For intussusception in children, an air or barium enema can actually fix the problem most of the time, and no further treatment is needed. Treatment for intestinal obstruction depends on the cause of your condition, but generally requires hospitalization.
A barium or air enema is used both as a diagnostic procedure and a treatment for children with intussusception. Your doctor may recommend a special low-fiber diet that is easier for your partially blocked intestine to process.
If nothing is able to pass through your intestine, you'll usually need surgery to relieve the blockage. The procedure you have will depend on what's causing the obstruction and which part of your intestine is affected.
Surgery typically involves removing the obstruction, as well as any section of your intestine that has died or is damaged. Alternatively, your doctor may recommend treating the obstruction with a self-expanding metal stent.
The wire mesh tube is inserted into your intestine via an endoscope passed through your mouth or colon. If your doctor determines that your signs and symptoms are caused by pseudo- obstruction (paralytic illus), he or she may monitor your condition for a day or two in the hospital, and treat the cause if it's known.
In the meantime, you'll likely be given food through a nasogastric tube or an IV to prevent malnutrition. If paralytic illus doesn't improve on its own, your doctor may prescribe medication that causes muscle contractions, which can help move food and fluids through your intestines.
In cases where the colon is enlarged, a treatment called decompression may provide relief. Decompression can be done with colonoscopy, a procedure in which a thin tube is inserted into your anus and guided into the colon.
In: Scavenger and FORTRAN's Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management. Legman RM, et al. Illus, adhesions, intussusception, and closed-loop obstructions.
National Institute of Diabetes and Digestive and Kidney Diseases. Camera F, et al. Bowel obstruction : A narrative review for all physicians.
The order and timescale in which these appear to vary depending on whether there is large or small bowel obstruction. Imaging plays an important role in both diagnosing bowel obstruction and helping determine the choice and timing of appropriate management.
Differentiate true mechanical obstruction from illus or constipation localize the site of obstruction identify an underlying cause assess for complications (e.g. ischemia or perforation) assess the viability of bowel segments involved The main findings include dilated bowel loops (see 3-6-9 rule) with or without the presence of fluid levels.
Once intestinal obstruction is confirmed imaging findings can guide the timing of any planned surgical intervention. In cases where there are signs of ischemia (i.e. strangulated bowel obstruction), emergency surgery may be needed to salvage bowel.
The extent of involved bowel may determine whether a laparoscopic approach can be employed as well as help guide the size of the opening surgical incision. Inflammatory bowel disease (IBD) is an umbrella term that refers to prolonged inflammation in your digestive tract.
Doctors use these imaging tests to help diagnose your condition, so the proper treatment can be prescribed or recommended. Crohn’s disease and ulcerative colitis have some similar symptoms, including severe diarrhea, stomach pain, reduced appetite, weight loss, and fatigue.
An obstruction of the bowel could be due to various reasons such as mineral, chemical or electrolyte disturbances, some injury to the blood supply to your abdomen, intra-abdominal surgery complications and infections, diseases of the lung or kidney, or the use of narcotics. Small bowel obstruction can be caused by problems such as adhesion from an earlier surgery, Crohn’s disease, the presence of foreign bodies, and volumes.
Large bowel obstruction could be caused by issues such as inflammatory bowel disease, constipation, fecal impaction, colon amnesia, neoplasms, benign strictures, and adhesion (medicine). In case of obstruction in the small bowel the pain is usually intermittent and feels like cramps.
Regardless of whether there is evidence of these causes on an abdominal radiograph, a full surgical history should be taken and examination of the hernial orifices should be performed. Illus is a term used for peristaltic bowel not caused by a mechanical obstruction.
The dilated colon is abruptly 'cut-off' at the level of obstruction (X). The cause of obstruction in this patient was found to be a diverticular stricture.
Dilated loops of small bowel are also visible. Colonic stents are placed in the emergency setting under radiological guidance.
This allows patients to recover from the acute effects of obstruction before definitive surgery is performed. Partial large bowel obstruction This image demonstrates dilatation of the colon down to an area where there is conspicuous narrowing of the bowel and an area of increased soft tissue density.