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ILEUS OBSTRUKTIF (ETIOLOGI (USUS HALUS (Intususepsi, Volvulus, Neoplasma,…
ILEUS OBSTRUKTIF
ETIOLOGI
USUS HALUS
Intususepsi
Volvulus
Neoplasma
Ascariasis
Hernia inkaserata
Batu empedu masuk melalui fistula kolesisenterik
Crohn disesase
Penyakit radang usus
Perlekatan usus atau Adhesi
USUS BESAR
Hirschprung
Inflamasi
Volvulus
Tumor jinak
Karsinoma
Impaksi fekal
KLASIFIKASI
Letak sumbatan
Obstruktif tinggi
Obstruktif rendah
sifat sumbatan
simple obstruction
strangulated obstruction
SPEED OF ONSET
akut
kronik
Anatomi
USUS HALUS
jejenum dan ileum
duodenum
duodenum pars descendens
duodenum pars horizontal
duodenum pars superior
duodenum pars ascendens
COLON
transversum
descendens
ascenden
TATALAKSANA
PIDAR
Puasa
Infus (Fluid resuscitation )
Decompression NGT & Foley catheter
Antibiotics
Refer to Surgeon
MANAGEMENT OF BOWEL OBSTRUCTION
Fluid resuscitation
Close monitoring hemodinamic
Electrolyte, acid-base correction
NGT decompression
Antibiotics
Diagnostic study
Informed concent
Refer to Surgeon
Exploratory laporotomy
PEMERIKSAAN PENUNJANG
Chest x-ray
Plain abdominal X ray
Water soluble enema to exclude
Laboratory test
Fecal Occult Blood Test
CBC
Serum electrolyte concentrations
The serum creatinine concentration / BUN
The coagulation profile
Liver function : profile
MANIFESTASI KLINIK
Abdominal distension
Colicky abdominal pain
Nausea and Vomiting
Decreased passage of stool or flatus
Altered mental status
Vital Sign
Tachicardia
Hypotension
Tachipnoe
Fever
Oliguria
Hypovolumic shock
PATOFISIOLOGI