Overview
What causes small-bowel obstruction (SBO), and how common is it?
How are the symptoms of small-bowel obstruction (SBO) characterized?
What are the signs and symptoms commonly associated with small-bowel obstruction (SBO)?
What are the risk factors associated with small-bowel obstruction (SBO)?
Which adjunctive lab tests are used in the evaluation of small-bowel obstruction (SBO)?
Which lab tests are used to exclude biliary or hepatic disease in small-bowel obstruction (SBO)?
Which imaging study is used in the initial workup of small-bowel obstruction (SBO)?
What is the role of multislice CT scanning in the evaluation of small-bowel obstruction (SBO)?
What is the role of ultrasonography in the evaluation of small-bowel obstruction (SBO)?
What is the role of enteroclysis in the evaluation of small-bowel obstruction (SBO)?
When is surgical intervention indicated in the treatment of small-bowel obstruction (SBO)?
What is the incidence of small-bowel obstruction (SBO) and what are the causes of SBO?
Which abdominal surgeries are most commonly associated with small-bowel obstruction (SBO)?
What are the classifications of small-bowel obstruction (SBO)?
What is the pathophysiology of small-bowel obstruction (SBO)?
Which cause of small-bowel obstruction (SBO) is most commonly associated with strangulation?
How does bacteremia due to E coli occur in small-bowel obstruction (SBO)?
What is the most common cause of small-bowel obstruction (SBO)?
How can small-bowel obstruction (SBO) be prevented?
What is the prognosis of small-bowel obstruction (SBO)?
What is the mortality rate of strangulated small-bowel obstruction (SBO)?
Which cardiac and pulmonary complications are associated with small-bowel obstruction (SBO)?
Presentation
How are small-bowel obstructions (SBOs) characterized and what are the known complications?
What are common complaints of patients with small-bowel obstruction (SBO)?
How is a simple small-bowel obstruction (SBO) differentiated from an early strangulated obstruction?
DDX
What are the differential diagnoses for Small-Bowel Obstruction?
Workup
Which lab tests are indicated if the diagnosis of small-bowel obstruction (SBO) is unclear?
What are the limitations of X-ray imaging in the workup of small-bowel obstruction (SBO)?
Which radiographic findings indicate small-bowel obstruction (SBO)?
What is the role of enteroclysis in the workup of small-bowel obstruction (SBO)?
What is the role of CT enterography/CT enteroclysis in the workup of small-bowel obstruction (SBO)?
When is CT scanning the study of choice in small-bowel obstruction (SBO)?
What are the advantages of CT scanning in the workup of small-bowel obstruction (SBO)?
How is a small-bowel obstruction (SBO) demonstrated on CT scanning?
How accurate is CT scanning in the detection of a small-bowel obstruction (SBO)?
How accurate is MRI in the detection of a small-bowel obstruction (SBO)?
What are the advantages of MRI in the workup of small-bowel obstruction (SBO) in pregnancy?
What are the advantages of ultrasonography in the workup of small-bowel obstruction (SBO)?
Treatment
What is the initial emergency department (ED) treatment of small-bowel obstruction (SBO)?
What is the role of nasogastric (NG) suction in the treatment of small-bowel obstruction (SBO)?
What is the role of nonoperative treatment in the management of small-bowel obstruction (SBO)?
When is surgical care indicated in the treatment of small-bowel obstruction (SBO)?
What is the role of laparoscopy in the treatment of small-bowel obstruction (SBO)?
Medications
Which medications are used in the initial treatment of small-bowel obstruction (SBO)?
Which medications in the drug class Antiemetic are used in the treatment of Small-Bowel Obstruction?
Which medications in the drug class Analgesics are used in the treatment of Small-Bowel Obstruction?
-
Small bowel obstruction. Image courtesy of Ademola Adewale, MD.
-
Small bowel obstruction. Image courtesy of Ademola Adewale, MD.
-
Small bowel obstruction. Image courtesy of Ademola Adewale, MD.