• Menzies D, Ellis H. Intestinal obstruction from adhesions--how big is the problem? (medscape.com)
  • The clinical diagnosis was small-bowel obstruction resulting from adhesions. (medscape.com)
  • In this case, we could (correctly) suggest that the obstruction may be due to adhesions as there is evidence of extensive previous surgery - note the anastomotic staple lines in the right iliac fossa and pelvis (arrows). (svuhradiology.ie)
  • Results: Postoperative adhesions were the cause of the obstruction in 44 patients. (tau.ac.il)
  • Unfortunately, post-surgical adhesions are widely regarded as the primary cause of bowel obstruction. (clearpassage.com)
  • Using no drugs and no surgery, this treatment has been shown to be safe and highly effective at reducing or eliminating adhesions and bowel obstructions. (clearpassage.com)
  • In several published studies housed by the National Institutes of Health (NIH) and the National Library of Medicine, Clear Passage® is the only hands-on therapy shown to decrease adhesions in the bowel. (clearpassage.com)
  • Background and aims: Approximately 75% of patients admitted with small bowel obstruction have intra-abdominal adhesions as their cause (adhesive small bowel obstruction). (unica.it)
  • Jejunal and ileal atresia are caused by in utero vascular insults, leading to poor recanalization of distal small bowel segments, a condition in which surgical resection and reanastamosis are mandatory. (wikipedia.org)
  • The efficacy of conservative management in this setting is a subject of debate, as it may delay the decision to perform surgery and increase the frequency of bowel resection (e.g., in the presence of bowel necrosis) or, in contrast, prompt an excessive number of unnecessary laparotomies. (biomedcentral.com)
  • small bowel resection was required in 198 (63·5 per cent) of these operations. (ntnu.no)
  • Thirteen patients (20%) required a small target incision for segmental resection. (tau.ac.il)
  • We used multivariable logistic regression to examine the relationship between the time from admission to operation with rates of 30-day mortality, serious complication, and bowel resection. (wustl.edu)
  • After adjusting for covariates, each additional day from admission to operation increased odds of serious complication (OR = 1.07, 95% CI = 1.03-1.11) and bowel resection (OR = 1.06, 95% CI = 1.03-1.98). (wustl.edu)
  • Without treatment, the abdominal pain can increase as a result of bowel perforation and ischemia. (medscape.com)
  • Abdominal distention is present in about 60% of patients with small-bowel obstruction (SBO). (medscape.com)
  • Accuracy of abdominal radiography in acute small-bowel obstruction: does reviewer experience matter? (medscape.com)
  • Abdominal X-ray demonstrating small bowel obstruction. (ajtmh.org)
  • Cluster of mildly dialted small bowel loops in the left lower quadrant which are slightly swirled and radially oriented toward the anterior abdominal wall, and notably hypoenhancing on the portal venous phase (almost blending in with the ascites). (radiopaedia.org)
  • The neonatal bowel obstruction is suspected based on polyhydramnios in utero, bilious vomiting, failure to pass meconium in the first day of life, and abdominal distension. (wikipedia.org)
  • Laboratory tests revealed a normal white-cell count, and an abdominal radiologic examination was suggestive of a complete small-bowel obstruction (Panel A). (manualofmedicine.com)
  • Ventral defect in abdominal wall in left para median infraumbilical location through which small bowel (distal jejunal loop), omental fat and properitoneal fat herniated out into a sac. (fortunepublish.com)
  • This plain abdominal radiograph of a 55-year-old woman presenting with features of intestinal obstruction shows dilated loops of the small bowel associated with thickened edematous valvulae conniventes and a strangulated left inguinal hernia (arrow). (medscape.com)
  • The abdominal radiograph shows dilated loops of small bowel, but the concentration of several loops of small bowel in the right hypochondrium should be noted as this finding is suggestive of malrotation. (medscape.com)
  • Those with obstruction due to abdominal wall hernia were included in this study. (ntnu.no)
  • Plain abdominal and chest radiography demonstrated several loops of dilated small bowel in the left upper quadrant but no evidence of free abdominal gas (Figure 1 ). (biomedcentral.com)
  • Patients who presented with small bowel obstruction due to primary tumours of the intestine (excluding left-sided colonic tumours) or disseminated intra-abdominal malignancy were included. (cardiff.ac.uk)
