Bowel obstruction natural history, complications and prognosis: Difference between revisions
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==Overview== | ==Overview== | ||
If left untreated, 85% of patients with complete bowel obstruction may progress to develop ischemia, necrosis, and gangrene. Common complications of bowel obstruction include bowel ischemia, bowel perforation, gangrene and sepsis. Prognosis is generally excellent for non-ischemic bowel obstruction, and the mortality rate of patients with bowel obstruction is approximately 4%. In contrast, prognosis for ischemic bowel obstruction is approximately 60%. | If left untreated, 85% of patients with complete bowel obstruction may progress to develop [[ischemia]], [[necrosis]], and [[gangrene]]. Common complications of bowel obstruction include bowel [[ischemia]], [[Gastrointestinal perforation|bowel perforation]], [[gangrene]] and [[sepsis]]. Prognosis is generally excellent for non-ischemic bowel obstruction, and the [[mortality rate]] of patients with bowel obstruction is approximately 4%. In contrast, prognosis for ischemic bowel obstruction is approximately 60%. | ||
==Natural History, Complications, and Prognosis== | ==Natural History, Complications, and Prognosis== | ||
===Natural History=== | ===Natural History=== | ||
*The symptoms of bowel obstruction include nausea, vomiting, constipation and abdominal pain and commonly manifests acutely or can be chronic.<ref name="pmid10971435">{{cite journal |vauthors=Miller G, Boman J, Shrier I, Gordon PH |title=Natural history of patients with adhesive small bowel obstruction |journal=Br J Surg |volume=87 |issue=9 |pages=1240–7 |year=2000 |pmid=10971435 |doi=10.1046/j.1365-2168.2000.01530.x |url=}}</ref> | *The symptoms of bowel obstruction include [[Nausea and vomiting|nausea]], [[Nausea and vomiting|vomiting]], [[constipation]] and [[abdominal pain]] and commonly manifests acutely or can be chronic.<ref name="pmid10971435">{{cite journal |vauthors=Miller G, Boman J, Shrier I, Gordon PH |title=Natural history of patients with adhesive small bowel obstruction |journal=Br J Surg |volume=87 |issue=9 |pages=1240–7 |year=2000 |pmid=10971435 |doi=10.1046/j.1365-2168.2000.01530.x |url=}}</ref> | ||
*If left untreated, 85% of patients with may progress to develop bowel ischemia, bowel necrosis, and sepsis. | *If left untreated, 85% of patients with may progress to develop bowel [[ischemia]], bowel [[necrosis]], and [[sepsis]]. | ||
===Complications=== | ===Complications=== | ||
*Common complications of bowel obstruction include:<ref name="pmid10749614">{{cite journal |vauthors=Fevang BT, Fevang J, Stangeland L, Soreide O, Svanes K, Viste A |title=Complications and death after surgical treatment of small bowel obstruction: A 35-year institutional experience |journal=Ann. Surg. |volume=231 |issue=4 |pages=529–37 |year=2000 |pmid=10749614 |pmc=1421029 |doi= |url=}}</ref> | *Common complications of bowel obstruction include:<ref name="pmid10749614">{{cite journal |vauthors=Fevang BT, Fevang J, Stangeland L, Soreide O, Svanes K, Viste A |title=Complications and death after surgical treatment of small bowel obstruction: A 35-year institutional experience |journal=Ann. Surg. |volume=231 |issue=4 |pages=529–37 |year=2000 |pmid=10749614 |pmc=1421029 |doi= |url=}}</ref> | ||
**Bowel ischemia | **Bowel [[ischemia]] | ||
**Bowel perforation | **[[Gastrointestinal perforation|Bowel perforation]] | ||
**Gangrene | **[[Gangrene]] | ||
**Sepsis | **[[Sepsis]] | ||
===Prognosis=== | ===Prognosis=== | ||
*Prognosis is generally excellent for non-ischemic bowel obstruction, and the mortality rate of patients with bowel obstruction is approximately 4%.<ref name="pmid10749614">{{cite journal |vauthors=Fevang BT, Fevang J, Stangeland L, Soreide O, Svanes K, Viste A |title=Complications and death after surgical treatment of small bowel obstruction: A 35-year institutional experience |journal=Ann. Surg. |volume=231 |issue=4 |pages=529–37 |year=2000 |pmid=10749614 |pmc=1421029 |doi= |url=}}</ref> | *Prognosis is generally excellent for non-ischemic bowel obstruction, and the [[mortality rate]] of patients with bowel obstruction is approximately 4%.<ref name="pmid10749614">{{cite journal |vauthors=Fevang BT, Fevang J, Stangeland L, Soreide O, Svanes K, Viste A |title=Complications and death after surgical treatment of small bowel obstruction: A 35-year institutional experience |journal=Ann. Surg. |volume=231 |issue=4 |pages=529–37 |year=2000 |pmid=10749614 |pmc=1421029 |doi= |url=}}</ref> | ||
*In contrast, prognosis for ischemic bowel obstruction is approximately 60%. | *In contrast, prognosis for ischemic bowel obstruction is approximately 60%. | ||
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[[Category:Surgery]] | [[Category:Surgery]] | ||
[[Category:Gastroenterology]] | [[Category:Gastroenterology]] | ||
[[Category:Emergency medicine]]] | [[Category:Emergency medicine]] | ||
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Revision as of 19:21, 5 February 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Hadeel Maksoud M.D.[2]
Overview
If left untreated, 85% of patients with complete bowel obstruction may progress to develop ischemia, necrosis, and gangrene. Common complications of bowel obstruction include bowel ischemia, bowel perforation, gangrene and sepsis. Prognosis is generally excellent for non-ischemic bowel obstruction, and the mortality rate of patients with bowel obstruction is approximately 4%. In contrast, prognosis for ischemic bowel obstruction is approximately 60%.
Natural History, Complications, and Prognosis
Natural History
- The symptoms of bowel obstruction include nausea, vomiting, constipation and abdominal pain and commonly manifests acutely or can be chronic.[1]
- If left untreated, 85% of patients with may progress to develop bowel ischemia, bowel necrosis, and sepsis.
Complications
- Common complications of bowel obstruction include:[2]
Prognosis
- Prognosis is generally excellent for non-ischemic bowel obstruction, and the mortality rate of patients with bowel obstruction is approximately 4%.[2]
- In contrast, prognosis for ischemic bowel obstruction is approximately 60%.
References
- ↑ Miller G, Boman J, Shrier I, Gordon PH (2000). "Natural history of patients with adhesive small bowel obstruction". Br J Surg. 87 (9): 1240–7. doi:10.1046/j.1365-2168.2000.01530.x. PMID 10971435.
- ↑ 2.0 2.1 Fevang BT, Fevang J, Stangeland L, Soreide O, Svanes K, Viste A (2000). "Complications and death after surgical treatment of small bowel obstruction: A 35-year institutional experience". Ann. Surg. 231 (4): 529–37. PMC 1421029. PMID 10749614.
]