Intestinal Obstruction Lecture 4th Year.pdf.pdf

Intestinal Intestinal Obstruction Obstruction Definition...

Intestinal Intestinal Obstruction Obstruction Definition Types General Surgery Etiology Lecture 4th Year Path-physiology Clinical Presentation Complications Dr. Wisam Jamal, DES,DESC Associate Professor of General Surgery  Managment Consultant GI, Laparoscopic, Bariatric Surgeon Department of Surgery University of Jeddah - King Abdulaziz University Hospital Intestinal Obstruction Intestinal Obstruction Types: Definition: Small bowel Acute Benign When normal propulsion and passage of intestinal Large bowel Chronic Malignant content does not occur Mechanical Complete Where there is an impairment of the passage of Functional (ileus) Partial small/large bowel content through the GI tube  Intestinal Obstruction Intestinal Obstruction Etiology: Etiology: Small Bowel Obstruction Small Bowel Obstruction Mechanical Functional Mechanical Adhesions Hernia Intestinal Obstruction Intestinal Obstruction Etiology: Etiology: Small Bowel Obstruction Small Bowel Obstruction Mechanical Functional Mechanical Functional Adhesions Adhesions Post-Operative Hernia Hernia Drugs Intussusception Intussusception Electrolytes Disturbance Mickle’s Diverticulum Mickle’s Diverticulum Inflammatory Small bowel tumer Small bowel tumer Peritoneal carcinomatosis Peritoneal carcinomatosis  Intestinal Obstruction Intestinal Obstruction Etiology: Etiology: Large Bowel Obstruction Large Bowel Obstruction Mechanical Functional Mechanical Functional Cancer Diverticulitis Volvulus Intestinal Obstruction Intestinal Obstruction Etiology: Patophysiology: Large Bowel Obstruction Intestinal Gas Bacterial Overgrowth Mechanical Functional Cancer Intestinal Fluid Intestinal Blood Flow Ogilvie Syndrome Diverticulitis Intestinal Distention Intestinal Motility Volvulus Intestinal Pressure  Intestinal Obstruction Intestinal Obstruction Clinical Presentation Clinical Presentation Cardinal S & S Cardinal S & S History Vomiting Vomiting Ph. Examination Abdominal Pain Abdominal Pain Abdominal Distention Abdominal Distention Constipation (Obstipation) Constipation (Obstipation) Intestinal Obstruction Intestinal Obstruction Complications: Management Dehydration Investigations Electrolytes disturbance Bowel ischemia Perforation  Intestinal Obstruction Intestinal Obstruction Management Management Investigations Investigations Laboratory Imaging Studies CBC Abdominal X-ray (Er. /Sup.) U&E Intestinal Obstruction Intestinal Obstruction  Intestinal Obstruction Intestinal Obstruction Management Management Investigations Investigations Imaging Studies Imaging Studies Abdominal X-ray (Er. /Sup.) Abdominal X-ray (Er. /Sup.) CT Abdo-Pelv. (IV/ Oral +/- Rectal Contrast) Transition Zone Mass Ischemia Fluid