Bowel obstruction causes: Difference between revisions

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{{Bowel obstruction}}
{{Bowel obstruction}}
{{CMG}} {{AE}}
{{CMG}};{{AE}}{{HM}}


==Overview==
==Overview==
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* [[Adhesion (medicine)|Adhesions]] from previous abdominal surgery
* [[Adhesion (medicine)|Adhesions]] from previous abdominal surgery
* [[Carcinoid]] rare, preferred location: ileum
* [[Carcinoid]] tumor
* [[Crohn's disease]] causing adhesions or inflammatory strictures
**Rare, preferred location is ileum
* [[Foreign body|Foreign bodies]] (e.g. [[gallstone]]s in [[Ileus|gallstone ileus]], swallowed objects)
* [[Crohn's disease]]  
* [[Hernia]]s containing bowel
**Causes adhesions or inflammatory strictures
* [[Foreign body|Foreign bodies]]  
**including [[gallstone]]s in [[Ileus|gallstone ileus]] and swallowed objects
* [[Hernia]]
**Especially hernias containing bowel
* [[Intestinal atresia]]
* [[Intestinal atresia]]
* [[Intussusception (medical disorder)|Intussusception]] in children
* [[Intussusception (medical disorder)|Intussusception]]  
**Specifically in children
* [[Ischaemia|Ischaemic]] strictures
* [[Ischaemia|Ischaemic]] strictures
* [[Neoplasia|Neoplasms]], benign or malignant
* [[Neoplasia|Neoplasms]]
* [[Volvulus]]
**Including both benign and malignant neoplasms
 
*[[Volvulus]]
<div align="left">
<gallery heights="175" widths="175">
Image:Bowel Obstrution2008.jpg|Upright abdominal X-ray demonstrating a small bowel obstruction.  Note multiple air fluid levels.
</gallery>
</div>


====Large Bowel obstruction====
====Large Bowel obstruction====
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* [[Hernia]]s
* [[Hernia]]s
* [[Inflammatory bowel disease]]
* [[Inflammatory bowel disease]]
* Colonic [[volvulus]] (sigmoid, caecal, transverse colon)
* [[Volvulus]]  
**Specifically sigmoid, caecal, and colonic volvulus
* [[Constipation|Faecal impaction]]
* [[Constipation|Faecal impaction]]
* [[Intestinal atresia|Colon atresia]]
* [[Intestinal atresia|Colon atresia]]
* Benign strictures (Diverticular Disease)
*Benign strictures  
 
**Such as those that occur with diverticular disease
 
<div align="left">
<gallery heights="175" widths="175">
Image:LargeBowelObsUp2008.jpg|Upright abdominal X-ray of a patient with a large bowel obstruction showing multiple air fluid levels and dilated loops of bowel.
</gallery>
</div>


===Causes by Organ System===
===Causes by Organ System===
*Miscellaneous syndromes
*Miscellaneous syndromes
:* Paralytic [[Ileus]]
** Paralytic [[Ileus]]
:* [[Intestinal pseudoobstruction|Pseudo-obstruction]] or [[Ogilvie's syndrome]]
**[[Intestinal pseudoobstruction|Pseudo-obstruction]] ([[Ogilvie's syndrome]])
 
*Chromosomal abnormalities
*Chromosomal abnormalities
:* [[Down syndrome]]
**[[Down syndrome]]
 
*Autosomal dominant conditions
*Autosomal dominant conditions
:* [[Neurofibromatosis]] type 1
**[[Neurofibromatosis]] type 1
 
*Malignant neoplastic conditions
*Malignant neoplastic conditions
:* [[Carcinoid tumours]] and [[carcinoid syndrome]]
**[[Carcinoid tumours]] and [[carcinoid syndrome]]
:* [[Colorectal cancer]]
**[[Colorectal cancer]]
:* [[Ovarian cancer]]
**[[Ovarian cancer]]
:* [[Pseudomyxoma peritonei]]
**[[Pseudomyxoma peritonei]]
:* [[Small bowel lymphoma]]
**[[Small bowel lymphoma]]
:* [[Stomach cancer]]
**[[Stomach cancer]]
 
