- Intestinal obstruction (bowel obstruction) is a condition in which food or feces cannot pass through the intestines, and it may be complete or partial.
- Common causes include postoperative adhesions, hernias, cancer, and certain medications; the causes are diverse.
- If the intestine is physically blocked or intestinal motility decreases, the movement of contents and gas is restricted, which can lead to distension and pain.
- Typical manifestations include severe abdominal pain or cramping, vomiting, abdominal distension, abdominal swelling, changes in bowel sounds, difficulty passing gas, and constipation.
- Risks and prognosis vary depending on the cause, the location and completeness of the obstruction, previous abdominal surgery or hernia, age, and general condition.
- Symptoms may appear suddenly or gradually; complete obstruction can become an emergency, and delayed treatment increases the risk of complications.
- Diagnosis is based on symptoms and abdominal examination, and if necessary, abdominal imaging and blood tests are used to evaluate the location, cause, and complications of the obstruction.
- Intestinal obstruction cannot be confirmed by abdominal pain or vomiting alone; differentiation from partial obstruction, paralytic ileus, and other acute abdominal diseases is required.
- Management combines fluid and electrolyte correction, bowel decompression, fasting and observation, and treatment of the underlying cause depending on the cause and severity, while evaluating for emergency complications.
- Complete intestinal obstruction is a medical emergency and often requires surgery, but surgery is not necessary for all patients.