Small Bowel Obstruction during Pregnancy

Hauspy, Jan; Roofthooft, Nadia; Meulyzer, P; Leyman, Paul

doi:10.1080/00015458.2004.11679621

Cited by 3 publications

(3 citation statements)

References 5 publications

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“…Отже, зниження тонусу кишечника під час вагітності є захисною реакцією. Підвищен ня концентрації прогестерону та його метаболі тів за фізіологічного перебігу вагітності викли кає активацію інгібуючого гастроінтестінально го гормону, який також викликає розслаблення гладких м'язів, у тому числі кишечника [3].…”

Section: клиническийunclassified

“…Здавлювання кишечника маткою в другій половині вагітності призводить до венозного стазу, часткового порушення кровопостачання кишечника, а це відображається на його пери стальтиці та евакуаторній функції. Під час вагітності характерним є гіпокінетичний тип моторики товстого кишечника зі зменшенням амплітуди перистальтичних і тонічних скоро чень у разі нормальних показників частоти ско рочень [3]. Гіпотонія кишечника призводить до розвитку дискінезії та закрепів, що можна від нести до факторів розвитку ГКН.…”

Section: клиническийunclassified

“…Порушення рухової активності кишечника значною мірою визначається психогенними фак торами. За літературними даними, майже у всіх вагітних, які страждають на закрепи, спостеріга ються явища неврозу: тривожність, емоційна лабільність, безпричинні страхи [3]. До інших фак торів ризику виникнення ГКН належать хронічні запальні процеси, злуки, зрощення, ускладнений перебіг післяопераційного періоду в минулому.…”

Section: клиническийunclassified

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Clinical case of sharp bowel obstruction during pregnancy for a patient with an extracorporal impregnation and large intergenic interval

Dronova¹,

Dronov²,

Мокрик³

et al. 2021

UJPP

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The great importance in the development of acute intestinal obstruction (AIO) is the change in intestinal kinetics during pregnancy. In pregnant women, the rhythmic function of the intestine slows down due to an increase in the threshold of excitability of its receptors to biologically active substances. The article provides an overview of modern literary sources on the problem of acute intestinal obstruction in pregnant women. According to foreign literature sources, the incidence of intestinal obstruction in pregnant women is 1:3600–1:66000, and complications of diseases of the digestive system rank 4th among the causes of maternal mortality during pregnancy — 9%. According to domestic scientific sources, the frequency with which intestinal obstruction occurs in pregnant women is 1:40000–1:50000 births, mortality reaches 35–50%, stillbirth — 60–75%. The development of the disease is caused by physiological changes in the body of a pregnant woman. With increasing gestational age there are changes in the anatomical arrangement of the abdominal organs. From the second trimester of pregnancy, the uterus extends beyond the pelvis and gradually occupies the entire abdominal cavity. The increase in the size of the uterus due to hypertrophy and hyperplasia of muscle fibers, amniotic fluid, fetal growth, leads to increased intraabdominal pressure, displacement of the small intestine and lumbar colon up, thereby creating conditions for compression of intestinal loops, nodules, development. The modern classification, clinic, diagnostics and methods of treatment of this surgical pathology are presented. The author presents his own clinical case of acute intestinal obstruction in a 51-year-old pregnant woman with the sixth desired pregnancy, which occurred as a result of assisted reproductive technologies and a large intergenetic interval. Both surgeon and obstetrician-gynecologist treat intestinal obstruction in pregnant women. Conservative treatment is carried out simultaneously with diagnostic procedures. No effect of conservative therapy for 2 hours is an indication for surgery. The main purpose of surgery is to eliminate the causes of intestinal obstruction and restore bowel function. The scope of surgery is determined in each case individually and depends on the type of AIO and the age of the disease. The chosen tactics of the preoperative period, the volume of surgery, anesthesia and adequate management of the postoperative period can cure acute surgical pathology, maintain the desired pregnancy, avoid the development of obstetric and surgical purulent-septic complications. The research was carried out in accordance with the principles of the Helsinki declaration. The informed consent of the patient was obtained for conducting the studies. No conflict of interest was declared by the authors. Key words: sharp bowel obstruction, pregnancy, extracorporal impregnation, large intergenic interval.

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Section: клиническийunclassified

See 1 more Smart Citation

Clinical case of sharp bowel obstruction during pregnancy for a patient with an extracorporal impregnation and large intergenic interval

Dronova¹,

Dronov²,

Мокрик³

et al. 2021

UJPP

View full text Add to dashboard Cite

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Acute intestinal obstruction during pregnancy

Johri

Sharma

Shenoy³

2016

Int J Med Res Rev

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How Predictive are the Signs and Symptoms of Small Bowel Obstruction

Salamah¹,

Fahim²,

Hameed³

et al. 2012

Oman Med J

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The cardinal features of SBO are neither specific nor sensitive, and though they may have an acceptable PPV, the predicted rate of false positive diagnosis is unacceptable. Therefore, the clinician may not rely on the clinical picture alone for the diagnosis of SBO. The presentation of the studied patients was delayed compared to the literature and it may be an important factor in increasing morbidity and mortality, but this aspect needs to be studied further.

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Small Bowel Obstruction during Pregnancy

Cited by 3 publications

References 5 publications

Clinical case of sharp bowel obstruction during pregnancy for a patient with an extracorporal impregnation and large intergenic interval

Clinical case of sharp bowel obstruction during pregnancy for a patient with an extracorporal impregnation and large intergenic interval

Acute intestinal obstruction during pregnancy

How Predictive are the Signs and Symptoms of Small Bowel Obstruction

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