Small Bowel Obstruction
| Autor: | Daniel I Lollar, Curtis E. Bower, David T. Luyimbazi, Sharon L. Williams, Farrell C. Adkins, Katie Love Bower |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Pregnancy
medicine.medical_specialty business.industry Malignancy medicine.disease Inflammatory bowel disease Surgery Bowel obstruction 03 medical and health sciences Malnutrition 0302 clinical medicine medicine.anatomical_structure 030220 oncology & carcinogenesis Intestine Small medicine Etiology Abdomen Humans 030211 gastroenterology & hepatology Hernia business Intestinal Obstruction |
| Zdroj: | The Surgical clinics of North America. 98(5) |
| ISSN: | 1558-3171 |
| Popis: | Identifying patients with small bowel obstruction who need operative intervention and those who will fail nonoperative management is a challenge. Without indications for urgent intervention, a computed tomography scan with/without intravenous contrast should be obtained to identify location, grade, and etiology of the obstruction. Most small bowel obstructions resolve with nonoperative management. Open and laparoscopic operative management are acceptable approaches. Malnutrition needs to be identified early and managed, especially if the patient is to undergo operative management. Confounding conditions include age greater than 65, post Roux-en-Y gastric bypass, inflammatory bowel disease, malignancy, virgin abdomen, pregnancy, hernia, and early postoperative state. |
| Databáze: | OpenAIRE |
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