*Trauma, mechanical and physical conditions:
*Trauma, mechanical and physical conditions
**Bowel strangulation
**Femoral [[hernia]]
:* Bowel strangulation
**[[Ileus]]  
:* Femoral [[hernia]]
**Inguinal [[hernia]]
:* [[Ileus]]  
**Intestinal stricture
:* Inguinal [[hernia]]
**Intestinal [[volvulus]]
:* Intestinal stricture
**[[Intussusception]]  
:* Intestinal [[volvulus]]
**Large bowel obstruction
:* [[Intussusception]] of intestine
**Obturator [[hernia]]
:* Large bowel obstruction
**Peritoneal [[adhesions]]
:* Obturator [[hernia]]
**Small bowel obstruction
:* Peritoneal [[adhesions]]
:* Small bowel obstruction
 
*Infectious disorders
*Infectious disorders
:* [[Ascariasis]]
**[[Ascariasis]]
:* Intra-abdominal [[sepsis]]
**Intra-abdominal [[sepsis]]
:* [[Pneumonia]] or other systemic illness
**[[Pneumonia]]
 
*Drug Induced
*Drug Induced
**[[Panitumumab]]
**[[Panitumumab]]
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==== Mechanical Bowel obstruction ====
==== Mechanical Bowel obstruction ====
* Adenomatous polyps
*Adenomatous polyps
* Adhesions
*Adhesions
* Adhesive bands
*Adhesive bands
* Annular [[pancreas]]
*Annular [[pancreas]]
* Ascariades
*Ascariasis
* [[Atresia]]
*[[Atresia]]
* Biliary calculus
*Biliary calculus
* Bowel duplication
*Bowel duplication
* [[Carcinomatosis]]
*[[Carcinomatosis]]
* [[Colon Cancer]]
*[[Colon Cancer]]
* Congenital [[megacolon]]
*Congenital [[megacolon]]
* [[Crohn's Disease]]
*[[Crohn's Disease]]
* Cysts
*Cysts
* Diverticular stricture
*Diverticular stricture
* [[Diverticulitis]]
*[[Diverticulitis]]
* [[Endometriosis]]
*[[Endometriosis]]
* Foreign body
*Foreign body
* [[Gallstone]] ileus
*[[Gallstone]] ileus
* Hematoma of the bowel wall
*Hematoma of the bowel wall
* [[Hernia]]
*[[Hernia]]
* Hirschprung's disease
*Hirschprung's disease
* Iatrogenic
*Iatrogenic
* Imperforate anus
*Imperforate anus
* Incarcerated hernia
*Incarcerated hernia
* Inflammatory
*Inflammatory
* Intrabdominal abscess
*Intrabdominal abscess
* Intrabdominal hematoma
*Intrabdominal hematoma
* Invagination, intussusception
*Invagination, intussusception
* [[Ischemia]]
*[[Ischemia]]
* Malrotation
*Malrotation
* [[Meckel's Diverticulum]]
*[[Meckel's Diverticulum]]
* Megacolon
*Megacolon
* Multiple polyposis syndromes
*Multiple polyposis syndromes
* Neoplasm
*Neoplasm
* [[Ovarian Cancer]]
*[[Ovarian Cancer]]
* Pneumatosis intestinalis
*Pneumatosis intestinalis
* Postoperative
*[[Iatrogenic]]
* [[Pregnancy]]
*[[Pregnancy]]
* [[Radiation]] induced stenosis
*[[Radiation]] induced stenosis
* [[Sarcoma]]
*[[Sarcoma]]
* [[Scleroderma]]
*[[Scleroderma]]
* Surgical anastomosis
*Surgical anastomosis
* Therapy with dietary fiber
*Therapy with dietary fiber
* [[Trauma]]
*[[Trauma]]
* [[Tuberculosis]]
*[[Tuberculosis]]
* [[Ulcerative colitis]]
*[[Ulcerative colitis]]
* [[Volvulus]]
*[[Volvulus]]