  • The abdominal computed tomography scan before surgery did not show the precise cause of intestinal obstruction. (msjonline.org)
  • Early small bowel obstruction as a complication of abdominal drain in colon cancer surgery: a case report and literature review. (bvsalud.org)
  • An abdominal computed tomography (CT) scan showed a dilated loop of the small intestine above the transition site with a drainage sonde and no dilation of the loop below the sonde. (bvsalud.org)
  • Once an EPSBO is considered, it is essential to think of the bowel obstruction caused by the drainage tube in the case of abdominal drainage . (bvsalud.org)
  • A CT scan of the abdomen showed dilated small bowel and spacer migration to the abdominal cavity (Figure 2 ). (biomedcentral.com)
  • Abdominal contents in the small intestine (Figure very useful to avoid its serious and lethal examination revealed abdominal ten- 1 A). Milking was performed by hand complications [10]. (who.int)
  • A small bowel obstruction occurs when the small intestine becomes cinched, preventing solid food from passing through the intestine. (clearpassage.com)
  • Noting the severe narrowing in the 'Before' images, her physician scheduled her for emergency surgery to remove and repair two obstructions in her intestine. (clearpassage.com)
  • Bolus obstruction of the intestine. (msjonline.org)
  • You had surgery to remove all or part of your small intestine (small bowel). (medlineplus.gov)
  • You may have problems with greasy or bad smelling stools or diarrhea if a large section of your small intestine was taken out. (medlineplus.gov)
  • Nonoperative measures using an oral water soluble contrast agent is a significant development in the management of patients with postoperative small bowel obstruction. (nih.gov)
  • Administration of an oral water soluble contrast agent in postoperative small bowel obstruction helps in the earlier resolution of the obstruction and decreases the length of hospital stay. (nih.gov)
  • This may be prolonged in two common clinical settings: postoperative ileus and small bowel obstruction. (uea.ac.uk)
  • This protocol describes the development of core outcome sets for gastrointestinal recovery in the contexts of postoperative ileus and small bowel obstruction. (uea.ac.uk)
  • This protocol describes the development of core outcome sets for gastrointestinal recovery in the contexts of postoperative ileus and small bowel obstruction.Method An international Steering Group consisting of patient and clinician representatives has been established. (uea.ac.uk)
  • The incidence and risk of early postoperative small bowel obstruction. (uthscsa.edu)
  • Early postoperative small bowel obstruction is a rare (0.69 percent incidence) but serious postoperative complication with a relatively high mortality rate (17.8 percent). (uthscsa.edu)
  • The clinical picture of a patient who initially manifests a return of gut function and advances to a diet, but then has loss of bowel function with distention and pain is most characteristic of early postoperative small bowel obstruction. (uthscsa.edu)
  • Dive into the research topics of 'The incidence and risk of early postoperative small bowel obstruction. (uthscsa.edu)
  • Early postoperative small bowel obstruction (EPSBO) is an obstruction that occurs within 4 weeks after the initial surgery . (bvsalud.org)
  • Obstruction series showed a non-specific gas pattern with mildly dilated bowel loops. (sages.org)
  • An obstruction series showed an increase in the dilation of loops of bowel with air fluid levels. (sages.org)
  • At this location a staple was found tethering the serosa of a small bowel loop to a mesenteric lymph node, with several loops of small bowel trapped beneath. (sages.org)
  • If, on contrast enema, reflux into the dilated distal small bowel loops can be achieved, the study is both diagnostic and therapeutic, as the ionic contrast medium can dissolve the meconium to allow passage of enteric content into the unused colon. (wikipedia.org)
  • There was twisting of bowel loop at neck of sac and proximal dilatation of duodenojejunal loops. (fortunepublish.com)
  • Distal bowel loops were predominantly collapsed. (fortunepublish.com)
  • The loops of the small bowel are dilated, and associated with small calcific nodules in the right iliac fossa are seen. (medscape.com)
  • This radiograph shows markedly distended loops of small bowel, with effacement of the valvulae in the mid abdomen. (medscape.com)
  • This PFA shows several moderately dilated small bowel loops in the centre of the abdomen. (svuhradiology.ie)
  • Several loops of dilated and oedematous small bowel are visible in the left upper quadrant of the abdomen. (biomedcentral.com)
