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LECTURE  6 Bowel motility disorders:  Ileus, bowel  obstruction, strangulation National O. Bogomolets  Medical  University  Faculty  Surgery Department N1 Kyiv 2008 Prof. Kucher M.
Bowel motility disorders: ,[object Object],[object Object]
[object Object]
D. Chukhrienko classification  Dnipropetrovsk, Ukraine,1958 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
[object Object],[object Object],[object Object],[object Object],[object Object]
М. Кучер if the neck of the hernia sack actually pinches off the supply of blood to those organs which have become trapped inside, the hernia is said to be strangulated Severe pain  Fever  Vomiting  Gangrene
D. Chukhrienko classification  Dnipropetrovsk, Ukraine,1958 (cont.) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Causes of Mechanical Small Intestinal Obstruction in Adults ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Causes of Mechanical Small Intestinal Obstruction in Adults ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Causes of Mechanical Small Intestinal Obstruction in Adults ,[object Object],[object Object],[object Object],[object Object],[object Object]
Intraoperative findings of phytobezoar in the jejunum (arrow).
Causes of Mechanical Small Intestinal Obstruction in Adults
Causes of Mechanical Large Bowel Obstruction in Adults ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Causes of Mechanical Large Bowel Obstruction in Adults ,[object Object],[object Object],[object Object],[object Object]
Causes of Mechanical Large Bowel Obstruction in Adults ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
Clinical Manifestations ,[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical course periods ,[object Object],[object Object],[object Object]
Clinical Manifestations ,[object Object],[object Object],[object Object],[object Object],[object Object]
Radiologic Examinations
 
Barium study showing the filling defect in the jejunum with claw-like appearance suspicious of intussusception. The bowel loop distal to the filling defect is collapsed (arrow). CT scan of the abdomen showing the intraluminal hypodense filling defect with mottled appearance (arrow).
[object Object],[object Object],[object Object]
The CT-presentation of a closed loop obstruction in the small bowel ,[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Strangulating Obstruction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object]
Intussusception  ,[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
Intussusception  ,[object Object],[object Object],[object Object],[object Object]
Intussusception  ,[object Object],[object Object],[object Object],[object Object]
[object Object]
 
This shows a typical apple-core stricture of a colonic carcinoma .
[object Object]
[object Object]
Treatment ,[object Object],[object Object],[object Object]
Operative Management ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
Ileus ,[object Object],[object Object]
Causes of Ileus ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Bohomolets Surgery 4th year Lecture #6

  • 1. LECTURE 6 Bowel motility disorders: Ileus, bowel obstruction, strangulation National O. Bogomolets Medical University Faculty Surgery Department N1 Kyiv 2008 Prof. Kucher M.
  • 2.
  • 3.
  • 4.
  • 5.  
  • 6.
  • 7. М. Кучер if the neck of the hernia sack actually pinches off the supply of blood to those organs which have become trapped inside, the hernia is said to be strangulated Severe pain Fever Vomiting Gangrene
  • 8.
  • 9.
  • 10.
  • 11.
  • 12. Intraoperative findings of phytobezoar in the jejunum (arrow).
  • 13. Causes of Mechanical Small Intestinal Obstruction in Adults
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 27.  
  • 28. Barium study showing the filling defect in the jejunum with claw-like appearance suspicious of intussusception. The bowel loop distal to the filling defect is collapsed (arrow). CT scan of the abdomen showing the intraluminal hypodense filling defect with mottled appearance (arrow).
  • 29.
  • 30.
  • 31.
  • 32.
  • 33.
  • 34.
  • 35.
  • 36.
  • 37.
  • 38.
  • 39.
  • 40.
  • 41.  
  • 42. This shows a typical apple-core stricture of a colonic carcinoma .
  • 43.
  • 44.
  • 45.
  • 46.
  • 47.
  • 48.
  • 49.
  • 50.