruction without an evident mechanical source. This problem is often seen in association with other disease...

متن کامل

Causes of Intestinal Obstruction

INTRODUCTION: Intestinal obstruction (I O) is an emergency condition that requires early identification and intervention (1 ). The etiology of Intestinal obstruction is age dependent (2) . Distinguishing between a true mechanical obstruction and a pseudo-obstruction is important, as the treatment differs (3) . Mechanical obstruction of the bowel causes bowel dilation above the obstruction. This...

متن کامل

Ascaridial Volvulus: An Uncommon Cause of Ileal Perforation

Ascariasis is a common worm infestation in developing and under-developed countries. It is caused by the ingestion of food contaminated with Ascaris eggs from faeces and is more common in places with poor sanitation. Almost 25% of the world population is infested by Ascaris lumbricoides. Although ascariasis is a chronic disease, it can present as acute abdomen rarely. The wandering nature of As...

متن کامل

گزارش یک مورد انسداد مکانیکی روده به دنبال آپاندیسیت گانگرنه

  Background : Mechanical obstruction is the most common surgical disease of the small intestine , which can be potentially fatal . However appendicitis is very rare cause of intestinal obstruction and is usually . In rare cases of appendicitis, symptoms of small intestine obstruction can be more predominant than the appendicitis symptoms . This may lead to delayed diagnosis of appendicitis and...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Gastroenterology clinics of North America

دوره 32 4  شماره 

صفحات  -

تاریخ انتشار 2003