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Intestinal Obstruction

Also see Autointoxication, Auto Intoxication, Constipation, Intestines to Release, and Detox Autointoxication.Encyclopedia Entry for Intestinal Obstruction :Intestinal obstruction repair. Intestinal obstruction repair is done while you are under general anesthesia. This means you are asleep and DO NOT feel pain. The surgeon makes a cut in your belly to see your intestines. Sometimes, the surgery can be done using a laparoscope, which means smaller cuts are used. The surgeon locates the area of your intestine (bowel) that is blocked and unblocks it. Any damaged parts of your bowel will be repaired or removed. This procedure is called bowel resection. If a section is removed, the healthy ends will be reconnected with stitches or staples. Sometimes, when part of the intestine is removed, the ends cannot be reconnected. If this happens, the surgeon will bring one end out through an opening in the abdominal wall. This may be done using a colostomy or ileostomy.This procedure is done to relieve a blockage in your intestine. A blockage that lasts for a long time can reduce or block blood flow to the area. This can cause the bowel to die.Risks of anesthesia and surgery in general include: Reactions to medicines, breathing problems Bleeding, blood clots, infection Risks of this procedure: Bowel obstruction after surgery Damage to nearby organs in the body Formation of scar tissue ( adhesions ) More scar tissue forming in your belly and causing a blockage of your intestines in the future Opening of the edges of your intestines that are sewn together (anastomotic leak), which may cause life-threatening problems Problems with colostomy or ileostomy Temporary paralysis (freezing up) of the bowel ( paralytic ileus ).How long it takes to recover depends on your overall health and the type of operation.The outcome is usually good if the obstruction is treated before bowel blood flow is affected. People who have had many abdominal surgeries may form scar tissue. They are more likely to have bowel obstructions in the future.Repair of volvulus; Intestinal volvulus - repair; Bowel obstruction - repair.Bland diet Changing your ostomy pouch Ileostomy and your diet Ileostomy - caring for your stoma Ileostomy - changing your pouch Ileostomy - discharge Ileostomy - what to ask your doctor Intestinal or bowel obstruction - discharge Low-fiber diet Surgical wound care - open Types of ileostomy When you have nausea and vomiting.Intussusception - X-ray Intussusception - x-ray Before and after small intestine anastomosis Before and after small intestine anastomosis Intestinal obstruction (Pediatric) - series Intestinal obstruction (pediatric) - series Intestinal obstruction repair - series Intestinal obstruction repair - series.Mahmoud NN, Bleier JIS, Aarons CB, Paulson EC, Shanmugan S, Fry RD. Colon and rectum.Encyclopedia Entry for Intestinal Obstruction :Intestinal obstruction. Obstruction of the bowel may be due to: A mechanical cause, which means something is in the way Ileus, a condition in which the bowel does not work correctly, but there is no structural problem causing it Paralytic ileus, also called pseudo-obstruction, is one of the major causes of intestinal obstruction in infants and children. Causes of paralytic ileus may include: Bacteria or viruses that cause intestinal infections ( gastroenteritis ) Chemical, electrolyte, or mineral imbalances (such as decreased potassium level) Abdominal surgery Decreased blood supply to the intestines Infections inside the abdomen, such as appendicitis Kidney or lung disease Use of certain medicines, especially narcotics Mechanical causes of intestinal obstruction may include: Adhesions or scar tissue that forms after surgery Foreign bodies (objects that are swallowed and block the intestines) Gallstones (rare) Hernias Impacted stool Intussusception (telescoping of 1 segment of bowel into another) Tumors blocking the intestines Volvulus (twisted intestine).Symptoms may include: Abdominal swelling (distention) Abdominal fullness, gas Abdominal pain and cramping Breath odor Constipation Diarrhea Inability to pass gas Vomiting.During a physical exam, the health care provider may find bloating, tenderness, or hernias in the abdomen. Tests that show obstruction include: Abdominal CT scan Abdominal x-ray Barium enema Upper GI and small bowel series.Treatment involves placing a tube through the nose into the stomach or intestine. This is to help relieve abdominal swelling (distention) and vomiting. Volvulus of the large bowel may be treated by passing a tube into the rectum. Surgery may be needed to relieve the obstruction if the tube does not relieve the symptoms. It may also be needed if there are signs of tissue death.The outcome depends on the cause of the blockage. Most of the time, the cause is successfully treated.Complications may include or may lead to: Electrolyte (blood chemical and mineral) imbalances Dehydration Hole (perforation) in the intestine Infection Jaundice (yellowing of the skin and eyes) If the obstruction blocks the blood supply to the intestine, it may cause infection and tissue death (gangrene). Risks for tissue death are related to the cause of the blockage and how long it has been present. Hernias, volvulus, and intussusception carry a higher gangrene risk. In a newborn, paralytic ileus that destroys the bowel wall (necrotizing enterocolitis) is a life-threatening condition. It may lead to blood and lung infections.Call your provider if you: Cannot pass stool or gas Have a swollen abdomen (distention) that does not go away Keep vomiting.Prevention depends on the cause. Treating conditions, such as tumors and hernias that can lead to a blockage, may reduce your risk. Some causes of obstruction cannot be prevented.Paralytic ileus; Intestinal volvulus; Bowel obstruction; Ileus; Pseudo-obstruction - intestinal; Colonic ileus.Diet - clear liquid Diet - full liquid Large bowel resection - discharge Small bowel resection - discharge Total colectomy or proctocolectomy - discharge.Digestive system Digestive system Ileus - X-ray of distended bowel and stomach Ileus - x-ray of distended bowel and stomach Ileus - X-ray of bowel distension Ileus - x-ray of bowel distension Intussusception - X-ray Intussusception - x-ray Volvulus - X-ray Volvulus - x-ray Small bowel obstruction - X-ray Small bowel obstruction - x-ray Small intestine anatomy Small bowel resection - series.Fry RD, Mahmoud NN, Maron DJ, Bleier JIS. Colon and rectum.