Small Bowel Obstruction
- Adhesions—scar tissue left behind, in most cases by previous abdominal surgery
- Intussusception —telescoping of the intestinal wall
- Volvulus—the intestine twists on itself
- Impacted foreign bodies—items that were swallowed and got stuck
|Small Bowel Obstruction|
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- Crohn’s disease —an inflammatory bowel condition
- Abdominal, joint, or spine surgery
- Swallowing a foreign body
- Decreased blood supply to the small bowel
- Abnormal growth of tissue in or next to the small intestine
- Tumors in the small intestine
- Infection in the lining of the small intestine
- Kidney disease
- Long-standing diabetes
- Rarely, gallstones
- Abdominal fullness and/or excessive gas
- Distension—abdomen feels stretched out more than normal
- Pain and cramps in stomach area
- Bad breath
- Monitoring and IV fluids —observation at a hospital may be needed to see if the blockage will get better on its own. No food will be allowed and fluids will be given through an IV.
- Nasogastric tube —A tube is inserted through the nose and into the stomach to remove fluids and gas, which can promptly relieve pain and pressure. It will be left in place until the intestines are working well.
- Catheterization —A tube is placed in the bladder to drain and test urine.
- Pain relievers
- Oral triple therapy—to reduce gas, bloating, and improve symptoms
- Muscle stimulants—to promote muscle contraction in the intestine
- Antibiotics—to treat bacterial infections
- Intestinal strangulation, which may be caused by volvulus or intussusception
- Abdominal adhesions
National Cancer Institute http://www.cancer.gov
National Institute of Diabetes and Digestive and Kidney Diseases http://www.niddk.nih.gov
Canadian Association of Gastroenterology http://www.cag-acg.org
Crohn's and Colitis Foundation of Canada http://www.ccfc.ca
Abdominal adhesions. National Institute of Diabetes and Digestive and Kidney Diseases website. Available at: http://digestive.niddk.nih.gov/ddiseases/pubs/intestinaladhesions/index.aspx. Updated September 11, 2013. Accessed December 18, 2014.
Baron TH. Acute colonic obstruction. Gastrointest Endosc Clin N Am. 2007(17)2:323-329.
Bonin EA, Baron TH. Update on the indications and use of colonic stents. Curr Gastroenterol Rep. 2010;12(5):374-382.
Gastrointestinal complications (PDQ): health professionals. National Cancer Institute website. Available at: http://www.cancer.gov/cancertopics/pdq/supportivecare/gastrointestinalcomplications/healthprofessional. Updated August 28, 2014. Accessed December 18, 2014.
Intestinal pseudo-obstruction. National Institute of Diabetes and Digestive and Kidney Diseases website. Available at: http://digestive.niddk.nih.gov/ddiseases/pubs/intestinalpo. Updated February 26, 2014. Accessed December 18, 2014.
Kulaylat MN, Doerr RJ. Small bowel obstruction. Available at: http://www.ncbi.nlm.nih.gov/books/NBK6873. Published 2001. Accessed December 18, 2014.
Small bowel obstruction. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated April 2, 2014. Accessed December 18, 2014.
4/7/2014 DynaMed's Systematic Literature Surveillance. http://www.ebscohost.com/dynamed: Katz DS, Baker ME, et al. Suspected small bowel obstruction. American College of Radiology (ACR) Appropriateness Criteria. Available at: http://www.acr.org/~/media/832F100277004BC69A8C818C7C9BFF33.pdf. Updated 2013. Accessed December 18, 2014.
- Reviewer: Daus Mahnke, MD
- Review Date: 12/2014 -
- Update Date: 12/20/2014 -
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
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