title: Management of small bowel obstruction.
abstract: Preventable deaths from small bowel obstruction result from misdiagnosis, inappropriate delay in operation, inadequate preoperative preparation, and a poorly performed operative procedure. A systematic approach to each of the factors includes repeat physical examination, x-rays and CBC four hours after initial study in questionable cases, a pre-planned therapeutic interventions timetable, adequate intravascular volume and electrolyte levels, and a carefully designed operation which includes as little bowel manipulation and entrance as possible.
mesh_terms: D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D001810:Blood Volume; D006801:Humans; D007263:Infusions, Parenteral; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000601:surgery; D007421:Intestine, Small / Q000601:surgery; D007441:Intubation, Gastrointestinal; D008722:Methods; D011182:Postoperative Care; D013997:Time Factors; D014883:Water-Electrolyte Imbalance / Q000209:etiology / Q000628:therapy
chemical_list: D000900:Anti-Bacterial Agents