Is intestinal obstruction dangerous?

Written by Xu Jun Hui
General Surgery
Updated on February 18, 2025
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Intestinal obstruction is a relatively dangerous and common emergency condition in general surgery. It is a disease caused by an obstruction to the passage of intestinal contents, categorized by its causes into mechanical intestinal obstruction, dynamic intestinal obstruction, and vascular intestinal obstruction, among which vascular intestinal obstruction is particularly dangerous. Based on blood circulation in the intestinal wall, it is divided into simple intestinal obstruction and strangulated intestinal obstruction, with strangulated intestinal obstruction being more dangerous as it can easily lead to ischemic necrosis of the intestines. According to the degree of obstruction, it is classified into partial intestinal obstruction and complete intestinal obstruction, with the latter being more dangerous. Intestinal obstruction, especially strangulated or vascular intestinal obstruction, can lead to obstructed blood circulation in the intestinal wall, resulting in ischemic necrosis and possibly perforation, making it a very dangerous condition.

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Principles of Intestinal Obstruction Treatment

In the treatment principles of intestinal obstruction, the basic treatment methods apply to both partial and complete intestinal obstructions. Firstly, gastrointestinal decompression is required based on the situation. Gastrointestinal decompression involves the insertion of a gastric tube, which is determined by whether the patient has symptoms of nausea and vomiting. If these symptoms are prominent, a gastric tube should be placed to drain the stomach contents, thus alleviating the burden and swelling of the intestines and aiding in the treatment of the disease. Another aspect is fluid replenishment and anti-inflammation, as intestinal obstruction will definitely lead to changes in intestinal flora and concurrent infections, making anti-infection measures very important. Fluid replenishment involves administering nutrient solutions to provide nutrition and prevent electrolyte imbalances. Additionally, enemas or traditional Chinese medicine may be used to facilitate intestinal motility. During this treatment process, it is crucial to closely monitor the condition to assess if exploratory surgery is indicated. As the condition can either improve or worsen, close observation is extremely important.

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What is intestinal obstruction?

Intestinal obstruction refers to a blockage condition caused by various factors leading to intestinal obstruction, compression, and torsion, which prevents the normal passage of intestinal contents through the intestine. This is collectively referred to as intestinal obstruction. Intestinal obstruction can be divided into three categories based on the cause: first, mechanical intestinal obstruction; second, dynamic intestinal obstruction; and third, vascular intestinal obstruction. The main clinical symptoms of intestinal obstruction are abdominal pain, abdominal distension, vomiting, and cessation of gas and feces from the anus. Clinically, intestinal obstruction can be treated conservatively or surgically.

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Symptoms of intestinal obstruction

The symptoms of intestinal obstruction generally manifest as abdominal pain, especially cunning types that can cause severe abdominal pain. Secondly, due to the blockage of the intestines by the obstruction, it can lead to vomiting of stomach acid, which is also greatly related to the location of the obstruction. Thirdly, there will be intestinal discomfort, which leads to some discomforts. Therefore, if the above symptoms appear, it is recommended to quickly visit the general surgery department to complete relevant examinations and intervene early based on the results to prevent further damage.

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How is intestinal obstruction treated?

Patients with intestinal obstruction primarily receive the following treatments: First, basic treatment, which includes gastrointestinal decompression, where patients need to refrain from eating and drinking, meaning they cannot consume food or water. Additionally, a gastric tube may be inserted. Second, frequent vomiting combined with the prohibition of food and drink can lead to disturbances in electrolyte and acid-base balance, so intravenous fluid supplementation is used to correct these imbalances. Third, appropriate antibiotics are used to prevent infection. Further, in cases of intestinal obstruction, abdominal distension can cause a sensation of bloating in the stomach, and somatostatin may be used to reduce the secretion of gastrointestinal fluids and alleviate abdominal distension. Alongside basic treatment, it’s essential to monitor the abdominal condition to see if it worsens, and surgical intervention should be considered when necessary.

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How to diagnose intestinal obstruction?

How to diagnose intestinal obstruction, which is a common acute abdomen condition in surgery. If symptoms such as cessation of passing gas or stools, abdominal pain, and vomiting occur, it may suggest the presence of an intestinal obstruction. The simplest diagnostic method for intestinal obstruction is to perform an upright abdominal plain film to assess the degree of obstruction, based on the presence or absence of fluid levels. Furthermore, identifying the fundamental cause of the obstruction is essential; this can be achieved through enhanced abdominal CT and colonoscopy to make a determination. An abdominal ultrasound can also be performed, which provides a better understanding of the condition of the intestinal obstruction. Using abdominal ultrasound, the presence of effusion can be detected, and by aspirating the effusion, its properties can be analyzed to determine if there is a condition such as bowel necrosis.