ما هو علاج انسداد الأمعاء الدقيقة الالتصاقي بدون التهاب الصفاق أو الاختناق أو نقص تروية الأمعاء؟

References

DOI: 10.1186/s13017-018-0185-2

• Non-operative management should always be tried in patients with adhesive small bowel obstruction, unless there are signs of peritonitis, strangulation, or bowel ischemia.
• The panel recommends a trial of non-operative management in all patients with ASBO, unless there are signs of peritonitis, strangulation, or bowel ischemia.
• The cornerstone of non-operative management is nil per os and decompression using a naso-gastric tube or long intestinal tube.
• The principles of non-operative treatment are nil per os, naso-gastric, or long-tube decompression, and intravenous supplementation with fluids and electrolytes.
• Non-operative management should further include fluid resuscitation, correction of electrolyte disturbances, nutritional support, and prevention of aspiration.
• A trial of non-operative management can be continued safely for 72 h.
• If the contrast has reach the colon, this is indicative for resolution of the bowel obstruction.
• In the absence of the need to perform immediate surgery, a follow-up abdominal X-ray should be made after 24 h.