Introduction to Adhesive Bowel Obstruction

Adhesive intestinal obstruction is an acute obstruction of the intestinal canal caused by extensive intestinal adhesions formed after abdominal surgery, inflammation, and trauma, and is the most common type of intestinal obstruction.

Most of these patients have a history of abdominal surgery, inflammation, trauma or tuberculosis, and have a trigger of overeating or strenuous exercise before the attack; they often have abdominal pain or have a history of visiting a doctor for intestinal adhesions in the past.

The symptoms mainly include paroxysmal abdominal colic with repeated vomiting, vomit with yellow-green liquid or even fecal juice, palpable intestinal pattern and high-pitched bowel sounds, and disease accompanied by cessation of exhaustion and defecation.

It is important to treat adhesive intestinal obstruction to distinguish whether it is simple or strangulated, complete or incomplete. If adhesional intestinal obstruction is not improved or even aggravated by non-surgical treatment, or if it is suspected to be narrower intestinal obstruction, especially closed-collaterals obstruction, surgery must be performed early to avoid intestinal necrosis. Surgery should also be considered for incomplete adhesive intestinal obstruction with frequent recurrent attacks.