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Small Bowel Obstruction

A condition where small bowel passage is obstructed, requiring urgent evaluation.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Genel Cerrahi department. Book Appointment →

What is Small Bowel Obstruction?

Small bowel obstruction (SBO) is the mechanical blockage of the bowel lumen. Most common causes are adhesions (postoperative), hernias, tumors, and Crohn's strictures.

Obstruction can be complete or partial; it is also classified as simple (without ischemia) or strangulated (with bowel ischemia). Strangulated SBO requires emergency surgery.

The gold standard imaging is CT; transition point, closed loop, and ischemia findings guide treatment.

Symptoms

Colicky abdominal pain
Bilious vomiting
Abdominal distension
Decreased gas and stool passage
High-pitched or metallic bowel sounds
Dehydration
Signs of peritonitis in advanced cases

Risk Factors

Previous abdominal surgery (adhesions)
Abdominal hernias (inguinal, umbilical, incisional)
Crohn's disease
Abdominal malignancy
History of radiotherapy
Peritoneal carcinomatosis
Volvulus and intussusception

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Cramping abdominal pain and bilious vomiting
  • No gas or stool passage
  • Marked abdominal distension
  • Fever, tachycardia, and worsening pain
  • Recurrent attacks with history of abdominal surgery

Treatment Methods

01
IV fluid resuscitation and electrolyte correction
02
Nasogastric decompression
03
Conservative observation in partial SBO (48-72 hours)
04
Emergency surgery in strangulated or complete obstruction
05
Adhesiolysis, hernia repair, or resection-anastomosis
06
Laparoscopic approach in selected cases

Which Department to Visit?

You can visit our Genel Cerrahi department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Genel Cerrahi Department

Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.