Surgical Recovery of Intestinal Obstructions: Pre- and Postoperative Care and How Could it Be Prevented?

Kanat, Burhan Hakan; Eröz, Erhan; Saçli, Atakan; Kutluer, Nizamettin; Gencturk, Mehmet; Sözen, Selim

doi:10.5772/intechopen.92748

Cited by 2 publications

(1 citation statement)

References 32 publications

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“…Massive fluid-electrolyte intersectoral redistributions, with the formation of the IIIrd surgical space, associated with hydro-electrolyte losses through vomiting, contribute to the establishment of the dysvolemic status (up to critical hypovolemia), which in association with the installed toxic-septic status, represent a powerful pathogenic association [ 12 ].…”

Section: General Datamentioning

confidence: 99%

Colorectal Cancer—The “Parent” of Low Bowel Obstruction

et al. 2023

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Introduction: Despite the improvement of early diagnosis methods for multiple pathological entities belonging to the digestive tract, bowel obstruction determined by multiple etiologies represents an important percentage of surgical emergencies. General data: Although sometimes obstructive episodes are possible in the early stages of colorectal cancer, the most commonly installed intestinal obstruction has the significance of an advanced evolutionary stage of neoplastic disease. Development of Obstructive Mechanism: The spontaneous evolution of colorectal cancer is always burdened by complications. The most common complication is low bowel obstruction, found in approximately 20% of the cases of colorectal cancer, and it can occur either relatively abruptly, or is preceded by initially discrete premonitory symptoms, non-specific (until advanced evolutionary stages) and generally neglected or incorrectly interpreted. Success in the complex treatment of a low neoplastic obstruction is conditioned by a complete diagnosis, adequate pre-operative preparation, a surgical act adapted to the case (in one, two or three successive stages), and dynamic postoperative care. The moment of surgery should be chosen with great care and is the result of the experience of the anesthetic-surgical team. The operative act must be adapted to the case and has as its main objective the resolution of intestinal obstruction and only in a secondary way the resolution of the generating disease. Conclusions: The therapeutic measures adopted (medical-surgical) must have a dynamic character in accordance with the particular situation of the patient. Except for certain or probably benign etiologies, the possibility of colorectal neoplasia should always be considered, in low obstructions, regardless of the patient’s age.

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Section: General Datamentioning

confidence: 99%

Colorectal Cancer—The “Parent” of Low Bowel Obstruction

et al. 2023

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Lethality Analysis in Patients With Acute Small Bowel Obstruction. Adverse Factors and Possible Ways to Eliminate Them

et al. 2023

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The aim: To determine obstruction factors that can lead to lethal consequences for patients with acute small intestine in order to develop possible directions for their prevention. Materials and methods: During the retrospective analysis of 30 patients with acute small bowel obstruction, the causes and contributing factors of mortality were determined. Results: The cause of mortality in the $rst three days of the postoperative period was the progression of the phenomena of intoxication, which led to the appearance of the syndrome of enteric insu%ciency and the development of multiple organ dysfunction. Mortality in the later period was observed due to the decompensation of concomitant diseases that accompanied acute obstruction of the small intestine. In the process of the study it was determined that the possible reasons of the postoperative complications in the studied group of patients, apart from the elderly and senile age of the patients and delayed medical care, according to the results of our observation were: uncorrected hypotension and hypovolemia in the postoperative period, refusal of the intubation of the small intestine and permanent decompression of the gastrointestinal tract, early removal of the nasogastric tube, long-term anemia and hypoproteinemia, prevention of stress ulcers of the gastrointestinal tract in the elderly and senile age, refusal of early use of enteral nutrition and later restoration of motility of the gastrointestinal tract. Conclusions: Treatment of patients with acute small intestine obstruction requires the selection of a specially designed treatment program (optimal timing of preoperative preparation, selection of the minimum volume) at all stages of surgical care, taking into account the existing concomitant pathology, age and hospitalization period.

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Surgical Recovery of Intestinal Obstructions: Pre- and Postoperative Care and How Could it Be Prevented?

Cited by 2 publications

References 32 publications

Colorectal Cancer—The “Parent” of Low Bowel Obstruction

Colorectal Cancer—The “Parent” of Low Bowel Obstruction

Lethality Analysis in Patients With Acute Small Bowel Obstruction. Adverse Factors and Possible Ways to Eliminate Them

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