Challenges in the diagnosis and management of acute bowel obstruction: Focus on the standard of practice
10.19538/j.cjps.issn1005-2208.2019.12.06
- Author:
Yi-hong SUN
1
;
Xue-fei WANG
1
Author Information
1. Department of General Surgery, Zhongshan Hospital of Fudan University Shanghai 200032, China
- Publication Type:Journal Article
- Keywords:
bowel obstruction;
acute abdomen;
diagnosis;
surgery
- From:
Chinese Journal of Practical Surgery
2019;39(12):1265-1268
- CountryChina
- Language:Chinese
-
Abstract:
Acute bowel obstruction(ABO)is one of the most common acute abdomen with complicated etiology and critical conditions.Insufficient recognition of the clinicopathologic features for different types and the urgency for special types of ABO,over-reliance on imaging diagnosis,and less standard for practice are the major limitations in the management of ABO. Basically,a qualified clinical training program,including history collection, physical examination and thorough comprehension of the pathological mechanisms,is needed to be established. Furthermore,application and interpretation of imaging examinations should be standardized,in order to achieve precise qualitative,topical and etiological diagnosis. Specifically,strangulated and closed loop ABO should be identified and treated very soon due to critical outcome. Finally,the strategy of surgery should be made based on the strict indications and damage control principle.
