Obstruction ileus. Medical search. Frequent questions

The German Society of Gastroenterology, Digestive and Metabolic Diseases (DGVS) recommends obtaining CT scanning before considering endoscopic intervention to differentiate between mechanical obstruction and paralytic ileus/intestinal pseudo-obstruction. (medscape.com)
Known or suspected GI obstruction, including paralytic ileus. (renalandurologynews.com)
It could occur due to conditions like paralytic ileus, slow-transit constipation, and megacolon (Hirschprung s, Chagas). (medindia.net)
Paralytic ileus, a condition where the motility of the intestines is inhibited, results in pseudo obstruction and constipation. (medindia.net)
Had a post operative paralytic ileus at home, the worst pain I've ever experienced. (cancer.org)
In case of suspected or manifest intestinal paralysis (paralytic ileus) Vendal retard must be discontinued immediately. (who.int)

Congenital obstructive lesions of the intestines can be viewed as intrinsic (atresia, stenosis, meconium ileus, aganglionic bowel in Hirschsprung disease) or extrinsic (malrotation, congenital bands, internal hernias, duplications). (medscape.com)
This study was pursued as an extension of a randomized clinical investigation of neonatal screening for cystic fibrosis (CF). The objective was to determine if CF patients with meconium ileus (MI) were more likely to be malnourished compared with those without MI who were diagnosed during early infancy through neonatal screening. (nih.gov)
Common digestive symptoms include foul-smelling greasy stools, pale or clay-colored stools, poor weight gain/growth, meconium ileus, severe constipation, increased gas or bloating or a swollen belly, nausea, and loss of appetite. (fortherecordmag.com)
Imperforate anus and meconium ileus. (brainscape.com)
Meconium ileus is among the most common causes of intestinal obstruction in the newborn, accounting for 9-33% of neonatal intestinal obstructions. (medscape.com)
A possible meconium ileus diagnosis should raise the suspicion of CF in the fetus. (medscape.com)
Antenatal diagnosis of meconium ileus can be confirmed in 2 groups. (medscape.com)
In the low-risk group, the diagnosis is suspected when routine prenatal ultrasonography reveals the sonographic appearances of meconium ileus. (medscape.com)
Surgery is always indicated for complicated meconium ileus. (medscape.com)
Complicated meconium ileus requires resection more often than simple meconium ileus and always requires temporary stomas. (medscape.com)
Infants with meconium ileus are at risk for cholestasis, particularly if they have received or are receiving total parenteral nutrition (TPN). (medscape.com)

Gallstone disease is common, but gallstones are a rare cause of bowel obstruction. (tidsskriftet.no)

Pediatric small bowel obstructions have a variable etiology, with processes that can be divided into acute intestinal obstructions and chronic, partial intestinal obstructions. (medscape.com)
These conditions can be further subdivided into those that present in the immediate postnatal period (congenital intestinal obstructions) and those that occur later in childhood. (medscape.com)

Intestinal pseudo-obstruction is a condition in which there are symptoms of blockage of the intestine (bowels) without any physical blockage. (medlineplus.gov)
In intestinal pseudo-obstruction, the intestine is unable to contract and push food, stool, and air through the digestive tract. (medlineplus.gov)
Neostigmine may be used to treat intestinal pseudo-obstruction that is only in the large bowel (Ogilvie syndrome). (medlineplus.gov)
Most cases of acute pseudo-obstruction get better in a few days with treatment. (medlineplus.gov)
Colonic pseudo-obstruction occurs in the absence of a mechanical cause of obstruction. (medindia.net)

Delayed gastric emptying and postoperative ileus after nongastric abdominal surgery: part I. Am J Gastroenterol . (medscape.com)
Delayed gastric emptying and postoperative ileus after nongastric abdominal surgery: part II. (medscape.com)
I've used this in a bedside evaluation for patients who may have esophageal gastric outflow obstruction or achalasia , as well as in some of my patients as a prelude to further testing with timed barium swallow or EndoFLIP for post-achalasia treatment. (medscape.com)
Gastric emptying, when it's impeded either by obstruction or neuromuscular disorders with gastroparetic diseases, can create what was characteristically described as a succussion splash. (medscape.com)
Bouveret's Syndrome is a rare form of gallstone ileus in which an impaction of a gallstone in the duodenum results in a gastric outlet obstruction. (sages.org)
This case report looks at a patient with a gastric outlet obstruction from a gallstone, and discusses the current literature regarding diagnosis and management. (sages.org)
A subsequent CT scan revealed pneumobilia, and a large 2cm gallstone impacted in the first portion of the duodenum causing a gastric outlet obstruction. (sages.org)
May mask progressive ileus and/or gastric distention. (empr.com)

