Small Bowel Obstruction

Surgery

Overview

Definition

Blockage of the small intestines.

Epidemiology

Varies globally. Often age and lifestyle dependent.

Etiology & Risk Factors

  • Adhesions (post-surgical), Hernias, Malignancy.

Clinical Symptoms

  • Colicky abdominal pain
  • vomiting (bilious)
  • abdominal distention
  • lack of flatus.

Clinical Approach

Diagnosis

  • Abdominal X-ray (dilated loops
  • air-fluid levels)
  • CT Abdomen.

Management

  • NG tube decompression
  • IV fluids
  • Surgery if no resolution.

Complications

  • Bowel ischemia
  • perforation.