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Journal articles on the topic 'Intestinal obstruction'

Author: Grafiati

Published: 4 June 2021

Last updated: 28 July 2024

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1

Sipahi, Mesut, Kasim Caglayan, Ergin Arslan, Mustafa Fatih Erkoc, and Faruk Onder Aytekin. "Intestinal Malrotation: A Rare Cause of Small Intestinal Obstruction." Case Reports in Surgery 2014 (2014): 1–4. http://dx.doi.org/10.1155/2014/453128.

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Background. The diagnosis of intestinal malrotation is established by the age of 1 year in most cases, and the condition is seldom seen in adults. In this paper, a patient with small intestinal malrotation-type intraperitoneal hernia who underwent surgery at an older age because of intestinal obstruction is presented.Case. A 73-year-old patient who presented with acute intestinal obstruction underwent surgery as treatment. Distended jejunum and ileum loops surrounded by a peritoneal sac and located between the stomach and transverse colon were determined. The terminal ileum had entered into the transverse mesocolon from the right lower part, resulting in kinking and subsequent segmentary obstruction. The obstruction was relieved, and the small intestines were placed into their normal position in the abdominal cavity.Conclusion. Small intestinal malrotations are rare causes of intestinal obstructions in adults. The appropriate treatment in these patients is placement of the intestines in their normal positions.

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2

Kirchmann, Hiltrud M. A., and Steffen W. Bender. "Intestinal Obstruction in Crohn's Disease in Childhood." Journal of Pediatric Gastroenterology and Nutrition 6, no. 1 (January 1987): 79–83. http://dx.doi.org/10.1002/j.1536-4801.1987.tb09248.x.

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SummaryOut of 540 children and adolescents from the Multicenter Pediatric Crohn's Disease Study Group, 42 patients presented with decompensated intestinal obstruction. In 26 patients only one intestinal obstruction occurred, and in 16 children up to five intestinal obstructions occurred. Conservative measures were successful in 37 of 72 episodes of intestinal obstruction (51.4%), while 19 of 42 patients underwent emergency surgery (45.2%) and 16 of 42 (38.1%) were operated on following conservative treatment. From analysis of clinical, intraoperative, and histological findings in surgically treated patients, criteria for emergency surgery and elective surgery of intestinal obstruction in Crohn's disease are derived. One patient with adenocarcinoma of the large bowel, presenting with recurrent obstruction, signals caution in delaying proper diagnosis.

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3

Babu, Ganesh, Sudarsan ., and Vinay . "Rare Presentation of Intestinal Obstruction." New Indian Journal of Surgery 8, no. 1 (2017): 101–3. http://dx.doi.org/10.21088/nijs.0976.4747.8117.20.

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4

Dong, Zhen-Yu, Rui-Xian Shi, Xiao-Biao Song, Ming-Yue Du, and Ji-Jun Wang. "Postoperative abdominal herpes zoster complicated by intestinal obstruction: A case report." World Journal of Clinical Cases 12, no. 6 (February 26, 2024): 1138–43. http://dx.doi.org/10.12998/wjcc.v12.i6.1138.

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BACKGROUND Intestinal obstruction is a common occurrence in clinical practice. However, the occurrence of herpes zoster complicated by intestinal obstruction after abdominal surgery is exceedingly rare. In the diagnostic and treatment process, clinicians consider it crucial to identify the primary causes of its occurrence to ensure effective treatment and avoiding misdiagnosis. CASE SUMMARY Herein, we present the case of a 40-year-old female patient with intestinal obstruction who underwent laparoscopic appendectomy and developed herpes zoster after surgery. Combining the patient's clinical manifestations and relevant laboratory tests, it was suggested that the varicella zoster virus reactivated during the latent period after abdominal surgery, causing herpes zoster. Subsequently, the herpes virus invaded the visceral nerve fibers, causing gastrointestinal dysfunction and loss of intestinal peristalsis, which eventually led to intestinal obstruction. The patient was successfully treated through conservative treatment and antiviral therapy and subsequently discharged from the hospital. CONCLUSION Pseudo-intestinal obstruction secondary to herpes zoster infection is difficult to distinguish from mechanical intestinal obstruction owing to various causes. In cases of inexplicable intestinal obstructions, considering the possibility of a viral infection is essential to minimize misdiagnosis and missed diagnoses.

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5

Holder, Walter D. "Intestinal Obstruction." Gastroenterology Clinics of North America 17, no. 2 (June 1988): 317–40. http://dx.doi.org/10.1016/s0889-8553(21)00365-4.

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6

Hargreaves, Cathy. "Intestinal obstruction." Nursing Standard 20, no. 27 (March 15, 2006): 67–68. http://dx.doi.org/10.7748/ns.20.27.67.s59.

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7

MAHMOOD, KHALID, SHAHBAZ AHMED, SAJID HAMEED, and Liaquat Ali. "INTESTINAL OBSTRUCTION." Professional Medical Journal 14, no. 02 (September 6, 2007): 355–59. http://dx.doi.org/10.29309/tpmj/2007.14.02.4905.

