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Introduction Stopping the venting Adhesion and adhesion of the adhesive tape can cause the intestinal fold to twist and cause obstruction. Congenital adhesions are more common in children; abdominal surgery or intra-abdominal inflammation is the most common cause of intestinal obstruction in adults, but in a few cases without abdominal surgery and inflammation history is due to intestinal obstruction and other reasons caused by anal stop exhaust Symptoms. Congenital adhesions are more common in children; adhesions caused by abdominal surgery or intra-abdominal inflammation are the most common causes of intestinal obstruction in adults, but in a few cases there is no history of abdominal surgery and inflammation.

Cause

Parenteral cause

(1) Adhesion and adhesion zone compression: adhesion can cause the intestine fold to twist and cause obstruction. Congenital adhesions are more common in children; adhesions caused by abdominal surgery or intra-abdominal inflammation are the most common causes of intestinal obstruction in adults, but in a few cases there is no history of abdominal surgery and inflammation.

(2) Incarcerated external hemorrhoids or internal hemorrhoids.

(3) Intestinal torsion is often caused by adhesion.

(4) Extraintestinal tumor or abdominal block compression.

Cause of the intestine itself

(1) Congenital stenosis and obturator deformity.

(2) Inflammation tumor anastomosis and other factors caused by stenosis. For example, inflammatory bowel disease, intestinal tuberculosis, radiation damage, intestinal tumors (especially colon tumors), intestinal anastomosis, and the like.

(3) Intussusception is less common in adults, mostly caused by polyps or other intestinal lesions.

Intestinal cavity causes: Intestinal obstruction caused by agglomerated foreign bodies or fecal blocks is not common. Large gallstones have been reported through the gallbladder or common bile duct - the intestinal fistula into the intestine, and cases of gallstone intestinal obstruction have been reported.

an examination

Related inspection

Ultrasound examination of gastrointestinal diseases

The symptoms of the patient often start in children or adolescence, and the course of the disease is usually repeated with acute and frequent relief. Symptoms and mechanical obstruction at the time of attack are similar, with varying degrees of nausea, vomiting, colic, abdominal pain, diarrhea or steatorrhea. And abdominal tenderness; no or only mild symptoms, such as bloating, during remission.

Intestinal pseudo-obstruction can affect the entire digestive tract or an isolated organ, such as the esophagus, stomach, small intestine or colon.

Differential diagnosis

Stop the differential diagnosis of exhaust:

Chronic intestinal pseudo-obstruction: Chronic intestinal pseudo-obstruction is a syndrome with signs and symptoms of intestinal obstruction, but no evidence of mechanical obstruction. Paralytic ileus is acute intestinal pseudo-obstruction, as described above. Here is a description of chronic intestinal pseudo-obstruction.

Intrinsic is generally considered to be the result of neurodegeneration of the intestinal wall. Because of the pathological examination, some cases show ganglion lesions of the intestinal plexus, but it is also considered to be intestinal smooth muscle lesions. Some cases have manifestations of familial visceral myopathy, such as small bowel and bladder smooth muscle degeneration and fibrosis. Because some patients have a family history, suggesting that the intrinsic is related to heredity.

The symptoms of the patient often start in children or adolescence, and the course of the disease is usually repeated with acute and frequent relief. Symptoms and mechanical obstruction at the time of attack are similar, with varying degrees of nausea, vomiting, colic, abdominal pain, diarrhea or steatorrhea. And abdominal tenderness; no or only mild symptoms, such as bloating, during remission.

Intestinal pseudo-obstruction can affect the entire digestive tract or an isolated organ, such as the esophagus, stomach, small intestine or colon. Among them, the symptoms of small bowel obstruction are most obvious. For example, the duodenum can be expressed as a giant finger intestine, often with a large amount of vomiting and weight, and the reduction is easily misdiagnosed as superior mesenteric artery syndrome. If only the colon is involved, it mainly manifests as chronic constipation and repeated fecal block obstruction. In some cases, there is a bladder emptying disorder.

X-ray examination showed that the affected esophagus, small intestine and colon were significantly slow to run.

The patient's symptoms can be diagnosed.

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