Intestinal adhesions

Introduction Intestinal adhesions are caused by various reasons between the intestines and intestines, between the intestines and the peritoneum, and between the intestines and the abdominal organs. There are two cases of membranous adhesion and cord-like adhesion in terms of adhesion characteristics; from the nature of adhesion, there are two types of fibrin adhesion and fibrous adhesion. The clinical symptoms of patients with intestinal adhesion may vary depending on the degree of adhesion and the site of adhesion. Light can be without any discomfort. Or occasionally mild abdominal pain, bloating, etc. after eating. Severe cases can often be accompanied by abdominal pain, bloating, poor ventilation, suffocation, dry stools, air stagnation in the abdomen, and even lead to incomplete obstruction.

Cause

damage:

(a) The intestinal tube exposure time is too long during the operation, the air is polluted, the movement is rough, the wound surface is large, the serosa layer is seriously damaged, the hemostasis is not complete, the percolation of the peritoneal cavity is postoperative, the department is not flushed, or the foreign body remains in the abdominal cavity. Can cause intestinal adhesions.

(b) Abdominal trauma, the abdomen is suddenly subjected to external impact, although the impact site is not broken and perforated, but there is also some damage, local tissue can occur congestion or edema or bloody exudation into the abdominal cavity, so that the surrounding tissue edema adhesion.

(c) Chemical drugs, such as outbreaks of family planning blockade, cause severe adhesions into the abdominal cavity.

Inflammation:

(a) Intra-abdominal inflammation causes inflammatory edema exudates or pus to overflow into the abdominal cavity to cause adhesions.

(b) Tuberculous peritonitis causes intestinal adhesion-linked nuclear peritonitis can be divided into dry and wet type dry type, which is characterized by the presence of fibrinous exudate in addition to tuberculous nodules on the peritoneum, which causes the abdominal cavity to become an organ network after mechanization. The mesentery of the membrane is extensively adhered.

(c) Intestinal tuberculosis causes intestinal adhesion: Intestinal tuberculosis patients can see cellulose exudation and most gray-white tuberculous nodules on the serosal surface of the intestine. Often due to ulcers, the blood vessels in the intestinal wall are occluded. At the same time, the surgical intestinal wall often has hyperplasia due to the common disease of the fibers, and forms adhesions with the adjacent intestinal tract or the greater omentum.

(d) Others such as tumor invasive growth disrupt the formation of adhesions in surrounding tissues or individual unexplained intestinal adhesions.

an examination

Therefore, patients with intestinal adhesions should be examined clinically:

First, physical examination

Taking a medical history gives us a first impression and revelation, and also guides us to a concept of the nature of the disease.

Second, laboratory inspection

Laboratory examinations must be summarized and analyzed based on objective data learned from medical history and physical examination, from which several diagnostic possibilities may be proposed, and further consideration should be given to those examinations to confirm the diagnosis. Ultrasound examination of gastrointestinal diseases can be performed.

Differential diagnosis

Intestinal adhesion symptoms should be based on other symptoms to identify the degree of adhesion and adhesion sites.

The clinical symptoms of patients with intestinal adhesion may vary depending on the degree of adhesion and adhesion. Lighter may have no discomfort or occasional slight abdominal pain and bloating after eating. In severe cases, abdominal pain, bloating, and exhaustion may be often accompanied. Poor, suffocating, dry stools, gas turbulence in the abdomen and even incomplete obstruction.

Intestinal adhesions are caused by various reasons between the intestines and intestines, between the intestines and the peritoneum, and between the intestines and the abdominal organs. There are two cases of membranous adhesion and cord-like adhesion in terms of adhesion characteristics, and there are two types of fibrin-like adhesion and fibrous adhesion from the nature of adhesion.

The material in this site is intended to be of general informational use and is not intended to constitute medical advice, probable diagnosis, or recommended treatments.