In its origin
bowel obstruction is congenital and acquired, and may develop
under the following circumstances:
- defects of the intestine in the form of atresia or
- compression of the bowel due to soldering or infringement
- obstruction of the intestinal worm or a ball
- closing the lumen of the gut feces.
picture of the disease depends on the level of occurrence of obstruction. In high congenital intestinal obstruction
Symptoms in children occur or shortly after birth: this
persistent vomiting, vomit found in admixture of bile, there is
lack of or delay in the chair. It has been observed that after vomiting bloating disappears
and there comes some relief. At low congenital obstruction on
fore features such as delay stool, bloating and
increased peristalsis, then joins vomiting bile.
acquired various forms the main feature of intestinal obstruction in a child with delayed diagnosis is considered
bowel perforation with peritonitis.
Intestinal obstruction: manual and dynamic
practice pediatric surgeons are faced with different kinds of acquired
- Adhesive obstruction has bright clinical
picture resembling shock and toxemia at an early age. There is cramping
abdominal pain, persistent uncontrollable vomiting, increased peristalsis. Soon added
expressed intoxication with profuse vomiting, so-called "fecal vomiting," E.
peristalsis weakens. The later stages of the disease are characterized by
repeated vomiting, mild swelling and asymmetry of the abdomen, lack of
intestine. Diagnosis is carried out in this case by means of
Traditional X-ray method, and the most informative diagnostic criterion
considered to be the laparoscopic examination of the entire abdomen.
- Intussusception - is a combined form of obstruction
in children with elements of infringement of the mesentery and intestine intussusceptum closing in
which were part of the intestine. Depending on the location
location distinguish small bowel and colonic intussusception. Typical
Symptoms of this form are presented paroxysmal abdominal pain, which
begin suddenly on public health background. This attack can also
a sudden end as it began, but again after some time has
with increased vomiting, due to the infringement of the mesentery of the colon or full
bowel obstruction. the child's temperature and chair are normally later
time from the rectum appear mucus with blood.
- One of the most frequent forms of obstruction
bowel, occurring in childhood - a dynamic, may look like
spastic or paralytic. It develops most often in children in the postoperative
period characterized by recurrent vomiting, progressive abdominal distension,
Delay of the chair and gases, intoxication. Abdomen soft, peristalsis is weak,
high standing diaphragm provoking breathing difficulties. Treatment of such
form of obstruction aimed at combating intestinal adynamia.
- Obstructive obstruction in most
cases due coprostasia, or - closure of fecal intestinal lumen
mass, in children at different ages. The main reason is considered to be a violation of
regime and diet, contributing to the formation of fecal stones. differential
diagnosis is carried out with a bowel tumor.
- Rare form of intestinal
obstruction - a disease that occurs as a result of helminthic invasion,
when bred parasites closed intestinal lumen.
Prevention of bowel obstruction
intestinal obstruction - is, above all, child care and healthy
food. Preventive measures involve:
- active and healthy way of life of children and their
- balanced mode and diet
rich in fiber, fruits, vegetables, vitamins;
- timely medical treatment;
- the prevention of infection and destruction