Intestinal Obstruction

Question 1

Treatment for intestinal obstruction

Answer 1

• directed toward decompression of the intestine by removal of gas and fluid, correction and maintenance of fluid and electrolyte balance, and relief or removal of the obstruction.
• NG to decompress the bowel.
• IV to maintain fluids and electrolytes.
• Colonoscopy to remove polyps or dilate strictures.
• Possible bowel resection and anastomosis.

Question 2

Complications of Bowel Obstruction

Answer 2

Bowel tissue becomes ischemic, possibly causing necrosis and perforation.
If this continues, blood flow stops, causing cyanosis, edema, and gangrene (intestinal strangulation/intestinal infarction).
The bowel can then become necrotic and rupture, resulting in infection, septic shock, and death.