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[Ileus disease].

T Plusczyk1, M Bolli, M Schilling

  • 1Klinik für Allgemeine Chirurgie, Viszeral-, Gefäss- und Kinderchirurgie, Kirrbergerstrasse, 66421 Homburg/Saar, Deutschland. chtplu@uniklinikum-saarland.de

Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
|September 14, 2006
PubMed
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Intestinal obstruction, a blockage in the small or large intestine, requires prompt surgical intervention for complete cases. Non-operative management is suitable for incomplete obstructions, particularly post-operative adynamic ileus.

Area of Science:

  • Gastroenterology
  • Surgical Pathology

Context:

  • Intestinal obstruction presents as either mechanical or non-mechanical (adynamic ileus).
  • Common causes include adhesions and hernias in the small intestine, and carcinoma, diverticulitis, and volvulus in the large intestine.
  • Intestinal distension from gas and fluid accumulation is the primary mechanism leading to ileus and potential multiorgan failure.

Purpose:

  • To outline the pathophysiology of intestinal obstruction.
  • To differentiate between mechanical and non-mechanical causes.
  • To establish guidelines for surgical versus non-operative management based on obstruction type and location.

Summary:

  • Complete obstruction or strangulation necessitates surgery, preceded by fluid resuscitation and nasogastric decompression.

Related Experiment Videos

  • Delayed surgery is justifiable only for large intestine obstruction caused by colorectal carcinoma, provided patient well-being improves during resuscitation.
  • Incomplete obstructions, especially postoperative adynamic ileus or recurrent partial obstructions, can be safely managed non-operatively.

    • Impact:

    • Provides critical decision-making criteria for managing intestinal obstruction.
    • Highlights the importance of timely intervention to prevent complications like multiorgan failure.
    • Emphasizes tailored treatment strategies based on obstruction etiology and severity.