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Objective: To identify the various causes of intestinal obstruction ininfants. Design: Retrospective study. Period: July 1995 to March 2007. Setting: Department of Paediatric Surgery,Allied Hospital, Faisalabad. Patients and Methods: The record of all infants who presented with intestinal obstructionduring the study period was reviewed. Results: Two hundred infants presented with intestinal obstruction. It was thecommonest cause for admission (57%) from the emergency department and constituted 8.2% of the infants operatedin the unit. They were predominantly males. Average duration of symptoms was 3 days. Common causes wereintussusception (46.5%), adhesions (16%), bands (13.5%) and incarcerated inguinal hernia (8%). Wound infection(12%) and wound dehiscence (6%) were the common complications. Mortality rate was 5%. Conclusion: Intestinalobstruction is seen frequently in infants and is associated with significant morbidity. Early recognition and prompttreatment are needed.

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8

Byrne, John J. "Intestinal obstruction." Postgraduate Medicine 87, no. 6 (May 1990): 217–20. http://dx.doi.org/10.1080/00325481.1990.11716345.

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9

Shelton, Brenda K. "Intestinal Obstruction." AACN Clinical Issues: Advanced Practice in Acute and Critical Care 10, no. 4 (November 1999): 478–91. http://dx.doi.org/10.1097/00044067-199911000-00007.

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10

Brown, Steven R., and IJ Adam. "Intestinal Obstruction." Surgery (Oxford) 20, no. 7 (July 2002): 157–64. http://dx.doi.org/10.1383/surg.20.7.157.14394.

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11

Macutkiewicz, Christian, and Gordon L. Carlson. "Intestinal obstruction." Foundation Years 2, no. 4 (August 2006): 159–63. http://dx.doi.org/10.1053/j.mpfou.2006.05.007.

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12

Stephenson, James A., and Baljit Singh. "Intestinal obstruction." Surgery (Oxford) 29, no. 1 (January 2011): 33–38. http://dx.doi.org/10.1016/j.mpsur.2010.10.005.

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13

Glancy, Damian G. "Intestinal obstruction." Surgery (Oxford) 32, no. 4 (April 2014): 204–11. http://dx.doi.org/10.1016/j.mpsur.2014.01.004.

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14

Griffiths, Shelly, and Damian G. Glancy. "Intestinal obstruction." Surgery (Oxford) 35, no. 3 (March 2017): 157–64. http://dx.doi.org/10.1016/j.mpsur.2016.12.005.

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15

Griffiths, Shelly, and Damian G. Glancy. "Intestinal obstruction." Surgery (Oxford) 38, no. 1 (January 2020): 43–50. http://dx.doi.org/10.1016/j.mpsur.2019.10.014.

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16

Frager, David. "Intestinal obstruction." Gastroenterology Clinics of North America 31, no. 3 (September 2002): 777–99. http://dx.doi.org/10.1016/s0889-8553(02)00026-2.

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17

Chapple, Keith S., and John E. Hartley. "Intestinal obstruction." British Journal of Hospital Medicine 67, Sup1 (January 2006): M5—M7. http://dx.doi.org/10.12968/hmed.2006.67.sup1.20335.

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18

Ellis, H. "Intestinal Obstruction." Postgraduate Medical Journal 63, no. 745 (November 1, 1987): 1011. http://dx.doi.org/10.1136/pgmj.63.745.1011-a.

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19

Fekadu, Gelana, Abebe Tolera, Badhaasaa Beyene Bayissa, Bedasa Taye Merga, Dumessa Edessa, and Adugna Lamessa. "Epidemiology and causes of intestinal obstruction in Ethiopia: A systematic review." SAGE Open Medicine 10 (January 2022): 205031212210832. http://dx.doi.org/10.1177/20503121221083207.

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Objective: This systematic review was aimed to address the prevalence and causes of intestinal obstruction in Ethiopia. Methods: Systematic searches were conducted on PubMed, EMBASE, CINAHL, Scopus, African Journals Online, HINARI, and other supplementary sources, including Google Scholar. We conducted methodological quality assessments for the articles by employing a critical appraisal checklist of Joanna Briggs Institute. Results: The reported prevalence of intestinal obstruction in Ethiopia ranges from 18.6% to 50.7% among patients with acute abdomen. However, the prevalence varies from 4.3% to 34.6% among total surgical admissions. The leading causes of small intestinal obstruction were small bowel volvulus, intussusception, and adhesion. Sigmoid volvulus was the most commonly reported cause of large intestine obstruction, followed by colonic cancer. Conclusion: The highest reported prevalence of intestinal obstruction in Ethiopia was 50.7% among patients with acute abdomen and 34.6% among surgical admissions. Small intestine volvulus and sigmoid volvulus were the common causes of small and large bowel obstructions, respectively. Therefore, clinicians have to consider the common causes during the diagnosis and management of intestinal obstruction.

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Tasnim, Tamanna, Md Mizanur Rahman, Ariful Alam, Rupsha Nura Laila, Abdul Matin, and Ali Nafisa. "Current Spectrum of Intestinal Obstruction in a Teaching Hospital." TAJ: Journal of Teachers Association 32, no. 1 (August 22, 2019): 62–69. http://dx.doi.org/10.3329/taj.v32i1.42737.