==== Non Mechanical Bowel obstruction ====
==== Non Mechanical Bowel obstruction ====
* Acid-base imbalance
*Acid-base imbalance
* Acute [[pancreatitis]]
*Acute [[pancreatitis]]
* Anticholinergics
*Anticholinergics
* Antihistamines
*Antihistamines
* Apoplexy
*Apoplexy
* [[Brain tumor]]
*[[Brain tumor]]
* [[Cancer]]
*[[Cancer]]
* [[Catecholamines]]
*[[Catecholamines]]
* [[Cholecystolithiasis]]
*[[Cholecystolithiasis]]
* Connective tissue disease
*Connective tissue disease
* Diabetic [[coma]]
*Diabetic [[coma]]
* [[Empyema]]
*[[Empyema]]
* [[Hyperparathyroidism]]
*[[Hyperparathyroidism]]
* [[Hypokalemia]]
*[[Hypokalemia]]
* [[Lead poisoning]]
*[[Lead poisoning]]
* [[Lymphoma]]
*[[Lymphoma]]
* [[Mechanical ventilation]]
*[[Mechanical ventilation]]
* [[Mesenteric infarction]]
*[[Mesenteric infarction]]
* [[Meropenem]]
*[[Meropenem]]
* [[Morphine]]
*[[Morphine]]
* Narcotics
*Narcotics
* [[Osteomyelitis]] of the spine
*[[Osteomyelitis]] of the spine
* [[Ovarian torsion]]
*[[Ovarian torsion]]
* [[Pancreatitis]]
*[[Pancreatitis]]
* Penetrating wounds
*Penetrating wounds
* Perinephric [[abscess]]
*Perinephric [[abscess]]
* Peritoneal [[carcinomatosis]]
*Peritoneal [[carcinomatosis]]
* [[Peritonitis]]
*[[Peritonitis]]
* [[Pneumonia]]
*[[Pneumonia]]
* [[Porphyria]]
*[[Porphyria]]
* Postoperative
*Iatrogenic
* Psoas [[abscess]]
*Psoas [[abscess]]
* [[Pyelonephritis]]
*[[Pyelonephritis]]
* [[Renal colic]]
*[[Renal colic]]
* [[Retroperitoneal hematoma]]
*[[Retroperitoneal hematoma]]
* Spinal cord inflammation
*Spinal cord inflammation
* Spinal cord injury
*Spinal cord injury
* Spinal cord trauma
*Spinal cord trauma
* Systemic [[infection]]
*Systemic [[infection]]
* [[Testicular torsion]]
*[[Testicular torsion]]
* Ulcer perforation
*Ulcer perforation
* [[Uremia]]
*[[Uremia]]
* Uro[[sepsis]]
*Uro[[sepsis]]
* Vitamin deficiency
*Vitamin deficiency


==== Pseudo Bowel obstruction ====
==== Pseudo Bowel obstruction ====
* Aerophagia
*Aerophagia
* Functional bowel disease
*Functional bowel disease


===Drug induced===
===Drug induced===
* [[Lanthanum carbonate]]
*[[Lanthanum carbonate]]
*[[Methscopolamine bromide]]
*[[Methscopolamine bromide]]
* [[Teduglutide]]
*[[Teduglutide]]


==References==
==References==

Revision as of 15:30, 16 January 2018

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Hadeel Maksoud M.D.[2]

Overview

Causes

Causes by Localization

Small Bowel obstruction

Large Bowel obstruction

Causes of large bowel obstruction include:

Causes by Organ System

Causes by Mechanism

Mechanical Bowel obstruction

Non Mechanical Bowel obstruction

Pseudo Bowel obstruction

  • Aerophagia
  • Functional bowel disease

Drug induced

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