Protocolo diagnóstico y terapéutico de la obstrucción intestinal en urgencias

  1. San Julián Romero, M. 1
  2. Miguens Blanco, I. 1
  3. Martín Sánchez, R. 1
  4. Gordo Remartínez, S. 1
  1. 1 Servicio de Urgencias, Hospital Universitario Gregorio Marañón, Madrid, España
Journal:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Year of publication: 2023

Issue Title: Urgencias (III) Urgencias abdominales y digestivas

Series: 13

Issue: 89

Pages: 5286-5289

Type: Article

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More publications in: Medicine: Programa de Formación Médica Continuada Acreditado

Abstract

Bowel obstruction is a common disease in emergency departments. Computed tomography (CT) plays an important role in the diagnosis and prediction of a surgical intervention whereas the use of oral contrast has been demonstrated to predict the success of conservative management. It is recommended to perform an abdominal x-ray on all patients suspected of having obstruction. In the case of an uncertain diagnosis, it is advised to perform a CT scan with intravenous contrast. If there are no signs of ischemia, the use of oral contrast after decompression with a nasogastric tube is safe. If the contrast does not reach the colon after 12 hours, conservative management is considered to have failed and surgical management should be considered.

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Data source: Dialnet