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Intestinal Obstruction is a common surgical emergency and constitutes a major cause of morbidity and financial expenditure in hospitals around the world. This study aimed to provide the current spectrum of intestinal obstruction in a tertiary care hospital with a special view to identify any change in the aetiologic pattern. This prospective observational study was carried out in all four surgical units of Rajshahi Medical College Hospital from September 2010 to August 2011. The study included 250 adult patients with clinical and radiological evidence of complete intestinal obstruction. Out of 250 consecutive patients ranging between (13-90) years with a male to female ratio of 2.1:1, the maximum cases were within (31-40) years and (51-60) years of age group. In this study 175 cases (70%) were presented with small bowel and 75 cases (30%) with large bowel obstruction. The main causes of obstructions were bands and adhesions (44%) followed by volvulus (18%), external hernias (16%), neoplasm (12%), intussusceptions (3.2%), intestinal tuberculosis (2.8%) and miscellaneous (4%). Approximately, 86% patient with adhesive obstructions had previous laparotomy while 42% needed surgical exploration for failed conservative management. The overall mortality was 8%; mainly owing to strangulating obstruction and old age. Varying degrees of wound infections were the common post-operative complications. There was a significant change in the aetiologic pattern of intestinal obstruction. Post operative adhesions were the commonest cause of obstruction and appendicectomy was the most common previous operation causing adhesion. TAJ 2019; 32(1): 62-69

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21

Szajnbok, Israel, Fernando Lorenzi, Aldo Junqueira Rodrigues Jr., Luis Fernando Correa Zantut, Renato Sérgio Poggetti, Elian Steinman, and Dario Birolini. "Gallstone ileus resulting in strong intestinal obstruction." Sao Paulo Medical Journal 113, no. 1 (February 1995): 721–25. http://dx.doi.org/10.1590/s1516-31801995000100010.

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Mechanic intestinal obstruction, caused by the passage of biliary calculus from vesicle to intestine, through fistulization, although not frequent, deserve study due to the morbi-mortality rates. Incidence in elder people explains the association with chronic degenerative diseases, increasing complexity in terms of therapy decision. Literature discusses the need and opportunity for the one or two-phase surgical attack of the cholecystenteric fistule, in front of the resolution on the obstructive urgency and makes reference to Gallstone Ileus as an exception for strong intestinal obstruction. The more frequent intestinal obstruction observed is when it occurs a Gallstone Ileus impacting in terms of ileocecal valve. The authors submit a Gallstone Ileus manifestation as causing strong intestinal obstruction, discussing aspects regarding diagnostic and treatment.

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22

Gyedu, Adam, Francis Abantanga, Ishmael Kyei, Godfred Boakye, and Barclay T. Stewart. "Changing Epidemiology of Intestinal Obstruction in Ghana: Signs of Increasing Surgical Capacity and an Aging Population." Digestive Surgery 32, no. 5 (2015): 389–96. http://dx.doi.org/10.1159/000438798.

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Introduction: This study aimed to describe the epidemiology and outcomes of intestinal obstruction at a tertiary hospital in Ghana over time. Methods: Records of all patients admitted to a tertiary hospital from 2007 to 2011 with intestinal obstruction were identified using ICD-9 codes. Sociodemographic and clinical data were compared to a previously published series of intestinal obstructions from 1998 to 2003. Factors contributing to longer than expected hospital stays and death were further examined. Results: Of the 230 records reviewed, 108 patients (47%) had obstructions due to adhesions, 50 (21%) had volvulus, 22 (7%) had an ileus from perforation and 14 (6%) had intussusception. Hernia fell from the 1st to the 8th most common cause of obstruction. Patients with intestinal obstruction were older in 2007-2011 compared to those presenting between 1998 and 2003 (p < 0.001); conditions associated with older age (e.g. volvulus and neoplasia) were more frequently encountered (p < 0.001). Age over 50 years was strong factor of in-hospital death (adjusted OR 14.2, 95% CI 1.41-142.95). Conclusion: Efforts to reduce hernia backlog and expand the surgical workforce may have had an effect on intestinal obstruction epidemiology in Ghana. Increasing aging-related pathology and a higher risk of death in elderly patients suggest that improvement in geriatric surgical care is urgently needed.

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23

Aggarwal, Manisha, Dinesh Manchikanti, Janitta Kundaikar, Shaji Thomas, Ashish Arsia, Rahul Pusuluri, Kusum Meena, and Sanjay Kumar. "Adenocarcinoma ileum: a rare cause of ileal stricture mimicking intestinal tuberculosis: a case report and literature review." International Surgery Journal 8, no. 8 (July 28, 2021): 2473. http://dx.doi.org/10.18203/2349-2902.isj20213149.

