Blockage of normal flow of air and other contents through the intestine
May be partial or complete, mechanical or functional
May arise from intrinsic abnormalities (e.g., meconium ileu...
Presentation may be acute and dramatic or chronic and subtle.
Chronic or intermittent obstruction can be more challenging to diagnose.
Careful history, physical examination, and consideration ...
Paralytic ileus is usually self-limiting and resolves with supportive treatment.
Nasogastric decompression and fluids alone initially for adhesions. Adhesive postoperative obs...
Varies with different causes of intestinal obstruction, age of the patient, and associated conditions
Extensive bowel resection or multiple repeat bowel resections can lead to sho...
McAteer JP, Kwon S, LaRiviere CA, et al. Pediatric specialist care is associated with a lower risk of bowel resection in children with intussusception: a population-based analysis. ...
560.9 Unspecified intestinal obstruction
777.1 Meconium obstruction in fetus or newborn
751.1 Atresia and stenosis of small intestine
560.2 Volvulus
560.81 Intestinal or peritoneal adhesions wit...
Q: When should I consult a pediatric surgeon?
A: If there is concern for bowel obstruction, a pediatric surgical consultation should be obtained early. In some cases, emergency surgery is necessary...
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FIGURE 12-8. Intestinal obstruction. (A) Intussusception. (B) Volvulus, showing counterclockwise twist.
<bold><italic>Figure 15-3</bold> Causes of mechanical bowel obstruction.</bold>