Obstruction of the small or large bowel, paralytic ileus and pseudo-obstruction

Extract

• Acute mechanical intestinal obstruction should be identified and treated immediately. The treatment of imminent strangulation is particularly urgent (see also Acute abdomen in the adult Acute abdomen in the adult1).
• In paralytic ileus, conservative treatment should be started early enough.
• Treat pseudo-obstruction of the colon by removing air or with neostigmine + glycopyrronium medication.
• Adhesive small bowel obstruction is common especially in patients with a history of abdominal surgery.
• Paralysis of the small intestine and colonic pseudo-obstruction are often associated with surgical treatment or other severe disease.
• It is essential to identify those at risk of intestinal perforation and requiring immediate treatment.

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Search terms

Abdomen, Acute, Abdominal Pain, Colic, Colonic Pseudo-Obstruction, Constipation, Dehydration, Fluid Therapy, Gastroenterology, Ileus, Intestinal Obstruction, Intestinal Pseudo-Obstruction, K56*, K91.3, Megacolon, Neostigmine, Surgery, Vomiting, bowel sounds, intubation, gastrointestinal, mechanical ileus, obstructive ileus, rectal tube, strangulation