Small Intestinal Obstruction – Dangerous, Why?

Although impotence is more common, it is often self-limiting and does not require surgery. Mechanical switches can be caused by internal or external factors. If the small intestine is completely obstructed, untimely treatment can lead to peritonitis and death.
Why is obstruction of the small intestine?
A person with a small intestinal obstruction often has the following causes: intestinal adhesion, hernia, cancer accounting for more than 90% of cases. Postoperative intestinal adhesion was the most common cause of obstruction in the small intestine (56%). Stuffy hernia accounts for (25%).
Sticky bowel obstruction accounts for about 5% of postoperative patients. An inguinal hernia and a hernia may also be involved

Other less common causes include: cancer, inflammatory bowel disease, gallstones, intestinal torsion, intussusception, abscess, congenital lesions, roundworm .


Small Intestinal Obstruction - Dangerous, Why?

..
Bowel adhesion after surgery can cause intestinal obstruction.
Signs identify small intestine
When intestinal obstruction, patients often abdominal pain and abdominal distention. The nature of cramping, sometimes spasm in the epigastrium or around the navel When clogged, the small intestine reflexes often cause more distention.
The patient vomited and had central retention, defecation. Vomiting usually occurs late, if vomiting of stool is caused by a blockage at the end of the small intestine
Secret, the most obvious defecation when all stool in the intestinal segment below the blockage is indented.


Small Intestinal Obstruction - Dangerous, Why?

Complete bowel obstruction in early stages can be difficult to diagnose.
The case of a patient with only a small intestinal obstruction often continues defecation (sniffing) and has a small stool. However, when partial or complete early bowel obstruction has similar symptoms, care should be taken to distinguish it from complete obstruction.
Abdominal examination often shows patients with diffuse pain. Attention should be paid to the detection of hernias or tumors. A rectal exam usually shows only an empty arch, but can sometimes detect a tightly lumped tumor or stool.
When the intestines are blocked, the intestinal fluid becomes filled with a decrease in absorption and an increase in fluid secretion. The secretions of the stomach, pancreas, bile fluid also accumulate in the intestine.


Small Intestinal Obstruction - Dangerous, Why?

The fluid may seep through the intestinal wall causing intestinal wall edema and may leak into the peritoneum.
Due to intestinal fluid retention, excessive vomiting leads to dehydration and serious electrolyte leads to shock. If this process is prolonged, the intestine relaxes, blood vessel damage, increased intestinal pressure or strangulation can lead to necrosis and perforation.
Bacteria from the intestine enter the damaged intestinal wall, proliferate and invade the peritoneum causing peritonitis to lead to high mortality.
Complete bowel obstruction is often difficult to distinguish from early bowel obstruction. Patients with bowel obstruction may have fever, tachycardia, pronounced abdominal pain, peritoneal sensitization, reduced bowel sounds, or a late-stage tumor. The test may cause metabolic acidosis, amylase ..


Small Intestinal Obstruction - Dangerous, Why?

.
X-ray signs of a closed loop include a sign of coffee beans, cystic ligament, stretching of the air lumen with the heart separated by a large, dense edema of the intestine, pseudomembranous lesions: fluid-filled bowel loops like a tumor. Non-prepared film has sensitivity of 41 - 86% and specificity of 25 - 85%. Abdominal CT scan has 100% sensitivity and 83% specificity, so it is very valuable for diagnosis.
People with intestinal obstruction may have fever and nausea
Treatment and prevention of small intestinal obstruction
Emergency a case of intestinal obstruction including: cardiopulmonary support, electrolyte supplement, nasal catheterization to reduce pressure, use antibiotics to fight infections.
Because it is difficult to distinguish a clogged small intestine from a complete small intestinal obstruction, early surgical consultation is needed. If incomplete bowel obstruction is usually treated without surgery for about 48 hours, otherwise the outcome should be surgical early.
Treatment of paralytic ileus requires maintaining the volume in the blood vessels.


Small Intestinal Obstruction - Dangerous, Why?

Limit oral intake, regulate electrolytes, especially reduce potassium. A nasogastric tube or mouth-to-mouth catheter is needed to treat the symptoms of bloating and discomfort.
Immediately stop drugs that slow intestinal motility such as opiate. In case of paralytic ileus lasting more than 3-5 days, imaging should be taken to detect the cause of intestinal obstruction.
Prevention: need to treat well the diseases that cause intestinal stickiness, hernia, postoperative laparoscopy, cancer, enteritis, gallstones, intussusception, abscess, roundworm ....


Small Intestinal Obstruction - Dangerous, Why?

. Dịch vụ: Thiết kế website, quảng cáo google, đăng ký website bộ công thương uy tín

Related news

  • The World Health Organization has warned of an antibiotic crisis, meaning that antibiotics will become more and more useless due to drug-resistant bacteria. We could soon run out of all new antibiotics and start dying from infections that we learned to treat 100 years ago. The catastrophe could be ...
  • According to Assoc. Dr. Tran Dac Phu, complicated changes of pathogens caused by viruses and bacteria are the cause of many diseases (especially in the summer) in many countries, including Vietnam. Mr. Phu shared, besides the diseases that have been eliminated, such as smallpox, polio, neonatal ...
  • According to Assoc. On the one hand, acknowledging the results achieved in the prevention of epidemics in Vietnam over the past time, Mr. Tran Dac Phu still expressed his concern about the constant change of viruses and bacteria, especially in summer time. Hot weather combined with other factors ...
  • Avoid going outdoors when the sun is hot in the middle of the day, trying to drink enough water with little other feeling, wear anti-glare glasses ... are things the elderly should pay attention to during the dry season to limit the risk of stroke. Lan Lan () Lan Lan () According to the search key: ...
  • 80% of the population suffers from life back problems, low back pain is the most common cause of disability in the world. Le Nguyen (Theo Visually) According to the
  • New US research shows that divorced people are at a higher risk of heart attack than groups of the same age who are maintaining marriage. Photo: BBC. The study, published in the journal Circulation, argues that the chronic stress caused by divorce has long-term effects on a person's overall health. ...
  • Passive smoking increases the risk of gum disease by 62%, according to new research by the University of North Carolina scientists. The above results are drawn after analyzing the medical records of more than 3,000 non-smokers aged 20. Volunteers are given oral examination and blood samples are ...
  • Scientists have taken breathing air samples from hundreds of patients to analyze the chemical integration, helping to detect the potential risk of stomach cancer. Stomach cancer can be detected early through the breath. Photo: BBC. According to the BBC, stomach cancer affects about 7,300 people in ...
  • Avoid spicy and sour foods until the sores heal. You can rinse your mouth with warm, thin salt water 2 times a day. An oral ulcer can be a manifestation of many diseases such as canker sores (often referred to as canker sores), ulcers caused by the herpes virus, ulcers caused by bacteria that cause ...
  • Sunstroke, boils, diarrhea, malaria ... are children's diseases that can be encountered in the summer and you can completely help prevent them in a number of simple and effective ways. Sun stroke Summer can be great for kids because it's not learning and just having fun makes them excited. Children ...