It is an interruption in the flow of intestinal contents through the intestine

1. INTESTINAL
OBSTRUCTION

2. Intestinal obstruction
• It is an interruption in the flow of intestinal contents through
the intestine
• In small or large intestine
• Complete or partial

3. Causes
• Congenital Intestinal obstruction
 Intestinal atresia
 Malrotation of gut
 Meconium plug syndrome
 Meconium ileus
 Annular pancrease
 Mickel’s diverticulum
 Hirshsprung’s disease

4. Acquired intestinal obstruction
• Intussusception
• Volvulus
• Tumor or hematoma
• Hernia and strangulation
• Stricture or stenosis of intestine
• Inflammatory disease
• Foreign body
• Worm mass
• Paralytic ileus

5. Duodenal Atresia
• Duodenal atresia is the congenital absence or complete closure
of a portion of the lumen of the duodenum
• 1 per 5000 to 10,000 live births
• Affecting boys more commonly-
than girls

6. Pathophysiology

7. Clinical manifestation
• Abdominal distension
• Bilious vomiting
• Absence of flatus
• No passage of stool
• Respiratory distress
• Abdominal tenderness
• Shock
• Chance to have trisomy 21

8. Diagnostic evaluation
• History collection
• Physical examination
• USG abdomen
• X ray chest abdomen - double bubble
• Blood test
• CT scan

10. Management
• IV fluids
• Oro or nasogastric aspiration
• Stomach wash
• NPO
• Antibiotics, Antiemetic ,vitamin supplement,
Antacids

11. Surgical management
Laprotomy
• Rescection bowel –strangulated bowel
• Ladd’s band-malrotation
• Enterotomy –foreign bodies
• Stenosis-duodeno/ jejuno duodenostomy