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Bowel Obstruction
2.78mb ppt, Mann
*Previously recorded lectures may not correspond directly to the most recent faculty lecture, but content should be intact.
Lectures › Bowel Obstruction
Bowel Obstruction
Clinical presentation - nausea, vomiting, crampy abdominal pain
Work-up - including highlights of physical exam abnormalities, electrolyte abnormalities, choice of resuscitation fluids, interpretation of radiologic data
Differential diagnosis - site and etiology of obstruction
- gastric - peptic ulcer, cancer, hiatal hernia
- small bowel - adhesions, hernia (umbilical, ventral, inguinal, femoral), regional enteritis
- colonic - cancer, diverticulitis, volvulus
Treatment - non-operative vs operative: when to intervene
- gastric: bypass vs resection
- small bowel: lysis of adhesions, hernia reduction & repair regional enteritis = special case
- colo-rectal: resection ± re-anastamosis (bowel prep?)
- cancer: intra-operative stage vs pathologic stage and prognosis sites of metastasis, post-operative follow-up
- diverticulitis: who gets a resection and when
Will NOT be discussed/ Outside reading recommended
- Small bowel neoplasm
- Meckel's diverticulum