Intestinal obstruction requiring emergency evacuation Intestinal obstruction, in medical terms, is an obstacle to the normal movement or passage of intestinal contents. In layman’s terms, it means that the intestine is blocked from traffic for some reason, and the food in the intestine cannot go down. Intestinal obstruction can be divided into three categories: one is called mechanical intestinal obstruction, which means that the intestine is blocked by parasites, fecal lumps, gallstones, foreign bodies, etc., or a part of the intestine is stuck together, and intestinal torsion, abdominal tumors compressing the intestine can also cause intestinal obstruction. The second cause is powered intestinal obstruction, which is commonly caused by peritonitis, major abdominal surgery, and intestinal paralysis caused by abdominal infection. The third cause is hemodynamic intestinal obstruction, which is caused by intestinal obstruction is caused by mesenteric vascular embolism, intestinal blood flow obstruction, thus forming intestinal paralysis and intestinal obstruction. Many years ago, a farmer, male, 61 years old, was admitted to pick vegetables in the field after having a full lunch and bending over to work. Suddenly the abdominal pain was severe, the family superstition, using charms burned into ashes with tea to drink in, but the results did not work. Later, they began to vomit violently and rushed to the hospital. When he was brought in, he soon developed a high fever and a drop in blood pressure. Immediately, he was given an open abdominal examination and found that most of the small intestine was actually twisted 360 degrees clockwise, and the twisted intestine was necrotic, black and foul-smelling, and after the necrotic intestine was removed, only about 60 cm of small intestine remained. Despite the surgery, the patient was brought in too late and he died 16 hours after the surgery due to persistent shock and urinary shutdown. As you can see, intestinal obstruction is never as simple as the contents of the intestine not running down. If the blood vessels of the intestine are also affected or even blocked by compression, there is no way for the blood to run down and the remaining intestine will not receive nutrition and become necrotic. If a patient has sudden abdominal pain at home, how can I tell if it is an intestinal obstruction? Remember four points: abdominal pain, vomiting, abdominal distention and anal cessation of defecation and exhaustion. Generally speaking, the situation will be better if only the intestine is blocked but the blood vessels are not blocked. Once strangulated intestinal obstruction occurs, which means that the blood vessels are also blocked, it must be treated by surgery in time, otherwise, the patient will die easily. For intestinal obstruction, in fact, it can be effectively prevented. For example, just after eating a proper walk, but not strenuous exercise such as playing basketball; do not overeat, pay attention to the meat and vegetables, eat more easily digestible, fiber-rich fruits, vegetables, etc.; do not eat too much indigestible food, such as glutinous rice dough, crispy bones, etc.. Especially for those who are often constipated, they should usually be more active, drink more water, eat less spicy food, and take some medications under the guidance of doctors if necessary. Short bowel syndrome, not just a shorter intestine than a person One cold winter night, an ambulance brought an eight or nine year old boy. On admission, the little patient was pale and wouldn’t let the doctor press on his abdomen for examination. Several doctors on duty discussed together for a few moments and decided that it should be acute peritonitis, so they immediately greeted the nurses and performed surgery. As a matter of fact, the child’s small intestine was found to be twisted and necrotic, and the necrotic blackened small intestine of about 250 cm was removed immediately, leaving only 100 cm of small intestine. After the removal of so much small intestine, the patient’s body obviously did not adapt, and for a long time after the operation, he had diarrhea and malnutrition, as well as anemia and weight loss. It took 3 months of careful treatment by the medical staff before he was discharged home. Later, the child’s development and nutrition were different from those of children of the same age, and he grew significantly shorter and thinner than children of the same age. In fact, this is quite understandable, the small intestine is the main digestive organ, responsible for the absorption of most of the nutrients in the body, was removed a long section, the digestive function will certainly be affected, this is short bowel syndrome. For short bowel syndrome, the family should pay the most attention to the nutrition problem Generally speaking, the nutrition supply of short bowel syndrome should be divided into three phases. The first phase is from 3 to 4 days after surgery to 1 to 3 months after surgery. The main symptom is frequent diarrhea, which causes severe dehydration and often requires intravenous supplementation of fluids and high-energy nutrition. About two weeks after surgery, a small amount of food is started, mainly high sugar, low fat and non-slag liquid, and the protein content of food should be gradually increased. The second phase is a few months to a year after surgery. During this period, the number of diarrhea decreases, but because the ability to absorb fat is still poor, only a low-fat diet with small and frequent meals can be eaten. In addition, since there can be impaired absorption of vitamin B12 and iron at this time, attention must be paid to supplementation to prevent the occurrence of iron deficiency anemia. In the third stage, the absorption of sugar and protein in the small intestine has gradually returned to normal, but the absorption of fat is still impaired, and if the fat content in food is too high, the diarrhea can be aggravated again. In addition, because the residual intestinal tube is the slowest to recover the absorption function of vitamin B12, it is necessary to continue to supplement vitamin B12. There are a few people who still have severe diarrhea in this period, and surgery should be considered.