Definition
Intestine Blockage because it is caused by several cases, among others: Hernia Incarcerates, invagination, Adhesion / adhesions, volvulus / torsion, tumors / malignancies, bolus Worms. So there is a blockage in the intestinal tract
Pathfisiologi
Obstruction of mechanical ileus is an intestinal blockage that occurs because of the mechanics who work or affect the intestinal wall which cause narrowing / blockage of the bowel lumen. Consequently clogged, and it there is gas and liquids, especially in proximal areas. it would lead to stimulation of hyper secretion of digestive gland, which makes liquid and gas will increase.
The main symptoms are nausea, vomiting ileus obstruction, the obstruction lies generally high. Obstructions in the small intestine cause symptoms such as abdominal pain around umbilicus / the epigastrium. While the obstruction in the colon usually have a milder clinical symptoms than in small bowel obstruction. Generally, symptoms of constipation ended obstinacy and abdominal distension. Vomiting rarely occurs. At this early stage, normal vital signs. Along with the loss of fluid and electrolyte, there will be dehydration. At the advanced stage where the obstruction continues, peristaltic will weaken and disappear. The existence of feces mixed with blood on rectal examination touched can be suspected of malignancy and antisepsis.
Clinical symptoms
- Nausea and Vomiting
- Abdominal pain, stomach cramps
- Fasces sometimes accompanied by blood
Management
To handle cases of intestinal obstruction is the only way is through surgery, but the state of the intestine and the patient’s condition to determine which surgery will be applied. In general, the management of patients follows a fixed procedure. Preparation of business people walking together with obstructive ileus diagnosis is complete and accurate. Often with good patient preparation, obscure reduced or lost at once. Otherwise on some obstruction ileus, sometimes done gradually operative action, either by his illness itself or because of the situation of sufferers, for example in obstructive sigmoid Ca, first performed a colostomy alone , then the day performed bowel resection and anastomosis.
Video of Intestine Blockage Surgery
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