Blockage of intraluminal contents from normal intestinal transport due to intrinsic, extrinsic or endoluminal lesions
This blockage can be partial or complete. It can be the result of...
Abdominal pain:
Diffuse
Poorly localized cramping generally at intervals of 5 to 15 minutes
Abdominal distention:
More common with distal obstructions
Emesis:
Usually occurs immediately aft...
Inpatient management generally recommended
The key is early recognition of patients who need urgent surgical intervention and those who can be managed conservatively.
Clinically stable patient...
Daily monitoring with series abdominal exams in hospital
Postoperative outpatient follow-up in 1 to 2 weeks
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 history and plain films establish the diagnosis of bowel obstruction in most cases.
15–20% of patients with colorectal cancer present with colonic obstruction.
Initial managemen...
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<bold><italic>Figure 15-3</bold> Causes of mechanical bowel obstruction.</bold>
FIGURE 12-8. Intestinal obstruction. (A) Intussusception. (B) Volvulus, showing counterclockwise twist.