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Surgery may be needed to relieve the obstruction if gastric decompression does not relieve the symptoms, or if there are signs of bowel necrosis. The type of surgery will depend on the type and area of obstruction and may include intestinal resection with an anastomosis or creation of an ileostomy or colostomy
If the small bowel obstruction is complete, the peristaltic waves become quite vigorous, assuming revers direction, propelling intestinal contents toward the mouth rather than the rectum
Small bowel obstruction patient vomits
stomach contents first, then the bilious contents of the duodenum, and finally the fecal contents of the ileum
A distended abdomen, a bloated sensation, and altered bowel sounds may indicate a
small bowel obstruction.
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