When there is a suspicion that a patient has intestinal obstruction, an instrumental study is required, which helps not only to make a diagnosis, but also to determine the causes of the disease. One of the signs of intestinal obstruction is the Cloiber Cup.
Determination of intestinal obstruction
Symptoms of intestinal obstruction are simple: in case of illness, food cannot pass the intestinal tract due to mechanical obstructions or disrupted bowel function. The main symptoms experienced by this person are:
- bloating;
- constipation;
- nausea or vomiting;
- bursting pains in the abdomen, sometimes radiating to the back.
Most often, obstruction is the result of a change in diet, the appearance of tumors, polyps or dysmotility of the intestine. To determine the disease, it is necessary to do an ultrasound of the gastrointestinal tract.
X-ray examination
At the slightest suspicion of intestinal obstruction, it is necessary to do an x-ray of the abdominal cavity. To start doingonly a survey fluoroscopy, in which, according to certain signs, a diagnosis can be made. X-ray is the main method of examination of the intestine.
There are 5 main signs of intestinal obstruction:
- intestinal arches;
- Cloiber bowl;
- no gas in the gut;
- transfusion of fluid from one bowel loop to another;
- striation of the intestine in the transverse direction.
More about Cloiber bowls
Let's look at the Kloiber bowls on the radiograph in more detail. When such cups are found on the picture, you can see swollen sections of the intestine filled with liquid in a horizontal position (the patient is in a vertical position) and gas. The gas is above the liquid, on the x-ray it appears as a picture in the form of an inverted bowl. Detection of lesions in the form of bowls appears only when the x-ray is taken in the vertical or lateral position of the patient.
Usually, with intestinal insufficiency, more than one Kloiber cup appears, there are many of them, and they are located in the area of \u200b\u200bthe loops of the small intestine, approximately in the center of the abdominal cavity. It is noteworthy that the width of the liquid in the bowl must exceed the level of the height of the gases. The bowls can be of different sizes, while maintaining the proportionality of height and width.
The appearance of many small lesions indicates that a significant amount of fluid has accumulated in the small intestine. They are rarely a sign of colonic obstruction.
Treatment of intestinal failure
BFirst of all, you need to decide on a diet. First you need to strictly follow a diet and not overeat. Overeating can cause deficiency symptoms to worsen, especially if it happens after a long break. Next, you need to give up food that leads to gas formation. Such foods include beans, peas, soybeans, cabbage and other similar products. It is best to eat more often, but in small portions, this will prevent overeating.
Treatment begins with more humane and conservative methods: enemas, removal of stomach contents, introduction of special crystalloid-based solutions into the body, and administration of protein preparations. In advanced and severe forms, surgical intervention is performed.
Dieting after surgery
After an x-ray of the abdominal cavity is taken, doctors determine whether it is necessary to perform an operation or to limit oneself to conservative means. In the case when a surgical intervention is performed, after the operation, the patient should neither eat nor drink for 12 hours. In order to enrich the body with nutrients, doctors use a probe or droppers with glucose. After that, only liquid formulas should be eaten until the doctor's permission to switch to other foods.
Next comes the zero diet. Its meaning is that you need to take only light food, which is quickly absorbed and does not contain s alt. At the same time, you need to eat 6-8 times a day in very small portions, and the calorie content of the entire daily dietshould not exceed 1020 calories. Also, you can not eat something cold or hot, all products must be at room temperature and in a jelly-like form.
Cloiber's bowl is a formidable symptom, so at the first sign of intestinal failure, you should immediately go to the doctor and take an x-ray of the abdominal cavity.