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One of the commonest causes of small intestinal obstruction in India is tuberculosis. The terminal ileum and ileocaecal junction are the most common sites of small bowel involvement, and the most common abnormality is short-segment strictures. We report a patient who presented with small intestinal obstruction due to a solitary ileal stricture, but turned out to be a rare condition that can mimic intestinal tuberculosis. A 60-years-old man, with recurrent episodes of pain abdomen for 1 year, presented to our surgical emergency with evidence of small intestinal obstruction. A CT scan revealed a short segment stricture (2.7 cm) in mid ileal loop with luminal narrowing and marked proximal dilation of proximal ileal loops with a few sub centimetric mesenteric lymph nodes. On laparotomy with a suspected diagnosis of intestinal tuberculosis, it turned to be an adenocarcinoma of the ileum- a rare condition that can mimic intestinal tuberculosis. One of the commonest causes of small intestinal obstruction in India is abdominal tuberculosis. However, all cases of small intestinal obstruction are not tuberculosis. Adenocarcinoma of ileum is a very rare entity. This case report shows that a surgeon should have a high index of suspicion in an elderly patient presenting with small intestinal obstruction, with CT demonstrating isolated short-segment small bowel thickening, as it could be a presentation of obstructing type adenocarcinoma of the small intestine.

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24

Szajnbock, Israel, Fernando Lorenzi, Aldo Junqueira Rodrigues Jr., Luis Fernando Correa Zantut, Renato Sérgio Poggetti, Eliana Steinman, and Dario Birolini. "Gallstone ileus as a cause of upper intestinal obstruction." Sao Paulo Medical Journal 114, no. 4 (August 1996): 1239–43. http://dx.doi.org/10.1590/s1516-31801996000400009.

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Gallstone ileus, a mechanical intestinal obstruction caused by the passage of a gallstone into the intestinal lumen through a fistula, although not common, deserves to more carefully studied due to its morbidity and mortality. Its incidence among older-age groups explains its association with chronic and degenerative diseases, which increase the complexity of the treatment choice.The need and appropriateness of a surgical approach to a cholecystenteric fistula to solve the obstructive emergency, in a one or two stage procedure, has been discussed in the literature. It has also been reported that gallstone ileus is an uncommon cause of upper intestinal obstruction. Intestinal obstruction is seen more frequently after a gallstone impacts at the ileocecal valve. The authors report a case of gallstone ileus as a cause of upper intestinal obstruction and discuss its diagnosis and treatment.

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25

Peña Barturen, C., A. Bengoechea Trujillo, D. Pérez Gomar, MÁ Mayo Ossorio, and JM Pacheco García. "Intestinal Anisakidosis, an infrequently cause of intestinal obstruction." Cirugía Andaluza 32, no. 1 (February 5, 2021): 81–83. http://dx.doi.org/10.37351/2021321.17.

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Resumen La infección por Anisakidosis ha ido aumentando de forma insidiosa en España llegando a ser el segundo país con la incidencia más alta. Este tipo de infecciones no solo aparece por viajes a países extranjeros sino que también puede darse por ingesta de pescado crudo. Suele ser una infección insidiosa, sin síntomas específicos y es por ello que hay que tener una alta sospecha para su diagnóstico, sobretodo en los casos en los que se presenta en forma de urgencia intestinal como es nuestro caso. El órgano más comúnmente afectado es el estómago pero también puede afectar al intestino delgado, causando cuadros que simulan obstrucción intestinal e incluso perforación. Al no existir una prueba Gold estándar de urgencia, muchas veces será necesaria una laparotomía exploradora urgente, obteniendo el diagnóstico definitivo tras los hallazgos anatomopatológicos. Existen pocos casos en la literatura de anisakidosis intestinal, no obstante, creemos que hay que considerarla en los diagnósticos diferenciales ante cuadros de obstrucción intestinal dada su incidencia creciente. Presentamos el caso de un paciente de 37 años con cuadro de Obstrucción intestinal causada por una infección por Anisakis.

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26

Shaheen, Khaldoon, Naseem Eisa, Abdul Hamid Alraiyes, M. Chadi Alraies, and Srinivas Merugu. "Telescoping Intestine in an Adult." Case Reports in Medicine 2013 (2013): 1–4. http://dx.doi.org/10.1155/2013/292961.

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Protrusion of a bowel segment into another (intussusception) produces severe abdominal pain and culminates in intestinal obstruction. In adults, intestinal obstruction due to intussusception is relatively rare phenomenon, as it accounts for minority of intestinal obstructions in this population demographic. Organic lesion is usually identifiable as the cause of adult intussusceptions, neoplasms account for the majority. Therefore, surgical resection without reduction is almost always necessary and is advocated as the best treatment of adult intussusception. Here, we describe a rare case of a 44-year-old male with a diffuse large B-cell lymphoma involving the terminal ileum, which had caused ileocolic intussusception and subsequently developed intestinal obstruction requiring surgical intervention. This case emphasizes the importance of recognizing intussusception as the initial presentation for bowel malignancy.

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Joseph, Pauly T., Rajiv Sajan Thomas, and Sutharjivel V. "Proportion of colonic carcinoma in cases presenting with acute intestinal obstruction: a cross sectional study." International Surgery Journal 9, no. 1 (December 28, 2021): 81. http://dx.doi.org/10.18203/2349-2902.isj20215135.