In the setting of acute pain and anxiety, patients with intestinal obstruction may swallow excessive amounts of air. (basicmedicalkey.com)
Gallstone ileus can have an acute, intermittent or chronic course. (tidsskriftet.no)

Rarely, patients with chronic strongyloidiasis have complained of arthritis, cardiac arrhythmias, and signs and symptoms consistent with chronic malabsorption, duodenal obstruction, nephrotic syndrome, and recurrent asthma. (cdc.gov)
Age, previous abdominal surgery, and chronic preoperative use of narcotics were independently correlated with postoperative ileus. (medscape.com)
Multidetector CT (MDCT) scanning has the potential to be an effective and reliable tool in the early identification of chronic gallstone perforation and ileus. (medscape.com)

Intrinsic or extrinsic small bowel obstruction leads to accumulating secretions that dilate the intestine proximal to the obstruction. (medscape.com)
Intermediate levels of obstruction involve the intestine from the midjejunum to the midileum. (basicmedicalkey.com)
Examples of closed-loop obstructions are torsion of a loop of small intestine around an adhesive band ( Fig. 49-2 ), incarceration of the bowel in a hernia, volvulus of the cecum or colon, or development of an obstructing carcinoma of the colon with a competent ileocecal valve. (basicmedicalkey.com)
The primary symptoms of a closed-loop obstruction of the small intestine are sudden, severe midabdominal pain and vomiting whereas symptoms of the large intestine are pain and sudden abdominal distention. (basicmedicalkey.com)
Bolus obstruction of the intestine. (msjonline.org)
an ultrasound had revealed thickening and distension of her small intestine due to a bowel obstruction. (cornell.edu)
Obstruction to the passage of stools in the intestines can be caused by conditions like cancer, stricture formation (an abnormal narrowing by fibrous or other tissues), foreign bodies, hernia and volvulus (twisting of the intestine). (medindia.net)
The definition of a " possible " small bowel obstruction (SBO) pattern is unequivocally the presence of dilated numerous gaseous and/or fluid-filled loops of the small intestine with a mild quantity of colonic gas, but the degree of distention of the small intestine relative to the colon is insufficient to render a conclusive diagnosis. (medicinenet.com)

This sequence may occur more rapidly in a closed-loop obstruction because there is no proximal escape for pressurized bowel contents. (medscape.com)
Proximal or "high" obstructions involve the pylorus, duodenum, and proximal jejunum. (basicmedicalkey.com)
Distal levels of obstruction arise in the distal ileum, ileocecal valve, and proximal colon whereas the most distant or "low" obstructions would arise in regions beyond the transverse colon. (basicmedicalkey.com)
An open-loop obstruction occurs when intestinal flow is blocked but proximal decompression is possible through vomiting. (basicmedicalkey.com)
Proximal obstruction of the large bowel may present as small bowel obstruction. (wikipedia.org)
The terminal ileum is the most common location for a calculus to cause obstruction followed by the proximal ileum, jejunum and duodenum/stomach respectively. (sages.org)

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)
Inflammatory markers such as interleukins 1 and 6 (IL-1, IL-6) and tumor necrosis factor alpha (TNF-a) could help identify early the presence of protracted postoperative ileus. (medscape.com)
Findings from a systematic review indicate that CT scanning with Gastrografin may have the best specificity and sensitivity for differentiating between postoperative ileus and other conditions, whereas clinical findings and x-ray studies were of limited value in the differential diagnosis. (medscape.com)
Livingston EH, Passaro EP Jr. Postoperative ileus. (medscape.com)
Holte K, Kehlet H. Postoperative ileus: a preventable event. (medscape.com)
Reducing the burden of postoperative ileus: evaluating and implementing an evidence-based strategy. (medscape.com)
Iyer S, Saunders WB, Stemkowski S. Economic burden of postoperative ileus associated with colectomy in the United States. (medscape.com)

