* Bloating. Symptoms of a large-bowel obstruction include: * Abdominal pain, which may be severe if the blood supply is cut off (strangulated). * Bloating. Traditional "conservative" management, labeled "drip and suck" therapy by some authors, is an extrapolation from perioperative management for obstruction. It certainly makes sense if operating on a vomiting patient with a dilated gut to decompress the gut with an NG tube and restore intravascular volume. However, there is no data that supports this approach as a long-term therapy for malignant bowel obstruction. Most patients with bowel obstruction who are able to eat should be on a low-fiber diet. This is essential if they are trying to eat with a total obstruction (as is, in fact, sometimes possible). Patients with complete bowel obstruction treatment who do eat often vomit or regurgitate every few days. Although this is not pleasant, it appears to be more pleasant than dying with an NG tube.
Thursday, September 17, 2009
complete bowel obstruction treatment
Tuesday, September 15, 2009
bowel treatment obstruction
Early palliative approaches stressed symptomatic relief. Bowel obstruction is a very dynamic process, frequently reverting from total to partial obstruction and back in as many as 50% of cases. Only one controlled study of the use of steroids in bowel obstruction has been done. The most important drug in the therapy of bowel treatment obstruction is octreotide. An analogue of the hormone somatostatin, it significantly reduces secretion into the gut. In one study by Mangili, 13 patients with ovarian cancer-related obstruction had NG aspirate volumes measured A small-bowel obstruction may cause: * Cramping abdominal pain, which may be severe if the blood supply is cut off (strangulated). * Vomiting.
Sunday, September 13, 2009
Treatment of Bowel obstruction
Treatment of Bowel obstruction arises most commonly as a complication of ovarian or colon cancer. In one series 42% of patients with ovarian cancer developed obstruction. Primary presentation of colon cancer with obstruction is usually treated with surgical resection. This goal is best achieved by normalizing gut function proximal to the obstruction. What "misunderstanding" arises in bowel obstruction? Studies have demonstrated that with obstruction the balance is shifted strongly in favor of secretion. Increased secretion of fluid results in further intestinal dilatation, cramping, and frank nausea and vomiting. In one small study Huchison measured serotonin levels in women with ovarian cancer with and without bowel obstruction
Friday, September 11, 2009
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