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Background: Acute intestinal obstruction is one of the most common emergencies encountered by the general surgeon in routine practice. Although historically, obstructed hernia has been the most common cause, recent studies have shown that adhesive intestinal obstruction is now the commonest reason. Malignant bowel obstruction is also on the rise especially with the change in dietary habits. This study aims at identifying the proportion of colonic carcinoma in cases presenting with acute intestinal obstruction.Methods: The patients with acute intestinal obstruction which was diagnosed clinically and radiologically were studied. Based on operative and clinical findings along with investigation results, the etiology was identified. The patients having colonic neoplasms were identified and the data was compared with other etiological factors to find out the proportion of colonic carcinoma in the cases.Results: The proportion of colon cancer in patients presenting with acute intestinal obstruction was around 15%. The most common cause was obstructed hernia followed by post-operative adhesions. Males were more commonly affected than females. Most of the cases underwent operative management. The most common age group affected was around 50-60 years.Conclusions: This study confirms that there is a definite rise in the number of cases of colon cancer presenting as acute intestinal obstruction. There is also a skewing of the age at presentation towards younger age groups. Small bowel obstructions were much more common mainly due to adhesions and obstructed herniae.

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Nepomniashchyi, V. V. "Bowel decompression in the treatment of patients with acute colonic obstruction." Reports of Vinnytsia National Medical University 23, no. 3 (September 2, 2019): 420–24. http://dx.doi.org/10.31393/reports-vnmedical-2019-23(3)-14.

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According to literature data acute intestinal obstruction is characterized by a great number of neglected forms comprising 5–70% cases with the given pathology. A number of radiological signs in the way of Kloiber’s bowls and intestinal arches simply confirm this and testify of colon motor activity decompensation. To date there are no objective diagnostic criteria providing indications to intestinal decompression before the operation. Intestinal intubation, its types and indications to its fulfilment are based only on the experience and intuition of the operating surgeon. Aim — to define clinical efficiency of the intestinal wall impaired contractility diagnostics method in the treatment of patients with acute colonic obstruction. Medical histories analysis of 166 patients with obstructive intestinal obstruction was carried out. Assessment of intestinal motor activity compensation was carried out with the help of echographic criteria — the number of enlarged small bowel loops, intestinal lumen width, wall thickness, distance between Kerckring folds, number of peristaltic movements per minute. According to the suggested method 3 groups of patients were distinguished — with compensated motor activity (32 (19%) patients), with sub-compensated motor activity (61 (36.5%) patients) and with intestinal decompensated motor activity (73 (44.4%) patients). Wherein the greater number of patients with obstructive ileus (135 (81%) patients) got into the hospital with sub- and decompensated intestinal motor function. In the group of patients with compensated muscular tone intestinal decompression was not carried out, in the second group with sub-compensated intestinal tone decompression was carried out simultaneously in 13 (7.8%) patients, and in 9 (5.4%) a nasojunal probe was installed for 2–3 days, in the third group intestinal intubation was done in 63 (38%) patients. Post-operative mortality was 3.2%. Thus, echographic criteria allow establishing the degree of intestinal impaired motor function before the operation in patients with acute intestinal obstruction which decompression depends upon its state.

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Akbulut, Sami. "Unusual Cause of Intestinal Obstruction: Left Paraduodenal Hernia." Case Reports in Medicine 2012 (2012): 1–2. http://dx.doi.org/10.1155/2012/529246.

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Internal intestinal hernia has been defined as bulging of the intestines through a normal or an abnormal peritoneal or mesenteric opening. Paraduodenal hernias comprise 30%–53% of all internal intestinal herniations and account for 0.2%–0.9% of all bowel obstructions. In this paper, we aimed to present a male patient of 42 years of age who developed intestinal obstruction due to left paraduodenal hernias. Left paraduodenal hernia should be taken into consideration in the differential diagnosis in patients of relatively younger ages with no prior abdominal surgery who frequently have bowel obstruction episodes.

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Neto, J. Bartolomei, A. L. Vasconcelos, A. S. Ferreira, F. S. C. Santi, W. V. Lazarotto, and A. A. Novais. "Intussusception in cat: case report." Scientific Electronic Archives 13, no. 6 (May 29, 2020): 64. http://dx.doi.org/10.36560/1362020974.

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Intestinal obstruction is among the most common causes requiring surgical intervention in the small animal clinic. The more proximal and complete the obstruction, the more acute and intense the signs will be and the greater the likelihood of dehydration, electrolyte imbalance and even death. Among the causes of intestinal obstruction, intussusception may be the one with the highest prevalence. It is usually of idiopathic origin, has no racial and sexual predisposition, and its highest incidence is found in young animals. Predisposing factors are often associated, such as parasitism, gastroenteritis and foreign bodies where the treatment is usually surgical. In the present study we describe a case of a feline, female, one year and two months old with intestinal obstruction, presenting with four days' emesis, hypophagia, dehydration and apathy. This work aims to contribute to the knowledge and alert to a rapid differential diagnosis of intestinal obstructions which is a frequent and important disorder in the small animal clinic and is not always diagnosed in time.

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Ma., Bicane, Malaaynine Mf., Rabbani K., Louzi A., and Finech B. "TOURNIQUET APPENDIX: RARE ETIOLOGY OF ORGANIC ACUTE INTESTINAL OBSTRUCTION." International Journal of Advanced Research 9, no. 08 (August 31, 2021): 834–36. http://dx.doi.org/10.21474/ijar01/13334.

