Small Bowel Obstruction


Small bowel Obstruction(85%) Large bowel Obstruction (15%)
• Adhesions from previous surgery (60%)
• Malignant tumor (20%)
• Herniation (10%)
• Inflammatory bowel disease (5%)
• Volvulus (3%)
• Misc (2%)
• Neoplasm (60%)
• Diverticulitis (20%)
• Volvulus (10-15%)
• Intussusception (< 5%)
• Misc


History & Exam

Diagnostic Tests

Management/Disposition

  1. Initial ED tx
  2. NPO
  3. If suspect closed-loop obst/bowel necrosis/perf

Disposition:

  1. Admit to surgical service