Intestinal Obstruction: An Overview of Aetiology, Evaluation and Management

Authors

  • ABM Khurshid Alam Professor & Head, Department of Surgery, Comilla Medical College & Hospital, Comilla, Bangladesh
  • Kazi lsrat Jahan Department of Surgery, General Hospital, Comilla, Bangladesh
  • - Mohammad Ali Department of Surgery, General Hospital, Comilla, Bangladesh

DOI:

https://doi.org/10.3329/jss.v17i2.43783

Keywords:

Intestinal Obstruction, Bands and adhesions, abdominal malignancy

Abstract

Intestinal obstruction occurs when there is an interruption in the forward flow of intestinal contents. This interruption can occur at any point along the length of the gastrointestinal tract, and clinical symptoms often depend on the level of obstruction. Intestinal obstruction is most commonly caused by intra-abdominal adhesions, malignancy, or intestinal herniation. The clinical presentation generally includes colicky abdominal pain, vomiting, abdominal distension and constipation. Radiologic imaging can confirm the diagnosis. Although radiography is often the initial study, non-contrast computed tomography is recommended if the index of suspicion is high or if suspicion persists despite negative radiography. Management of uncomplicated obstructions includes fluid resuscitation with correction of metabolic derangements, intestinal decompression, and bowel rest. Evidence of vascular compromise or perforation, or failure to resolve with adequate bowel decompression is an indication for surgical intervention.

Journal of Surgical Sciences (2013) Vol. 17 (2): 89-95

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Published

2019-10-30

How to Cite

Alam, A. K., Jahan, K. lsrat, & Mohammad Ali, .-. (2019). Intestinal Obstruction: An Overview of Aetiology, Evaluation and Management. Journal of Surgical Sciences, 17(2), 89–95. https://doi.org/10.3329/jss.v17i2.43783

Issue

Vol. 17 No. 2 (2013)

Section

Review Articles

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