Intestinal Obstruction

Sign/Symptoms
Abdominal Bloating Abdominal Cramp Abdominal Swelling Constipation Nausea Pain Abdominal Vomiting

Drugs
Pyridostigmine

Treatments
Surgery Resection Iliostomy Colostomy Anastomosis Medical Procedure Intravenous fluids (IV) Fluid input and output monitoring urinary catheter Nasogastric Suction Digital Removal of Fecal Impaction Endoscopic Procedures Endoscopy Alternative Medicine Celandine (Ukrain, Chelidonium Majus) Weakly Against Very Low Evidence Lifestyle Changes Intravenous fluids (IV) Weakly in Favour Low Evidence Medical Therapy Endoscopy Weakly in Favour Low Evidence Digital Removal of Fecal Impaction Weakly in Favour Low Evidence Fluid input and output monitoring Weakly in Favour Low Evidence Nasogastric Suction Weakly in Favour Low Evidence Urinary Catheter Weakly in Favour Low Evidence Anastomosis Weakly in Favour Low Evidence Colostomy Weakly in Favour Low Evidence Iliostomy Weakly in Favour Low Evidence Resection Weakly in Favour Low Evidence

Attributes
CriticalCare = Yes

Further Tests
amylase concentration Amylase (Increased) Fetal Nuchal Translucency (FNT on Ultrasound) Fetal Nuchal Thickness on Ultrasound (Pregnancy Weeks 10 to 14) (Increased) Sodium Concentration (Na, Blood) Sodium (Na, Blood) (Decreased) Urine Amylase Excretion Rate Urine Amylase (Increased)

Efficacy of Alternative and Other Treatments According to GRADE* Ranking:

Celandine (Ukrain, Chelidonium Majus) [4, 5, 6]:

Please note, this management does NOT treat the condition itself. It is proposed only as a weak supportive symptomatic support, and even then, has insufficient evidence to back up this claim at present.

Recommendation: weakly against (There is insufficient evidence that Celandine helps to cure or treat intestinal obstruction. In addition, the plant is mildly poisonous to humans. It may cause hepatitis as well as symptoms of pain, nausea, thirst, and fever.)

Grade of Evidence: very low quality of evidence

* www.gradeworkinggroup.org

Summary References

Treatments:
1. Small Bowel Obstruction overview Retrieved on February 19, 2010

2. Small Bowel Obstruction The Eastern Association for the Surgery of Trauma. February 19, 2010

3. http://www.merck.com/mmpe/sec02/ch011/ch011h.html?qt=intestinal%20obstruction&alt=sh#sec02-ch011-ch011h-514

4. Ades T, Alteri R, Gansler T, Yeargin P, "Complete Guide to Complimentary & Alternative Cancer Therapies", American Cancer Society, Atlanta USA, 2009
5. http://abchomeopathy.com/r.php/Chel

6. http://www.naturalstandard.com/index-abstract.asp?create-abstract=/monographs/herbssupplements/greatercelandine.asp

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