Gallstone ileus accounts for approximately 2-3% of all cases of small bowel obstruction. (sages.org)
Bouveret's syndrome is a rare variant of gallstone ileus. (sages.org)
Findings on ultrasonography indicated gallstone ileus. (tidsskriftet.no)
Supplementary CT showed cholecystoduodenal fistula and small bowel obstruction, but the gallstone itself was not visible, probably due to lack of calcification. (tidsskriftet.no)
Gallstone ileus is rare, and radiological diagnosis can be challenging due to the often low radiopacity of gallstones. (tidsskriftet.no)

In order to highlight the pathophysiology, presentation, and natural history, however, it is useful to classify obstruction according to the location of the obstructing lesion. (basicmedicalkey.com)

Mechanical obstruction is the cause of about 5 to 15% of cases of severe abdominal pain of sudden onset requiring admission to hospital. (wikipedia.org)
Following reports of "severe" gastrointestinal issues like gastroparesis, CNN now reports that the FDA has decided to update the label for Ozempic to acknowledge one specific gastrointestinal disorder: Ileus. (bestlifeonline.com)
Pneumonia after severe colic can happen in some horses, particularly with cases of small intestinal obstruction. (cornell.edu)
The individuals in this group may have the reflex or reactive ileus related to a variety of events, such as trauma , severe illness, or urinary tract calculus, or they may have a low-grade obstruction that is difficult to diagnose clinically. (medicinenet.com)

however, it doesn't meet the criteria for a more precise diagnosis, such as a small bowel obstruction. (medicinenet.com)

Undiagnosed or improperly managed obstructions can progress to intestinal ischemia, which in turn can progress to necrosis, perforation, and sepsis when left untreated. (medscape.com)

Simple obstruction is most often due to adhesion ( A ), groin hernia ( B ), or neoplasm ( C ). The hernia can act as a tourniquet, causing a closed-loop obstruction and strangulation. (basicmedicalkey.com)
A closed-loop obstruction occurs when inflow to the loop of bowel and outflow from the loop are both blocked. (basicmedicalkey.com)

Smerieri N, Barbieri I, Fumagalli M, Luppi D, Lanaia A, Bonilauri S. A rare cause of mechanical bowel obstruction: ingested vinyl glove. (msjonline.org)
A common cause is a "mechanical" bowel obstruction. (doctorshealthpress.com)
Interestingly, a mechanical bowel obstruction can be the cause of a hyperactive bowel noise as well as a hypoactive bowel noise. (doctorshealthpress.com)

Depending on the level of obstruction, bowel obstruction can present with abdominal pain, abdominal distension, and constipation. (wikipedia.org)
Consider prophylactic laxative treatment when starting clozapine in patients with a history of constipation or bowel obstruction. (fda.gov)

Small bowel obstruction is visible on a plain radiograph caused by intussusception in a 5-month-old patient. (medscape.com)
Intussusception is the most common cause of intestinal obstruction in infants and children aged 3 months to 6 years. (medscape.com)

The term comes from how ileus causes the bowel to significantly slow or stop but without any physical blockage. (doctorshealthpress.com)

As shown in Table 49-2 , clinical symptoms and signs of obstruction (pain, vomiting, abdominal distention, and gas pattern on abdominal radiographs) vary with the level of obstruction. (basicmedicalkey.com)

Certain pathological conditions are associated with a higher risk for developing a bolus ileus, such as duodenal and small bowel diverticula. (msjonline.org)

Bowel obstruction, also known as intestinal obstruction, is a mechanical or functional obstruction of the intestines which prevents the normal movement of the products of digestion. (wikipedia.org)

Most commonly, obstruction is classified according to etiology. (basicmedicalkey.com)

First, lymphatic obstruction occurs because of the lower pressure in these vessels. (medscape.com)

Man så også en bred fistel mellom galleblæren og duodenum samt distenderte tynntarmsslynger i øvre abdomen. (tidsskriftet.no)

Small bowel obstructions are most often due to adhesions and hernias while large bowel obstructions are most often due to tumors and volvulus. (wikipedia.org)
In large bowel obstruction, the pain is felt lower in the abdomen and the spasms last longer. (wikipedia.org)

