nutritional status is very important especially in older adults because of its effects on quality of life. phytobezoar, for instance, that can lead to small bowel obstruction has risk factors such as excessive consumption of foods with high fiber content and inadequate chewing. these factors are related to dietary habits. furthermore, aging process and some of related physiologic changes can pr...

KEY CLINICAL MESSAGE Gallstone ileus is a rare complication of cholelithiasis, but an established cause of mechanical small bowel obstruction in elderly patients. It is associated with high morbidity and mortality as most patients are elderly with multiple comorbidities. Surgery of choice is enterolithotomy.

U 'NLESS there is a compelling contraindication, most surgeons prefer exteriorization to resection and the performance of primary anastbiplosis in the presence of strang-dating obstruction of the small intestine. The chief compelling indication for a primary anastomotic procedure instead of exteriorization has been considered a high situation of the lesion, a situation in which intestinal fistu...

A QUARTER OF A CENTURY AGO Lockwood et al. introduced a report on acute small intestine obstruction by remarking that, “The literature abounds in the description and discussion of acute small intestinal obstruction. The entity is well known; its cure is absolute; yet the mortality continues to be high.” ” Since “high” is relative I can use the same introduction for this paper. That the mortalit...

Abstract Background Adhesive small bowel obstruction (aSBO) is a common surgical emergency causing high morbidity and even some mortality. The adhesions such obstructions (SBO) are typically the footprints of previous abdominal surgeries. National Audit Small Obstruction (NASBO) recommended that in patients not needing surgery for aSBO, gastrografin should be embedded clinical management. An au...

Early detection of signs of strangulation in case of acute small bowel obstruction is critical because it mandates an operation. Therefore the role of different radiological techniques used for diagnosing strangulating small bowel obstruction has been discussed here. Strangulation remains a major problem in patients with acute small bowel obstruction. Despite of having several radiological diag...