Best Treatment for Bowel Obstruction

Bowel obstruction is an acute disease with fast onset and very intense. Patients in the onset of the performance is severe abdominal pain, this symptom with the usual food poisoning or abdominal pain is very similar, so what is the best treatment for intestinal obstruction? The following and I look at it!

The best treatment for intestinal obstruction:

1. Adhesive intestinal obstruction

(1) non-surgical treatment For simple, incomplete intestinal obstruction, especially extensive adhesion, generally choose non-surgical treatment; for simple intestinal obstruction can be observed for 24 to 48 hours, for strangulation intestinal obstruction should be carried out as soon as possible. For simple intestinal obstruction, it can be observed for 24 to 48 hours, and for strangulated intestinal obstruction, it should be treated as early as possible.

Basic therapy includes fasting and gastrointestinal decompression, correction of water and electrolyte disorders and acid-base balance imbalance, prevention of infection and toxemia. Traditional Chinese medicine and acupuncture therapy can also be used.

(2) Surgery: If the condition of adhesive intestinal obstruction does not improve or worsens after non-surgical treatment; or if it is suspected to be strangulated intestinal obstruction, especially closed-loop intestinal obstruction; or if adhesive intestinal obstruction recurs frequently and affects the patient's quality of life seriously, surgery should be considered.

①Adhesion band or small piece of adhesion line simple cut off separation.

② small confined tightly adherent intestinal loops can not be separated, or the intestinal tube has been necrotic, feasible intestinal resection anastomosis, such as intestinal edema is obvious, the first phase of the anastomotic difficulties, or the patient's poor intraoperative condition, can be preceded by fistulas.

③ If the patient's condition is very poor, or it is difficult to maintain the blood pressure during the operation, it can be preceded by enterotomy.

④ Intestinal loops tightly adherent and can not be resected and separated, feasible obstruction distal and proximal intestinal tube lateral anastomosis.

⑤ Widespread adhesions and repeated intestinal obstruction can be used to arrange the bowel.

2. Strangulated intestinal obstruction

(1) Strangulated small bowel obstruction, once diagnosed, should be treated immediately with surgery, according to the cause of strangulation to determine the surgical method.

(2) If the patient's condition is very serious, the intestinal tube has been necrotic, and the intraoperative blood pressure can not be maintained, it is feasible to use the external intestinal method, and then carry out the second-stage anastomosis when the condition improves.

Prevention

According to the causes of intestinal obstruction, targeted to take certain preventive measures, can effectively prevent and reduce the occurrence of intestinal obstruction.1. 1. Patients with abdominal wall hernia, should be treated promptly to avoid intestinal obstruction caused by incarceration, strangulation.2. Prevention and treatment of intestinal ascariasis.3. After major abdominal surgery and peritonitis patients should be well gastrointestinal decompression, surgical operation should be gentle, try to reduce or avoid abdominal infection.4. Early detection and treatment of intestinal tumors.5. Early activity after abdominal surgery.

First, gastrointestinal decompression, which is a very common method of relief, after the diagnosis of this disease, pay attention to reduce the phenomenon of abdominal distension, so patients need to pay attention to their dietary methods, so as not to cause intestinal distension, eat more easily digestible food. Effectively depressurize the stomach and intestines. This helps to promote blood circulation in the intestinal wall. Improve respiratory function.

Second, fluid therapy, according to the location of the onset of intestinal obstruction, the onset of time. After the test results, electrolyte supplementation is carried out to avoid causing fluid deficiencies, and should be based on supplementation of fluids, and for patients with severe dehydration, reasonable supplementation of fluids, which will help to improve intestinal strangulation. Supplementation of plasma and whole blood should be carried out after the supplementation of fluids.

Third, antibiotic medication, if there is a simple intestinal obstruction, you can not use antibiotic drugs for treatment, but for strangulated intestinal obstruction, the patient needs medication to control, to avoid causing the bacteria to continue to multiply, which is also prone to necrosis in the intestinal tube.

Fourth, take nutritional support therapy. Many patients are reluctant to eat after the disease, which is easy to cause nutritional deficiencies, and will lead to low immunity, which is not conducive to the recovery of the disease, to take nutritional supportive therapy, mainly intravenous nutrition, which allows the stomach and intestines to get nutrients.