This is followed by venous obstruction, which accelerates edema formation because blood can enter the affected bowel segment but does not have a drainage route. (medscape.com)
it draws water from the bowel wall in to the lumen - this reduces the bowel wall edema and may help in resolution of the ileus. (medscape.com)

But if baby inhales it while in-utero, or if it causes an obstruction after birth, it can lead to potentially serious complications. (thebump.com)
Ileus can result from numerous sources including gastroenteritis, potassium deficiency, complications of abdominal surgery, mesenteric ischemia, abdominal infections like appendicitis, or certain narcotics. (doctorshealthpress.com)
Due to the risk of anticholinergic complications, caution should be used in patients susceptible to intestinal or urinary outlet obstructions. (janusinfo.se)

Life-threatening pneumatosis is often associated with ischemia to the bowel, obstruction, ileus, and toxic megacolon. (erasingdavid.com)

She developed ileus (transient decreased motility in the gut), followed by an aggressive case of pneumonia. (cornell.edu)

Some sort of GI obstruction or hypertrophic pyloric stenosis. (brainscape.com)

The surgical photograph depicts a transition zone in a patient with small bowel obstruction. (medscape.com)
A sampling of the many etiologies that can cause small bowel obstruction in children are discussed in greater detail below. (medscape.com)
In small bowel obstruction about 25% require surgery. (wikipedia.org)
Tinkly bowel sounds Tinkly bowel sounds as heard with a stethoscope in someone with a small bowel obstruction. (wikipedia.org)
In small bowel obstruction, the pain tends to be colicky (cramping and intermittent) in nature, with spasms lasting a few minutes. (wikipedia.org)
A food bolus can be an occasional cause of small bowel obstruction. (msjonline.org)
In this paper is presented a case of a 68-year-old female patient with food bolus, that caused a mehanical small bowel obstruction. (msjonline.org)
Operative versus non-operative management of adhesive small bowel obstruction: A systematic review and meta-analysis. (msjonline.org)
Normally in a small-bowel obstruction with associated hyperperistalsis, this increase is heard in the form of more frequent, higher-pitched sounds. (medscape.com)
According to a study, there are some patients whose abdominal radiographs do not exhibit 'normal,' 'possible small intestinal obstruction ,' or 'definite small bowel obstruction' gas patterns. (medicinenet.com)

In the same study, 44 percent of the responding physicians who got the report classified it as " normal ," 51 percent classified it as " normal or abnormal " and 5 percent classified it as abnormal, denoting either mechanical obstruction or adynamic ileus . (medicinenet.com)

It could be a result of electrolyte abnormalities, complication of surgery, obstruction in blood supply to the intestines, intra-abdominal infection, kidney or lung disease or the use of certain medications. (medindia.net)

In addition to decreased survival, peritoneal metastases (PMs) can significantly impact quality of life from the resulting ascites and bowel obstructions. (stanford.edu)

If a mass is identified, biopsy may determine the nature of the mass.[citation needed] Radiological signs of bowel obstruction include bowel distension and the presence of multiple (more than six) gas-fluid levels on supine and erect abdominal radiographs. (wikipedia.org)

This obstruction permits gas and secretions to accumulate in the loop without a means of decompression, proximally or distally. (basicmedicalkey.com)

Anatomy2

Diseases28

Analytical, Diagnostic and Therapeutic Techniques and Equipment5

Phenomena and Processes2

Information Science1

Paralytic6

Meconium ileus11

Rare cause of bowel obstruction1

Intestinal obstructions2

Pseudo-obstruction5

Gastric8

Acute2

Chronic3

Intestine8

Proximal6

Postoperative ileus9

Gallstone5

Pathophysiology1

Severe4

Diagnosis1

Perforation1

Closed-loop obstruction2

Mechanical bowel obstruction3

Constipation2

Intussusception2

Blockage1

Level of obstruction1

Duodenal1

Functional obstruction1

Etiology1

Occurs1

Duodenum1

Large bowel2

Edema2

Complications3

Megacolon1

Motility1

Stenosis1

Small10

Abnormal1

Intra-abdominal1

Ascites1

Radiological1

Secretions1