Bowel Obstruction and Ileus: Ileus & Small Bowel Obstruction – Radiology | Lecturio

► LEARN ABOUT:
- What to look for in a bowel obstruction
- Differences between functional Ileus and mechanical obstruction
- Common causes of Small Bowel Obstruction
- Closed Loop Obstructions

► THE PROF: Hetal Verma has extensive experience practicing in the field of radiology. She is currently a Clinical Instructor at Harvard Medical School. Hetal has been in practice for over 10 years and has been teaching medical students and residents throughout that time. She has also been invited as a speaker at multiple teaching conferences for other physicians, technologists and the community. Hetal has a passion for teaching and is enthusiastic about teaching others about radiology.

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0:00 Introduction
0:30 What to look for?
1:06 Bowel Obstruction and lleus
1:58 Partial or Early Obstruction vs lleus
2:29 Localized Functional lleus - Abdominal Pathologies
2:44 Generalized Functional lleus
3:48 Common Causes of Small Bowel Obstruction
4:43 History: Abdominal Pain
5:24 The Following Day...
6:48 Incarcerated Hernia
7:16 CT Findings of Small Bowel Obstruction
7:51 Closed Loop Obstruction - Strangulation

[paulalaurie]

My husband has just come out of hospital after an emergency operation. He was diagnosed with a neuroendocrine tumour in the mesentry (Primary site) pulling in the small bowel with 4 or 5 smaller tumours seen on the small bowel, surgeons took 1.9m of small bowel resected but fortunate enough not to need a colostomy bag.

A CT Scan with contrast picked this up, his GP was treating him for colic! The hospital saved his life

.

[Loiyaboy]

I had an Ileus that got so bad 5 days post surgery (and after discharge) that I spent 4 days in the hospital to decompress the bowel. Thanks to an APN who happened to walk by while I was in the ER waiting room, I had an NG tube inserted that took out a liter of bile in the first 2 minutes, and another liter in the next 5. He figuratively, if not literally, saved my life. The pain was excruciating.

[hammerradiology]

Very nice presentation 👏 it's important as a Radiologist to be able to name the cause of the ileus. It's also important as a non- medical worker to know that this condition exists and abdominal pain should be taken seriously.

[tijanamitrovic]

Very informative, concise, clear and value lecture. Thank you, we appreciate that.

[averyjoycelynbarakudablock]

Though i don't understand much of what is presented here, there such a density of information that I actually learned a lot.
Thank you for this.

[jagmarc]

Watching this video and several others like it makes it very clear just how bad my public health hospital emergency room is, not just how they don't do their job but also how they manipulate the steps of the diagnosis process and selectively omit key tests, so that they can discharge the patient and then safely file a report that makes it appear there's nothing seriously wrong with the patient who comes in with the first signs of SBO.
All they are doing is passing the buck onto their colleagues who will have to deal with extra complications and extra damage caused by delayed diagnosis.

[robertomedina]

my Gosh, thank you! This video was my Christmas and New Year's gift! Thanks again!! I will be subscribing and browsing through your videos.

[periskirui]

Adequate, straight to the point information. Gracias.

[MedSurvival]

In patients with acute small bowel obstruction, routine laboratory studies help assess the presence and severity of hypovolemia and electrolyte abnormalities and may indicate the possibility of complications (eg, leukocytosis, metabolic acidosis).

[drreinahaji]

very good lecture please cover head neck and spine radiology

[karinberryman]

Tks, this was a very clear tutorial/lecture. Very helpful.

[nystagmus]

What about metabolic causes: hypokalemia, hypothyroid? Very good presentation

[wesammohsen]

Thank you so much, v. Informative & right to the point

[valleygirlgg]

This is good to know. I have COPD and every time I have a COPD exacerbation I get an ileus. My bowels shut down, become very distended and extremely painful and stay that way for a week. I can't eat or take anything in orally as it comes right back up. It goes away on it's own, I figure the stress my body is put under when I stop breathing causes a lot of trauma to my system. It's the most painful thing I have ever had including unmedicated child birth!

[Rene-uzeb]

I find it interesting that spastic ileus seems to have never been taken up as a frequent cause of self limited ileus. You have to go back to a 1918 paper to even find it, and the author complains likewise that it is not getting the attention it deserves in the classification of ileus.

SPASTIC ILEUS (SPASMODIC INTESTINAL OBSTRUCTION), 1918

Since we can have hiccups which are spasmodic, and leg cramps, doesn’t take much to believe there can be intestinal cramps. I think my one ileus event was spasmodic, lasting 4 days, triggered by excessive coffee consumption (up to 5 cups a day). Although could also have been round worms triggering it, according to the 1918 paper, and that indeed had been my first suspicion then.

[zainabsamizainab]

Thnk u soo much for such wonderfull explanation ..😘😘

[ladycati]

I need help explaining my CT scan. Could u help me cos my doctors ain’t really transparent with me

[iwantyou]

i have sever pain in middle of my stomach and nosia for 4 years i did axial ct yesterday they didn’t find any problem cani i know if there is blockage in small intestine with axail ct only what do you suggest ?!

[gajanan]

Can i get consultation wants to discuss my mother in law case which facing bowl obstruction?

[elenajanovec]

I had a successful colonoscopy although my doctor said my colon is bent that’s why I get constipated a lot is there anything I can do to unbend it?