Intestinal obstruction (pediatric)
| Normal anatomy |
The small intestine is basically a long tube through which digested food passes.
|
| Indications, part 1 |
Intussusception is a common cause of bowel obstruction in children. It occurs when a segment of small bowel "telescopes" on itself, thus causing swelling, obstruction, and eventually intestinal gangrene.
|
| Indications, part 2 |
Intussusception is suspected if the child has experienced sudden, severe abdominal pain, blood and mucous in the stool, and vomiting. Abdominal X-rays are usually taken to confirm the diagnosis. A barium enema may be used for diagnosis. Barium, a heavy, radio-opaque dye, is administered through the rectum, fills the bowel, and allows for visualization of the bowel by x-rays. This procedure is sometimes successful in correcting the problem- the weight of the barium itself in the bowel frequently reduces the telescoped bowel. If intussusception is diagnosed and not corrected by barium enema, surgery is necessary IMMEDIATELY to prevent complications such as obstruction, gangrenous bowel and peritonitis.
|
| Incision |
While the child is deep asleep and pain-free (using general anesthesia), an incision is made in the abdomen, usually in the midline. The bowel obstruction site is located, the obstruction is relieved, and the bowel is examined for injury. Injured sections are removed and the healthy ends of the bowel are either stitched together or brought out onto the abdomen temporarily (colostomy).
|
| Aftercare |
Generally, patients are able to go home within 5-10 days after surgery, depending on how long it takes the intestines to recover from the surgical procedure.
|
Review Date:
5/17/2010
Reviewed By:
Shabir Bhimji, MD, PhD, Specializing in Cardiothoracic and Vascular Surgery, Midland, TX. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997-
A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
Disclaimer: The information contained in this website, and its associated websites, is provided as a benefit to the local community, and the Internet community in general; it does not constitute medical advice. We try to provide quality information, but we make no claims, promises or guarantees about the accuracy, completeness, or adequacy of the information contained in or linked to this website and its associated sites. As medical advice must be tailored to the specific circumstances of each patient and healthcare is constantly changing, nothing provided herein should be used as a substitute for the advice of a competent physician. Furthermore, in providing this service, Adventist HealthCare does not condone or support all of the content covered in this site. As an Adventist health care organization, Adventist HealthCare acts in accordance with the ethical and religious directives for Adventist health care services.