  • Contrast-enhanced axial CT scan reveals clear distinction between normally enhanced ( arrows ) and unenhanced ( arrowheads ) collapsed small-bowel loops. (ajronline.org)
  • Typical findings of closed loop obstruction include clustered, dilated small bowel with mesenteric edema radially oriented toward the transition point due to it herniating through an adhesive band. (radiopaedia.org)
  • Adhesive small bowel obstruction after appendectomy in children: comparison between the laparoscopic and open approach. (childrensmercy.org)
  • Operative versus non-operative management of adhesive small bowel obstruction: A systematic review and meta-analysis. (msjonline.org)
  • Up to 70% of adhesive small bowel obstruction cases, in the absence of strangulation and bowel ischemia, can be successfully treated with conservative management. (unica.it)
  • However, emerging evidence shows that surgery performed early during the first episode of adhesive small bowel obstruction is highly effective. (unica.it)
  • The objective of this narrative review is to summarize the current evidence on adhesive small bowel obstruction management strategies. (unica.it)
  • Materials and methods: A review of the literature published over the last 20 years was performed to assess Who, hoW, Why, When, What, and Where diagnose and operate on patients with adhesive small bowel obstruction. (unica.it)
  • Results: Adequate patient selection through physical examination and computed tomography is the key factor of the entire management strategy, as failure to detect patients with strangulated adhesive small bowel obstruction and bowel ischemia is associated with significant morbidity and mortality. (unica.it)
  • Conclusion: Although most adhesive small bowel obstruction patients without suspicion of bowel strangulation or gangrene are currently managed nonoperatively, the long-term outcomes following this approach need to be analyzed in a more exhaustive way, as surgery performed early during the first episode of adhesive small bowel obstruction has shown to be highly effective, with a lower rate of recurrence. (unica.it)
  • Longer Trials of Non-operative Management for Adhesive Small Bowel Obstruction Are Associated with Increased Complications. (wustl.edu)
  • BACKGROUND: Current guidelines for the management of adhesive small bowel obstruction suggest a limited trial of non-operative management, often of 3-5 days. (wustl.edu)
  • Our objective was to evaluate the impact of time to operation on post-operative outcomes in patients who undergo operation following a trial of non-operative management for adhesive small bowel obstruction. (wustl.edu)
  • METHODS: We used health administrative data to identify patients with adhesive small bowel obstruction who underwent operative management following a trial of non-operative management from 2005 to 2014 in the province of Ontario, Canada. (wustl.edu)
  • RESULTS: Three thousand five hundred sixty-three patients underwent operation after a trial of non-operative management for adhesive small bowel obstruction. (wustl.edu)
  • Notice how the small bowel is difficult to distinguish from ascites on the portal venous phase due to ischemia. (radiopaedia.org)
  • Helical CT signs in the diagnosis of intestinal ischemia in small-bowel obstruction. (fortunepublish.com)
  • Bowel ischemia represents a process of insufficient blood supply of the small or large bowel with the consequences ranging from a transient, totally reversible attack to a lethally catastrophic event. (ajronline.org)
  • The laparoscopic management of small-bowel obstruction. (medscape.com)
  • We reviewed our experience with the laparoscopic approach to the management of small bowel obstruction (SBO). (tau.ac.il)
  • In a 2016 study , researchers found that the 30-day and 90-day mortality rates for 323 people undergoing emergency laparotomy for small bowel obstruction were 13% and 17%, respectively. (healthline.com)
  • In a 2018 study , researchers examined the outcomes of 9,991 people who underwent an emergency laparotomy between December 2013 and November 2015 to treat small bowel obstruction. (healthline.com)
  • At laparotomy she was discovered to have small bowel obstruction secondary to incarceration through a congenital band adhesion. (biomedcentral.com)
  • Radiological assessment and laparotomy revealed the presence of the spacer inside the small bowel lumen. (biomedcentral.com)
