Emergency War Surgery NATO Handbook: Part IV: Regional Wounds and Injuries: Chapter
XXX: Reoperative Abdominal Surgery
Specific Reasons for Reoperations: Intestinal Obstruction
United States Department of Defense
Postoperative mechanical intestinal obstruction, when present, usually develops within
the first two weeks after injury. Early operative treatment has been employed with
success; the use of long intestinal tubes having been less helpful. Adhesions and
intraloop abscesses are the usual causes of obstruction in these cases. It should be
stressed that this complication occurs relatively late and should not be confused with
prolonged ileus in the earlier postinjury period. Water-soluble radiopaque iodine
compounds such as Gastrografin can be employed to differentiate these two conditions. When
administered orally, the contrast material fails to traverse the intestinal tract in
mechanical obstruction. In the unobstructed case, the contrast material passes through the
intestinal tract within a few hours, as evidenced by serial abdominal roentgenograms or by
the initiation of bowel movements.
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Operational Medicine 2001
Health Care in Military Settings
Bureau of Medicine and Surgery
Department of the Navy
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Operational Medicine
Health Care in Military Settings
CAPT Michael John Hughey, MC, USNR
NAVMED P-5139
January 1, 2001 |
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