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Acute appendicitis is the most common surgical emergency. A bowel obstruction due to the appendicitis is in most cases functional with a paralytic ileus mechanical bowel obstructions are rare or exceptional. We describe a rare case of a mechanical bowel obstruction due to a strangulation of the last ileal loop by the appendix.

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32

Alam, ABM Khurshid, Kazi Lsrat Jahan, and Mohammad Ali. "Intestinal Obstruction: An Overview of Aetiology, Evaluation and Management." Journal of Surgical Sciences 17, no. 2 (October 30, 2019): 89–95. http://dx.doi.org/10.3329/jss.v17i2.43783.

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Intestinal obstruction occurs when there is an interruption in the forward flow of intestinal contents. This interruption can occur at any point along the length of the gastrointestinal tract, and clinical symptoms often depend on the level of obstruction. Intestinal obstruction is most commonly caused by intra-abdominal adhesions, malignancy, or intestinal herniation. The clinical presentation generally includes colicky abdominal pain, vomiting, abdominal distension and constipation. Radiologic imaging can confirm the diagnosis. Although radiography is often the initial study, non-contrast computed tomography is recommended if the index of suspicion is high or if suspicion persists despite negative radiography. Management of uncomplicated obstructions includes fluid resuscitation with correction of metabolic derangements, intestinal decompression, and bowel rest. Evidence of vascular compromise or perforation, or failure to resolve with adequate bowel decompression is an indication for surgical intervention. Journal of Surgical Sciences (2013) Vol. 17 (2): 89-95

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33

Vinocur, Daniel N., Edward Y. Lee, and Ronald L. Eisenberg. "Neonatal Intestinal Obstruction." American Journal of Roentgenology 198, no. 1 (January 2012): W1—W10. http://dx.doi.org/10.2214/ajr.11.6931.

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34

Ouédraogo, I., A. Wandaogo, É. Bandré, É. Balima, F. Ouédraogo, W. T. Tapsoba, O. Soré, B. Béré, and R. A. F. Kaboré. "Acute intestinal obstruction." Médecine et Santé Tropicales 23, no. 3 (July 2013): 267–68. http://dx.doi.org/10.1684/mst.2013.0221.

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35

Coulie, MD, PhD, Bernard, and Michael Camilleri, MD. "INTESTINAL PSEUDO-OBSTRUCTION." Annual Review of Medicine 50, no. 1 (February 1999): 37–55. http://dx.doi.org/10.1146/annurev.med.50.1.37.

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36

Kamm, M. A. "Intestinal pseudo-obstruction." Gut 47, no. 90004 (December 1, 2000): 84iv—84. http://dx.doi.org/10.1136/gut.47.suppl_4.iv84.

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37

Goldberg, Susan M. "Identifying intestinal obstruction." OR Nurse 2, no. 3 (March 2008): 21–27. http://dx.doi.org/10.1097/01.orn.0000313205.39713.10.

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Goldberg, Susan M. "Identifying intestinal obstruction." Nursing Critical Care 3, no. 5 (September 2008): 18–23. http://dx.doi.org/10.1097/01.ccn.0000336351.38943.33.

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&NA;. "Identifying intestinal obstruction." Nursing Critical Care 3, no. 5 (September 2008): 23–24. http://dx.doi.org/10.1097/01.ccn.0000336352.38943.e8.

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Reyes, Hernan M., Janet L. Meller, and Deborah Loeff. "Neonatal Intestinal Obstruction." Clinics in Perinatology 16, no. 1 (March 1989): 85–96. http://dx.doi.org/10.1016/s0095-5108(18)30656-0.

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Mucha, Peter. "Small Intestinal Obstruction." Surgical Clinics of North America 67, no. 3 (June 1987): 597–620. http://dx.doi.org/10.1016/s0039-6109(16)44234-9.

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MEYER, WILLIAM R., BRUCE F. WALKER, HUGH W. RANDALL, DAVID H. VROON, and JEFFREY H. KOROTKIN. "Fetal Intestinal Obstruction." Southern Medical Journal 83, no. 2 (February 1990): 258–59. http://dx.doi.org/10.1097/00007611-199002000-00035.

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Goldberg, Susan M. "Identifying intestinal obstruction." Nursing 39, Fall (September 2009): 13–16. http://dx.doi.org/10.1097/01.nurse.0000364169.23180.7b.

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Carlson, Dorothy S., and Ellen Pfadt. "Postoperative intestinal obstruction." Nursing 40, no. 8 (August 2010): 72. http://dx.doi.org/10.1097/01.nurse.0000386598.46169.e0.

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Jatkar, Girish, Yogesh Singarwad, Surendra Bhuyar, and Vinod Rathod. "Study of Etiological Spectrums, Symptoms, and Management of Intestinal Obstruction Among Population in Central India." D Y Patil Journal of Health Sciences 12, no. 2 (April 2024): 41–45. http://dx.doi.org/10.4103/dypj.dypj_40_23.

