Öz
Mechanical obstruction of the small intestines is the most common cause of surgical intervention. The main cause of obstruction is adhesion due to previous surgery. The other reasons of obstruction are hernias, malignancy, Crohn disease and volvulus. Mortality increases with age and if it is complicated with strangulation. When adhesions are suspected as a cause conservative treatment is the preferred way. 80% of the cases resolve in 48 hours if medical therapy is to be succesfull. Surgery must be carried out without delay if strangulation is suspected
Anahtar Kelimeler
Kaynakça
- Güner A, Keçe C, Boz A, Kahraman İ, Reis E. A rare cause of small bowel obstruction in adults: persistent omphalomesenteric duct. Ulus Travma Acil Cerrahi Derg. 2012;18 (5):446-448.
- Karakoç D, Hamaloğlu E. İntestinal Obstrüksiyonlar. Türkiye Klinikleri J Surg Med Sci. 2006;2(15):51-63.
- Sarraf-Yazdi S, Shapiro ML. Small bowel obstruction: the eternal dilemma of when to intervene. Scand J Surg. 2010;99(2):78-80.
- Welch JP. General consideration and mortality in bowel obstruction. In:Welch JP, editor. Bowel obstruction: differential diagnosis and clinical management. Philadelphia: Saunders; 1990. p. 59–95.
- Bizer LS, Leibling RW, Delany HM, Gliedman ML. Small- bowel obstruction: the role of nonoperative treatment in simple intestinal obstruction and predictive criteria for strangulation obstruction. Surgery. 1981;89(4):407–13.
- Ellis H. The clinical significance of adhesions: focus on intestinal obstruction. Eur J Surg. 1997;(577):163:5.
- Menzies D, Ellis H. Intestinal obstruction from adhesions; how big is the problem? Ann R Coll Surg Engl. 1990; 72(1):60-63.
- Kendrick ML. Partial small bowel obstruction: clinical issues and recent technical advances. Abdom Imaging. 2009;34(3):329–34. AKTÜRK ve ark.
- İnce Barsak Tıkanıklığı Bozok Med J 2015;5(3):51-4
Öz
ÖZET
İnce barsakların en sık cerrahi gerektiren hastalığı ince barsak tıkanıklığıdır. İnce barsak tıkanıklığının en sık sebebi daha önceki operasyonlara bağlı adezyonlardır. Tıkanıklığın diğer sebepleri herni, malignansi, Crohn hastalığı ve volvulustur. Mortalite yaş ve strangülasyonla birlikte artar. Adezyondan şüphelenildiğinde konservatif tedavi tercih edilen yöntemdir. Eğer medikal tedavi başarılı olacak ise %80 oranında ilk 48 saat içinde cevap alınır. Eğer strangülasyon şüphesi mevcut ise gecikmeksizin cerrahi uygulanmalıdır.
Anahtar kelimeler: İnce barsak; İntestinal obstrüksiyon; Tanı
ABSTRACT
Mechanical obstruction of the small intestines is the most common cause of surgical intervention. The main cause of obstruction is adhesion due to previous surgery. The other reasons of obstruction are hernias, malignancy, Crohn disease and volvulus. Mortality increases with age and if it is complicated with strangulation. When adhesions are suspected as a cause conservative treatment is the preferred way. 80% of the cases resolve in 48 hours if medical therapy is to be succesfull. Surgery must be carried out without delay if strangulation is suspected.
Key words: Small İntestine; İntestinal obstruction; Diagnosis
Anahtar Kelimeler
Kaynakça
- Güner A, Keçe C, Boz A, Kahraman İ, Reis E. A rare cause of small bowel obstruction in adults: persistent omphalomesenteric duct. Ulus Travma Acil Cerrahi Derg. 2012;18 (5):446-448.
- Karakoç D, Hamaloğlu E. İntestinal Obstrüksiyonlar. Türkiye Klinikleri J Surg Med Sci. 2006;2(15):51-63.
- Sarraf-Yazdi S, Shapiro ML. Small bowel obstruction: the eternal dilemma of when to intervene. Scand J Surg. 2010;99(2):78-80.
- Welch JP. General consideration and mortality in bowel obstruction. In:Welch JP, editor. Bowel obstruction: differential diagnosis and clinical management. Philadelphia: Saunders; 1990. p. 59–95.
- Bizer LS, Leibling RW, Delany HM, Gliedman ML. Small- bowel obstruction: the role of nonoperative treatment in simple intestinal obstruction and predictive criteria for strangulation obstruction. Surgery. 1981;89(4):407–13.
- Ellis H. The clinical significance of adhesions: focus on intestinal obstruction. Eur J Surg. 1997;(577):163:5.
- Menzies D, Ellis H. Intestinal obstruction from adhesions; how big is the problem? Ann R Coll Surg Engl. 1990; 72(1):60-63.
- Kendrick ML. Partial small bowel obstruction: clinical issues and recent technical advances. Abdom Imaging. 2009;34(3):329–34. AKTÜRK ve ark.
- İnce Barsak Tıkanıklığı Bozok Med J 2015;5(3):51-4
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Derleme |
| Yazarlar | |
| Yayımlanma Tarihi | 14 Ekim 2015 |
| Yayımlandığı Sayı | Yıl 2015 Cilt: 5 Sayı: 3 |
