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Bowel obstructions are commonly secondary to adhesions, hernias, or cancer. Bowel obstruction can be an emergency requiring immediate surgery. Original testing and imaging include blood tests for electrolyte levels, and abdominal X-rays or CT scans. Treatment often begins with IV fluids to correct electrolyte imbalances.
In small bowel obstruction about 25% require surgery. [6] Complications may include sepsis, bowel ischemia and bowel perforation. [1] About 3.2 million cases of bowel obstruction occurred in 2015 which resulted in 264,000 deaths. [3] [7] Both sexes are equally affected and the condition can occur at any age. [6]
Once a fistula has formed, a stone may travel from the gallbladder into the bowel and become lodged almost anywhere along the gastrointestinal tract. Obstruction occurs most commonly at the near the distal ileum, within 60 cm proximally to the ileocecal valve. [2] [3] Rarely, gallstone ileus may recur if the underlying fistula is not treated. [4]
The Hartmann's procedure with a proximal end colostomy or ileostomy is the most common operation carried out by general surgeons for management of malignant obstruction of the distal colon. During this procedure, the lesion is removed, the distal bowel closed intraperitoneally, and the proximal bowel diverted with a stoma .
Normal definitions of functional constipation include infrequent bowel movements and hard stools. In contrast, ODS may occur with frequent bowel movements and even with soft stools, [20] and the colonic transit time may be normal (unlike slow transit constipation), but delayed in the rectum and sigmoid colon. [2]
Benjamin died by suicide at age 27 in 2020, and Lisa Marie died three years later at age 54 of a small bowel obstruction, a long-term complication from bariatric surgery.
Bowel obstruction is most often caused by intestinal adhesions, which frequently form after abdominal surgeries, or by chronic infections such as diverticulitis, hepatitis, and inflammatory bowel disease. The condition may be difficult to diagnose, as the symptoms may resemble those of other bowel disorders. [5]
A bowel obstruction is generally a mechanical obstruction of the gastrointestinal tract and can occur anywhere from the Ligament of Treitz to the anus. When the obstruction affects only the small intestine, it is generally referred to as a small bowel obstruction to distinguish it from a colonic obstruction, which may or may not affect the ...
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