  • Limitations: Case Reports) discovered 49 reports of splenic injury, 14 cases of appendicitis, 10 cases of ischaemic colitis, 5 cases of small bowel perforation, 3 cases of cholecystitis, 3 cases of portal pyaemia, 2 cases of small bowel arterial thrombosis, 1 case of pancreatitis and 1 case of a ruptured iliac aneurysm following colonoscopy. (biomedcentral.com)
  • Changes in the character of the pain may indicate the development of a more serious complication (ie, constant pain of a strangulated or ischemic bowel). (medscape.com)
  • The most commonly known serious and lethal complication of A. lumbricoides infection is intestinal obstruction, caused by an aggregated mass of A. lumbricoides worms, which may develop acutely or subacutely [9]. (who.int)
  • The differential for low obstruction is ileal atresia, meconium ileus, meconium plug syndrome and Hirschsprung disease. (wikipedia.org)
  • In cases of meconium ileus or ileal atresia, the colon distal to the obstruction is hypoplastic, usually less than 1 cm in caliber, as development of normal colonic caliber in utero is due to the passage of meconium, which does not occur in either of these conditions. (wikipedia.org)
  • Certain pathological conditions are associated with a higher risk for developing a bolus ileus, such as duodenal and small bowel diverticula. (msjonline.org)
  • In the pediatric patient who develops an early small bowel obstruction after a laparoscopic appendectomy with use of an endoscopic stapler, a linear staple as a source should be included in the differential diagnosis. (sages.org)
  • Neonatal bowel obstruction (NBO) or neonatal intestinal obstruction is the most common surgical emergency in the neonatal period. (wikipedia.org)
  • Cases without distal gas are usually related to duodenal atresia, while high obstruction with distal gas need an upper gastrointestinal series because of the need to distinguish duodenal web, duodenal stenosis and annular pancreas from midgut volvulus, the latter being a surgical emergency. (wikipedia.org)
  • Small bowel obstruction (SBO) is a serious surgical condition associated with significant morbidity. (ntnu.no)
  • Objective To investigate the incidence and risk factors for small-bowel obstruction (SBO) after certain surgical procedures. (diva-portal.org)
  • In total 100 out of 205 patients underwent a surgical intervention for obstruction. (cardiff.ac.uk)
  • Regarding the surgical technique, laparoscopy should be used only in selected patients with an anticipated single obstructing band, and there should be a low threshold for conversion to an open procedure in cases of high risk of bowel injuries. (unica.it)
  • Emergency surgical treatment may be necessary in acute intestinal obstruction in which the mass of the parasite obstructs the intestinal lumen or intestinal obstruction develops due to volvulus [11]. (who.int)
  • No single accurate clinical picture exists to detect early strangulation of obstruction, although signs of peritonitis, elevated lactate levels, leukocytosis, and the presence of free air and pneumatosis coli are known complications. (medscape.com)
  • Patients may present in an emergency with bowel obstruction, incarceration or strangulation. (ntnu.no)
  • [ 3 ] The duodenal or proximal small bowel has less distention when obstructed than the distal bowel has when obstructed. (medscape.com)
  • We identified a transition point in the proximal small bowel. (sages.org)
  • Radiological impression of a ventral incarcerated hernia with proximal small bowel obstruction was made. (fortunepublish.com)
  • Intraoperative finding of bezoar causing bowel obstruction. (ajtmh.org)
  • Upon exploration, we found a primary small-bowel bezoar originating in a jejunal diverticulum and causing jejunal obstruction. (biomedcentral.com)
  • Gastrointestinal recovery describes the restoration of normal bowel function in patients with bowel disease. (uea.ac.uk)
  • Introduction Patients with cancer who develop small bowel obstruction are at high risk of malnutrition and morbidity following compromise of gastrointestinal tract continuity. (cardiff.ac.uk)
  • Of these patients, 50 had obstruction due to right sided colon cancer, 143 due to disseminated intraabdominal malignancy, 10 had primary tumours of the small bowel and 2 patients had gastrointestinal stromal tumours. (cardiff.ac.uk)
  • Zhu W. Prevention and management of intestinal obstruction after gastrointestinal surgery. (msjonline.org)
  • Early diagnosis of intestinal obstruction caused by A. lumbricoides using ultrasonography is very useful to avoid its serious and lethal complications [10]. (who.int)
  • Acute mechanical bowel obstruction: clinical presentation, etiology, management and outcome. (medscape.com)
