EARLY FLUID REPLACEMENT IN BOWEL OBSTRUCTION - EFFECTS ON MORTALITY

Bowel Obstruction in the First Month of Life

Background: The aim of this study was to analyze the etiology, symptom frequency, management, and surgical outcome of gastrointestinal obstruction in the first month of life.Methods: A total of 72 neonates with gastrointestinal obstruction were reviewed over a period of 16 months.Results: The male to female ratio was 2.4:1. In this study, 75% of the neonates were presented in the fi...

Bowel obstruction and pseudo-obstruction.

The gastroenterologist is frequently involved in the care of patients with bowel obstruction and pseudo-obstruction. In the case of obstruction, the central problem is determining which patients should be managed surgically. In both SBO and LBO, evidence of vascular compromise to the gut mandates surgical intervention. Most patients with pseudo-obstruction respond to conservative therapy or neo...

Abdominal Drain Causing Early Small Bowel Obstruction After Laparoscopic Colectomy

We report a rare drain-related complication leading to small bowel obstruction after laparoscopic colectomy. An 82-year-old man developed small bowel obstruction on the second day after laparoscopic anterior resection. Emergency relaparoscopy found herniation of the small bowel mesentery into the side holes of the silicon intraabdominal drain, which led to a 90-degree acute turn of the small bo...

Abdominal Drain-Associated Early Postoperative Small Bowel Obstruction

When the sun can set on an unoperated bowel obstruction: management of malignant bowel obstruction.

Mr XY is a 75-year-old man with known recurrent rectosigmoid adenocarcinoma in the pelvis. He had an emergency Hartmann’s procedure 2 years earlier for a bowel perforation caused by tumor. The patient had been offered a surgical intervention 3 months earlier for the recurrent pelvic mass visualized on CT, but he declined any additional surgical intervention. No metastatic disease was noted at t...