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Vomiting The more distal the obstruction, the longer the interval between the onset of symptoms ...

Treatment of adhesions Initial management is based on intravenous rehydration and nasogastric dec...

Treatment of caecal volvulus At operation the volvulus is frequently found to be ischaemic and ne...

Treatment of intussusception In the infant with ileocolic intussusception, after resuscitation wi...

Supportive management Nasogastric decompression is achieved by the passage of a non-vented (Ryle)...

TREATMENT OF ACUTE INTESTINAL OBSTRUCTION There are three main measures used to treat acute intes...

TREATMENT OF ACUTE LARGE BOWEL OBSTRUCTION Large bowel obstruction is caused by an underlying car...

Postoperative intestinal obstruction Di ff erentiation between persistent paralytic ileus and earl...

Pseudo-obstruction This condition describes an obstruction, usually of the colon, that occurs in...

SPECIAL TYPES OF MECHANICAL INTESTINAL OBSTRUCTION Internal hernia Internal herniation occurs wh...

Other manifestations Dehydration Dehydration is seen most commonly in small bowel obstruc tion be...

PATHOPHYSIOLOGY Irrespective of aetiology or acuteness of onset, in dynamic (mechanical) obstru...

Pain Pain is the first symptom encountered; it occurs suddenly and is usually severe. It is colick...

Investigation Plain abdominal radiography confirms the presence of large bowel distension. All su...

Learning objectives To understand: The pathophysiology of dynamic and adynamic intestinal • obstr...

Obstruction from enteric strictures Small bowel strictures usually occur secondary to tubercu los...

Imaging in intussusception A plain abdominal field usually reveals evidence of small or large bow...

Imaging in volvulus /uni25CF In caecal volvulus, radiological abnormalities are iden tifiable in n...

Introduction No content extracted automatically.

Constipation This may be classified as absolute (i.e. neither faeces nor flatus is passed) or relat...