  • Atri et al studied 99 adult patients who underwent 105 nonenhanced CTs and enhanced CTs and found that the 2 procedures had comparable accuracy in diagnosing mechanical small-bowel obstruction and that they can be interpreted by reviewers of varying expertise. (medscape.com)
  • Mechanical obstruction was present in 56% (59/105). (medscape.com)
  • Any patient in the high-risk group demonstrating this clinical picture should be presumed to have a mechanical small bowel obstruction, and early operation should be considered. (uthscsa.edu)
  • Smerieri N, Barbieri I, Fumagalli M, Luppi D, Lanaia A, Bonilauri S. A rare cause of mechanical bowel obstruction: ingested vinyl glove. (msjonline.org)
  • The end-points of the study were to evaluate the time interval between admission and relief of obstruction, the length of hospital stay and the need for surgery. (nih.gov)
  • Despite being potentially lifesaving, bowel obstruction surgery is associated with a high rate of death during surgery or shortly after the procedure. (healthline.com)
  • Keep reading to learn more about the survival rates of bowel obstruction surgery and factors that increase the risk of severe complications. (healthline.com)
  • What is the success rate of bowel obstruction surgery? (healthline.com)
  • People who require emergency bowel obstruction surgery tend to have a relatively high chance of death or complications either during surgery or shortly after. (healthline.com)
  • The chances of dying after receiving bowel obstruction surgery seem to be lower among younger people. (healthline.com)
  • Older adults tend to have poorer outlooks after bowel obstruction surgery than younger adults. (healthline.com)
  • In a 2021 study , researchers found that the death rate of bowel obstruction surgery was significantly higher in women than men over the age of 65. (healthline.com)
  • Besides age, one of the most important factors for determining the chances of surviving bowel obstruction surgery is how quickly treatment is begun. (healthline.com)
  • How long is a hospital stay after bowel obstruction surgery? (healthline.com)
  • The recovery period after bowel obstruction surgery can be long and difficult. (healthline.com)
  • Who needs bowel obstruction surgery? (healthline.com)
  • O'Daly et al conducted a retrospective review of 88 patients who had acute adhesional small-bowel obstruction and underwent CT, and 58 (66%) were managed conservatively and 30 (34%) underwent surgery. (medscape.com)
  • The images above show the ability of the Clear Passage®️ Approach to clear bowel obstructions without surgery. (clearpassage.com)
  • Bowel repair is the 2nd most common Emergency Surgery in the USA ( JAMA Surgery ). (clearpassage.com)
  • Data from the National Institutes of Health shows that nearly one in five (18.1%) patients are readmitted to the hospital within 30 days after bowel surgery. (clearpassage.com)
  • Images AFTER Clear Passage's hands-on treatment (only) show that the therapy cleared both obstructions - without surgery. (clearpassage.com)
  • Results 205 patients with malignant small bowel obstruction presented to emergency surgery services during the study period. (cardiff.ac.uk)
  • I was discharged from the hospital 10 days later when my bowels 'woke up' from surgery and all systems seemed to be functioning. (cdc.gov)
  • This revealed what they diagnosed as a small bowel obstruction, likely caused by the surgery. (cdc.gov)
  • In fact, this description represents a reperfused instead of a nonreperfused ischemic bowel because there should not be a lot of erythrocytes or plasma extravasating through the damaged and ruptured microvascular wall into the mucosa, submucosa, or bowel lumen if the arterial supply is severely reduced, either occlusively or nonocclusively, without a subsequent reperfusion taking place. (ajronline.org)
  • Careful exploration of the abdomen revealed that the spacer had completely migrated into the small bowel lumen. (biomedcentral.com)
  • Small component of left inguinal hernia. (radiopaedia.org)
  • The aim of this study was to describe current management and outcomes of patients with obstructed hernia in the UK as identified in the National Audit of Small Bowel Obstruction (NASBO). (ntnu.no)
  • Methods A prospective, multicentre cohort study of patients with small bowel obstruction who presented to UK hospitals between 16th January and 13th March 2017. (cardiff.ac.uk)
  • A short cut review was carried out to establish whether computed tomography (CT) is useful in the management of patients with suspected acute small bowel obstruction (SBO). (bmj.com)
  • Hirschsprung disease is due to an arrest in neural cell ganglia, leading to absent innervation of a segment distal bowel, and appears as a massively dilated segment of distal bowel on contrast enema. (wikipedia.org)
