Blockage of intraluminal contents from normal intestinal transport
This blockage can be partial or complete. It can be the result of mechanical or functional causes.
Poorly localized cramping generally at intervals of 5 to 15 minutes
More common with distal obstructions
Usually occurs immediately aft...
Inpatient management generally recommended
Clinically stable patients may be treated conservatively with bowel rest, nasogastric suction, and IV fluid resuscitation. Use opioids with caution.
Daily monitoring with series abdominal exams in hospital
Postoperative outpatient follow-up in 1 to 2 weeks
Bower KL, Lollar DI, Williams SL, et al. Small bowel obstruction.
Surg Clin North America. 2018;98(5):945–971.
Kostenbauer J, Truskett PG. ...
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 in most cases.
15–20% of patients with colorectal cancer present with colonic obstruction.
Initial management involves early surg...
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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.