[Prevention and management of intestinal obstruction after gastrointestinal surgery].
Intestinal obstruction is the most common complication after gastrointestinal surgery, and will endanger the patients if not managed properly. The key to the management of intestinal obstruction includes not only the selection of treatment, but also adequate judgment of the cause, location, extent and the probability of reoperation by detailed inquiry of the history, thorough physical examination, and imaging studies, which will guide the treatment. Non-operative therapy is the mainstay of treatment for incomplete obstruction, whilebowel decompression the gut by small intestinal decompression tube, preoperative procedures including restoration of systemic homeostasis should be performed. Efforts should be made to avoid emergency laparotomy without any preparations. Procedures to avoid intestinal obstruction include all the efforts to protect the gut and the intra-abdominal viscera during laparotomy, and to clear all the foreign body and tissues by thorough lavage of the abdominal cavity with saline before closing the abdomen.
Department of General Surgery, Jinling Hospital, Nanjing University School of Medicine, Nanjing 210002, China. juwiming@126.com.
Weiming
W
Zhu
D000005:Abdomen / Q000601:surgery; D003664:Decompression; D019299:Decompression, Surgical; D003952:Diagnostic Imaging; D013505:Digestive System Surgical Procedures / Q000009:adverse effects*; D006801:Humans; D007415:Intestinal Obstruction / Q000517:prevention & control* / Q000628:therapy*; D007421:Intestine, Small / Q000601:surgery; D007813:Laparotomy; D011183:Postoperative Complications / Q000517:prevention & control; D011300:Preoperative Care; D012086:Reoperation