  • Operative note edited excerpt: "We found a hemorrhagic segment of infarcted small bowel in left lower abdomen. (radiopaedia.org)
  • The most common causes of acute abdomen are acute appendicitis, acute peptic ulcer, acute cholecystitis, acute pancreatitis, intestinal obstruction, acute peritonitis and acute pyelonephritis [8]. (who.int)
  • The aim of this report is to present a case of bowel obstruction caused by A. lumbricoides as a cause of acute abdomen in one governorate in Egypt. (who.int)
  • The rate is between 10% and 20% for large bowel obstruction. (healthline.com)
  • More than 70% of small bowel obstructions are successfully treated with conservative methods. (healthline.com)
  • Signs of distal small bowel and/or colonic distension are usually expressed in the periumbilical region. (medscape.com)
  • In this report, the intestinal obstruction occurred due to an adhesion and an entrapment in bone tissue, making this work the first report. (vin.com)
  • Computed tomography showed small-bowel obstruction by an intraluminal mass (Panel B, arrow). (manualofmedicine.com)
  • This report describes a case of 60-year-old man who had undergone radiotherapy two years earlier for a recurrent rectal tumor and presented with small bowel obstruction. (biomedcentral.com)
  • He opted to receive radiotherapy, but this proved difficult due to the close proximity of the recurrent tumor to the small bowel in the pelvic cavity. (biomedcentral.com)
  • To prevent exposure of the small bowel to the irradiation, a polytetrafluoroethylene spacer measuring 15 × 10 cm was placed between the tumor and small bowel. (biomedcentral.com)
  • Spacer placement to physically separate the small bowel from the recurrent tumor can reduce the bowel radiation dose. (biomedcentral.com)
  • In Group A, 14 patients had relief of obstruction after administration of the contrast material, and the mean time for relief of obstruction was 7.47 hours. (nih.gov)
  • In Group B, 18 patients had relief of obstruction and the time interval was 35.20 hours (p-value is less than 0.001). (nih.gov)
  • Conventional plain radiography (see the images below) is the investigation of choice for patients with suspected small-bowel obstructions. (medscape.com)
  • A review of medical literature explains the serious and complex problems bowel obstructions create for physicians and their patients. (clearpassage.com)
  • A large (Phase 2) controlled study authored by physicians from Stanford and Washington University medical schools examined repeat obstructions for patients who received the therapy vs. those who did not. (clearpassage.com)
  • Twenty hours of Clear Passage® therapy (generally given over five days) decreased repeat bowel obstructions by several times the norm for patients who received the treatment vs. those who did not receive therapy. (clearpassage.com)
  • They are seen only in patients with underlying small-bowel diseases such as diverticula, strictures, or tumors. (biomedcentral.com)
  • Les lésions élémentaires mises en évidence étaient : zone transitionnelle (36 patients), signe du fèces (28 patients), signe du bec (06 patients), signe du tourbillon (11 patients), signes de gravité (36 patients). (bvsalud.org)
  • Sometimes, the ischemic event persists long enough without reperfusion and becomes destined to its final outcome: necrosis of the whole bowel wall. (ajronline.org)
  • Phytobezoar specimens extracted from the bowel. (ajtmh.org)
  • Wild banana plant Musa balbisiana native to Southeast Asia depicting large seeds capable of causing intestinal obstruction through formation of phytobezoar. (ajtmh.org)
  • Small-bowel obstruction caused by phytobezoar. (lvhn.org)
  • For this purpose, spacer placement between the small bowel and local recurrent rectal tumors before the application of radiotherapy is becoming a prevalent procedure. (biomedcentral.com)
  • In small-bowel obstruction imaging, certain radiologic investigations can be used to confirm the diagnosis and severity of the obstruction, but not its etiology. (medscape.com)
  • A small blockage can cause gas to build up, creating significant pain. (clearpassage.com)
  • In radiotherapy for locally recurrent rectal cancer, the small bowel is the major dose-limiting structure. (biomedcentral.com)
  • His bowel sounds were sluggish, and rectal examination revealed an empty rectum with no palpable mass. (biomedcentral.com)
  • During embryogenesis, abnormal adhesion of the peritoneal folds induces a congenital band which can cause small bowel obstruction. (vin.com)