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

The following topics will NOT be discussed, therefore outside reading is recommended:

  • Small bowel neoplasm
  • Meckel's diverticulum

Lecture Notes

Bowel Obstruction pdf (Mann)

Lectures Online

Bowel Obstruction via Mediasite

*Previously recorded lectures may not correspond directly to the most recent faculty lecture, but content should be intact.