İnce Barsak Tıkanıklıklarında Teşhis veTedavi

Yıl 2015, Cilt: 5 Sayı: 1, 0 - 0, 27.02.2015

Yeliz Aktürk , Okan Murat Aktürk , İhsan Aydoğan

Öz

İnce barsakların en sık cerrahi gerektiren hastalığı ince barsak tınakılığıdır. İnce barsak tıkanıklığının en sık sebebi daha önceki operasyonlara bağlı adezyonlardır. Tıkanıklığın diğer sebebleri 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 cvap alınır. Eğer strangülasyon şüphesi mevcut ise gecikmeksizin cerrahi uygulanmalıdır.

Kaynakça

• Kaynaklar:
• -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.
• -9-Hayden GE, Sprouse KL. Bowel obstruction and hernia. Emerg Med Clin North Am. 2011; 29(2):319-45.
• -Maglinte DDT, Heitkamp DE, Howard TJ, Kelvin FM, Lapppas JC. Current concepts in imaging of small bowel obstruction. Radiol Clin North Am. 2003; 41:263-283.
• -Macari M, Megibow A. Imaging of suspected acute small bowel obstruction. Semin Roentgenol. 2001;36(2):108-117.
• -Nicolaou S, Kai B, Ho S, Su J, Ahamed K. Imaging of acute small-bowel obstruction. Am J Roentgenol. 2005;185(4):1036–44.
• -Cappell MS, Batke M. Mechanical obstruction of the small bowel and colon. Med Clin North Am. 2008;92(3):575–97.
• -Furukawa A, Yamasaki M, Furuichi K, Yokoyama K, Nagata T, Takahashi M et al. Helical CT in the diagnosis of small bowel obstruction. RadioGraphics. 2001;21(2):341-355.
• -Nicolaou S, Kai B, Ho S, Su J, Ahamed K. Imaging of Acute Small-Bowel Obstruction. Am J Roentgenol. 2005;185(4):1036-44.
• -Schmutz GR, Benko A, Fournier L, Peron JM, Morel E, Chiche L. Small bowel obstruction: role and contribution of sonography. Eur Radiol. 1997; 7(7):1054-1058.
• -Regan F, Beall DP, Bohlman ME, Khazan R, Sufi A, Schaefer DC. Fast MR imaging and the detection of small-bowel obstruction. Am J Roentgenol 1998; 170(6):1465-1469
• -Jackson PG, Raiji MT. Evaluation and management of intestinal obstruction. Am Fam Physician. 2011;83(2):159-65.
• -Seror D, Feigin E, Szold A, Allweis TM, Carmon M, Nissan S et al. How conservatively can postoperative small bowel obstruction be treated? Am J Surg. 1993;165(1):121–6.
• -Fevang BT, Jensen D, Svanes K, Viste A. Early operation or conservative management of patients with small bowel obstruction? Eur J Surg. 2002;168(8-9):475–81.
• -Williams SB, Greenspon J, Young HA, Orkin BA. Small bowel obstruction: conservative
• vs surgical management. Dis Colon Rectum. 2005;48(6):1140–6.
• -Abbas SM, Bissett IP, Parry BR. Meta-analysis of oral water-soluble contrast agent in the management of adhesive small bowel obstruction. Br J Surg. 2007, 94(4):404-11.
• -Branco BC, Barmparas G, Schnüriger B, Inaba K, Chan LS, Demetriades D. Systematic review and meta-analysis of the diagnostic and therapeutic role of water-soluble contrast agent in adhesive small bowel obstruction. Br J Surg. 2010; 97(4):470-8.
• -Shih SC, Jeng KS, Lin SC, Kao CR, Chou SY, Wang HY. Adhesive small bowel obstruction: How long can patients tolerate conservative treatment? World J Gastroenterol. 2003; 9(3):603-605.
• -Duron JJ, Silva NJ, du Montcel ST, Berger A, Muscari F, Hennet H, et al. Adhesive postoperative small bowel obstruction: incidence and risk factors of recurrence after surgical treatment: a multicenter prospective study. Ann Surg. 2006;244(5):750-7.