Skip to main content

Intestinal Obstruction

Hongyi Cui, MD, PhD Reviewed 06/2019
 


BASICS

DESCRIPTION

  • Blockage of material from transiting the intestine

  • This blockage can be partial or complete. It can be the result of mechanical or functional causes.

  • Consider intestinal obstruction in...

DIAGNOSIS

HISTORY

  • Abdominal pain:

    • Diffuse

    • Poorly localized cramping generally at intervals of 5 to 15 minutes

  • Abdominal distention:

    • More common with distal obstructions

  • Emesis:

    • Usually occurs immediate...

TREATMENT

  • Inpatient management generally recommended

  • Clinically stable patients may be treated conservatively with bowel rest, nasogastric suction, and IV fluid resuscitation. Use opioids with caution.

  • ...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Daily monitoring in hospital

  • Postoperative outpatient follow-up in 1 to 2 weeks

DIET

NPO until obstruction resolved, and then advance to normal 

PROGNOSIS

REFERENCES

1
Ha GW, Lee MR, Kim JH. Adhesive small bowel obstruction after laparoscopic and open colorectal surgery: a systematic review and meta-analysis. Am J Surg.  2016;212(3):527–536. [View A...

ADDITIONAL READING

  • Arung W, Meurisse M, Detry O. Pathophysiology and prevention of postoperative peritoneal adhesions. World J Gastroenterol.  2011;17(41):4545–4553. [View Abstract on OvidMedline...

CODES

ICD10

  • K56.60 Unspecified intestinal obstruction

  • K56.41 Fecal impaction

  • K56.69 Other intestinal obstruction

  • Q41.9 Congen absence, atresia and stenosis of sm int, part unsp

  • K56.49 Other impaction of in...

CLINICAL PEARLS

  • Clinical history and plain films establish the diagnosis in most cases.

  • 15–20% of patients with colorectal cancer present with colonic obstruction.

  • Initial management involves early surg...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

 
×