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Abstract Introduction: Intestinal obstruction has emerged as a challenging emergency putting unwanted financial as well as clinical burden globally. A study on etiology, symptoms, and management could benefit in treating larger population of the region. Aim: The study aimed to study the demography, etiology, symptoms, and management of intestinal obstruction among a population in central India. Materials and Methods: A single-center prospective observational study of intestinal obstruction was done among patients admitted to various surgical wards, during the period from January 1, 2018, to May 31, 2019. Here, we studied 50 cases of intestinal obstruction. Patients belonged to the age groups ranging from 15 to 85 years were included. Patients were selected on the basis of clinical history, physical findings, and radiological and hematological investigations. For statistical analysis, Chi-square and Fisher exact tests were performed. Results: There were a total of 12,233 admissions among which 228 cases were acute intestinal obstruction, we randomly selected 50 cases for the present study. Males were 72% (n = 36) and females were 28% (n = 14). The age groups 31–40 (20%) and 51–60 (20%) showed the highest incidence. Postoperative adhesions (40%), obstructive hernia (30%), and malignancy (14%) were the major causes of obstruction. Surgical intervention was carried out with release of adhesions in majority of cases (40%), resection anastomosis in 22%, and release of adhesions with herniorrhaphy in 18% of cases. Pain in the abdomen was a major symptom (88%) among the cases. The mortality rate was 14% of the total subjects involved in the study. Conclusion: Acute intestinal obstruction remains an important surgical emergency in the surgical field, success in the treatment depends largely upon early diagnosis and proper management and treatment of pathological effects of the obstruction. Postoperative adhesions are one of the main causes responsible for intestinal obstruction.

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Mamchich, V. I., N. D. Bondarenko, and M. A. Chaika. "New in the problem gallstone bowel obstruction." Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery 25, no. 1 (March 18, 2020): 62–68. http://dx.doi.org/10.16931/1995-5464.2020162-68.

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Aim. To identify the frequency of gallstone ileus based on the surgical experience of the Kiev region in patients with acute calculous cholecystitis and acute intestinal obstruction. To evaluate the capabilities of the gallstone ileus diagnosis algorithm for correct topical diagnosis before surgery.Materials and methods. For 2004–2018, 13713 patients with acute cholecystitis and 3609 patients with acute intestinal obstruction were hospitalized. In 0.64% of cases, gallstone ileus was diagnosed in patients with acute calculous cholecystitis, in 0.41% in choledocholithiasis, and in 2.4% in its complex forms. In 0.73% gallstone ileus was detected during operations for acute intestinal obstruction and in 1.12% for its obstructive form.Results. A total of 25 patients with gallstone intestinal obstruction underwent surgery. In the topical diagnosis of gallstone intestinal obstruction, X-ray contrast methods dominate. During surgical procedure, only with pyloroduodenal variants of obstruction, cholecystectomy is performed simultaneously with the elimination of obstruction. In other situations, cholecystectomy is performed after 3–8 months. Of the 25 patients, 4 patients died due to ascending cholangitis, peritonitis due to bile leakage, and severe co-morbidities.Conclusion. The use of the algorithm of advanced diagnostic methods allows you to receive a diagnosis in most patients. The most valuable in topical diagnostics are contrast methods. New in gallstone ileus is the migration of gallstone after endoscopic papillosphincterotomy with mechanical lithotripsy for choledocholithiasis, especially with its complex forms. In our opinion, all types of gallstone ileus can be combined into Bartolin-Bouveret syndrome, which first described this variant of mechanical intestinal obstruction.

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Grigorean, Valentin Titus, Anwar Erchid, Ionuţ Simion Coman, and Mircea Liţescu. "Colorectal Cancer—The “Parent” of Low Bowel Obstruction." Medicina 59, no. 5 (May 2, 2023): 875. http://dx.doi.org/10.3390/medicina59050875.

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Introduction: Despite the improvement of early diagnosis methods for multiple pathological entities belonging to the digestive tract, bowel obstruction determined by multiple etiologies represents an important percentage of surgical emergencies. General data: Although sometimes obstructive episodes are possible in the early stages of colorectal cancer, the most commonly installed intestinal obstruction has the significance of an advanced evolutionary stage of neoplastic disease. Development of Obstructive Mechanism: The spontaneous evolution of colorectal cancer is always burdened by complications. The most common complication is low bowel obstruction, found in approximately 20% of the cases of colorectal cancer, and it can occur either relatively abruptly, or is preceded by initially discrete premonitory symptoms, non-specific (until advanced evolutionary stages) and generally neglected or incorrectly interpreted. Success in the complex treatment of a low neoplastic obstruction is conditioned by a complete diagnosis, adequate pre-operative preparation, a surgical act adapted to the case (in one, two or three successive stages), and dynamic postoperative care. The moment of surgery should be chosen with great care and is the result of the experience of the anesthetic-surgical team. The operative act must be adapted to the case and has as its main objective the resolution of intestinal obstruction and only in a secondary way the resolution of the generating disease. Conclusions: The therapeutic measures adopted (medical-surgical) must have a dynamic character in accordance with the particular situation of the patient. Except for certain or probably benign etiologies, the possibility of colorectal neoplasia should always be considered, in low obstructions, regardless of the patient’s age.

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Lad, Vipul, Girish Bochiya, and Vasu Tailor. "Surgical management of acute intestinal obstruction study of 50 cases operated in emergency." International Surgery Journal 10, no. 4 (March 31, 2023): 569–73. http://dx.doi.org/10.18203/2349-2902.isj20230957.

