Altered gastric and duodenal motility in intestinal obstruction

There are no strict clinical or radiographic criteria that consistently indicate imminent strangulation in cases of small bowel obstruction. An intestinal obstruction with vascular compromise produces a marked retention of food, fluid, or contrast material in the stomach and duodenum, while an obstr...

Full description

Saved in:

Bibliographic Details
Published in:	Gastrointestinal radiology Vol. 15; no. 3; p. 193
Main Authors:	Hunter, T B, Fajardo, L L, Jarvis, J L, Villar, H V
Format:	Journal Article
Language:	English
Published:	United States 01-12-1990
Subjects:	Adult Aged Female Gastric Dilatation - diagnostic imaging Gastric Dilatation - pathology Gastric Dilatation - physiopathology Gastrointestinal Motility Humans Intestinal Obstruction - diagnostic imaging Intestinal Obstruction - pathology Intestinal Obstruction - physiopathology Middle Aged Radiography
Online Access:	Get more information
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	There are no strict clinical or radiographic criteria that consistently indicate imminent strangulation in cases of small bowel obstruction. An intestinal obstruction with vascular compromise produces a marked retention of food, fluid, or contrast material in the stomach and duodenum, while an obstruction without vascular problems may show no change or somewhat delayed gastric emptying with some duodenal hypotonia. The association of gastric atony and profound stomach dilatation with strangulating, usually closed-loop intestinal obstruction, has generally not been appreciated by radiologists. We illustrate this phenomenon in 4 patients and emphasize its usefulness in evaluating intestinal obstructions.
ISSN:	0364-2356
DOI:	10.1007/BF01888772