Oclusión intestinal
- Álvarez Delgado, Alberto
- Umaña Mejías, J.
- Calderón Begazo, R.
- Rodríguez de Santiago, Enrique
ISSN: 0304-5412
Année de publication: 2012
Titre de la publication: Enfermedades del aparato digestivo (VI): enfermedades del tubo digestivo: intestino delgado y grueso
Serie: 11
Número: 6
Pages: 347-354
Type: Article
D'autres publications dans: Medicine: Programa de Formación Médica Continuada Acreditado
Résumé
Intestinal occlusion caused about 20% of revenues in a surgical service and of itself can cause intestinal ischemia, perforations or life threatening. Therefore, the diagnosis and treatment should be early and urgent. Action must be taken to prevent metabolic disorders or sepsis and to the definitive diagnosis and treatment of the cause. Between 60-85% are secondary to small bowel injuries (almost 80% for post-surgical adhesions, hernias and tumors. Neoplasms, stenosis, volvulus and acute diverticulitis secondary to account for 90% of colorectal obstructions. Occlusion in absent mechanical obstruction is called ileus and most frequently occurs immediately after abdominal surgery. Diagnostic techniques must be used sequentially and now allow to reach the surgery only when strictly necessary.