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Background: Intestinal obstruction is one the major cause that patients underwent emergency operations and which might lead to complications that could be turn fatal. Prompt evaluation and treatment prevents mortality and morbidity of post-operative patients. Methods: Prospective study conducted between 01 April 2020 to 31 March 2022 in 50 patients of intestinal obstruction operated in emergency according to inclusion criteria. Pre-operative, intraoperative, and post-operative assessment and recording of data done. Results: In 50 cases of intestinal obstruction, commonest age group is 41 to 60 years, pain and obstipation remains major presenting symptoms and tenderness, guarding and rigidity were most common signs. The commonest cause of intestinal obstruction in the adults in this study was postoperative adhesions (44%) followed by Koch’s abdomen (30%). Malignancy of the large bowel was seen in 6 cases constituting 12% of cases, obstructed hernia in 5 cases (10%), intussusception in 3 cases (6%) and gut malrotation in 1 case (2%). Comorbidity like hypertension and diabetes were main causes of post-operative complications. Conclusions: Maximum incidence of intestinal obstructions were reported in Age group 41-60 years with male predominance. Abdominal pain was the consistent symptoms followed by obstipation. Post-operative adhesion were the most common cause of the intestinal obstruction. Malignancy and multiple comorbidity remains the major risk factor for the post-operative complications and mortality.

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Ahmed Al-Jumaili, Dr Waleed Khalid, Dr Ali Abdulhussein Sabri Al Edani, and Dr Adil Abdulmajeed Hassan. "Analysis of the Causes of Intestinal Obstruction in Children to See the Impact of the Results on Healthy Life." Aug-Sep 2023, no. 35 (August 18, 2023): 19–26. http://dx.doi.org/10.55529/jhtd.35.19.26.

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Background: Intestinal obstruction, which affects patients of all ages, is described as a stoppage of the forward passage of contents inside the intestinal lumen. Aim: This paper aims to analysis of the causes of intestinal obstruction in children to see the impact of the results on healthy life. Patients and methods: This study was detected the causes of intestinal obstruction and how the effect on children as well as to see the impact of the results on healthy life conducted in different hospitals in Iraq from 14th January 2021 to 7th March 2022 with 42 cases for intestinal obstruction of children patients who under 14 years. The methodology outcomes were designed and analysed by the SPSS program. Results and discussion: Intestinal obstruction is a prevalent issue in the field of paediatric surgery, affecting children of various age groups. In contrast, previous studies have reported the highest incidence of intestinal obstruction to be under the age of one to two years old; however, our findings indicate that it is predominantly observed in children under the age of 14, with peak occurrence in infancy, consistent with similar reports documented in other regions of the country. Interestingly, only two patients, which accounted for a mere 1.54% of the sample, manifested obstructed umbilical hernia. In this study, a greater frequency of postoperative complications related to sepsis was observed. Predominantly, surgical infection was the most prevalent, followed by Septicemia and postoperative pyrexia as the other common occurrences. Conclusion: The study found that most impacted of intestinal obstructions are more common and that these acquired causes are mostly upper gastrointestinal in origin. In comparing with the last studies, the pattern and clinical presentation of intestinal obstruction are similar across Iraq. The negative outcomes of complications refer that Surgical infection (20%) and Postoperative fever (16%) got the high impact on children that occur with 36 % of patients after the operation was conducted.

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Popivanov, G., D. Stoyanova, A. Fakirova, M. Konakchieva, D. Stefanov, K. Kjossev, and V. Mutafchiyski. "Ileus caused by small bowel, ileocaecal and rectal endometriosis misdiagnosed as Crohn’s disease and managed by synchronous ileocaecal and rectal resection." Annals of The Royal College of Surgeons of England 102, no. 8 (October 2020): e205-e208. http://dx.doi.org/10.1308/rcsann.2020.0118.

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The reported incidence of intestinal endometriosis varies between 22% and 37%, with bowel obstruction in only 2.3% of cases, but few series report acute obstruction. We report a rare case of acute bowel obstruction due to multiple bilateral deep intestinal endometriosis lesions localised in the ileum, ileocaecal valve and upper rectum, requiring synchronous resection in an emergency setting. A 42-year-old woman was referred to our clinic with a diagnosis of obstructing Crohn’s disease based on abdominal computed tomography with oral contrast showing a thickened terminal ileum with stenosis, compression of the caecum and proximally dilated small bowel loops. Simultaneous ileocaecal resection and segmental resection of the upper rectum with handsewn end-to-end anastomosis between the sigmoid colon and rectum was performed. Owing to the advanced bowel obstruction and significant weight loss, a double barrelled ileoascendostomy was created. The patient had an uneventful recovery. Histological examination revealed transmural endometriosis with involvement of the pericolic fat in both specimens. Although intestinal endometriosis causing acute bowel obstruction is rare, it should be included among the differential diagnoses in young women with recurrent abdominal pain, intermittent diarrhoea and constipation without a family history for inflammatory bowel disease or cancer. Bleeding synchronous with menstruation is not typical for intestinal endometriosis. Right-sided intestinal endometriosis more frequently causes acute bowel obstruction, in most cases due to intussusception.

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