The only time human beings wish they could defecate and fart is when they are unable to do so
Bowel obstruction remains one of the most common intra-abdominal problems faced by general surgeons in their practice. Whether caused by hernia, neoplasm, adhesions, or related to biochemical disturbances, intestinal obstruction of either the small or large bowel continues to be a major cause of morbidity and mortality. Its early recognition and aggressive treatment in patients of all ages, including neonates, can prevent irreversible ischemia and transmural necrosis, thereby decreasing mortality and long-term morbidity. Despite many recent advances in our diagnostic and treatment armamentarium, intestinal obstruction will continue to occur. The aim of this lecture is to review the etiology, pathogenesis, diagnosis, and management for a young surgeon facing this acute emergency in the ER.
The only thing predictable about bowel obstruction is its unpredictability
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