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Bowel obstruction

Professional Name Bowel obstruction

Summary

An Ileus is an intestinal obstruction. It can be caused by various mechanisms and often occurs as an emergency that requires immediate treatment in a hospital, due to the risk of life-threatening complications.

Description

Various factors can cause an intestinal obstruction. Adhesions in the abdominal region (e.g. following abdominal surgery in the past) or parts of the intestines rotating against each other can cause intestinal constrictions. This is called obstructive ileus. Various medications, operations or accidents can cause the digestive tract muscles to cramp or to be paralysed, stopping transport to the lumen. This is called functional ileus. An obstructive ileus can disrupt the blood supply or cause parts of the intestine to die. Both forms carry the risk of intestinal contents entering the systemic circulation (blood poisoning) and damages due to a higher level of bacteriologically produced poisons.

Occurrence + Symptoms

Depending on the ileus‘ location, different symptoms may occur, such as colic pain, flatulence, nausea and vomiting or a bloated and stretched abdomen. Displacement of fluids and salts from the body to the intestines can cause impairment of consciousness, cardiac arrhythmia or nausea. It can usually be diagnosed by ultrasound or and ex-ray of the abdomen; good anamnesis and examination can often clarify the causes.

Consequences + Treatment

The treatment depends on cause and severity of the condition. Most cases of obstructive ileus require surgical therapy to remove the blockage; functional ileus can sometimes be treated conservatively.

Possible symptoms of the disease:

abdominal pain ('stomach ache'), flatulence, wind, vomiting, hard defecation, nausea
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