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Large Bowel Obstruction (signs and symptoms (bloating/ Abdominal…
Large Bowel Obstruction
Definition
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The obstruction prevents the bowel from it's natural process and function of the movement of products of digestion.
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Investigations
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FBC,U&E's, amylase/lipase, coagulation studies, LFT's
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Treatment
If Ca Bowel/rectum -1st line = surgery, 2nd line = can insert a stent if cancer cannot be removed.
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SIGMOID VOLVULUS - no peritonitis or mucosal gangrene - 1st line =flexi/rigid sigmoidoscopy, 2nd line = surgery
peritonitis or mucosal gangrene - 1st line = surgery.
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