Figure 1. General Approach to Evaluating SBO.

Figure 1General Approach to Evaluating SBO

Definitions: UA = urinalysis, AKI = acute kidney injury, IBD = Irritable bowel disease, CKD = chronic kidney disease

1

Consult surgery. Do NOT attempt to reduce incarcerated abdominal wall hernias

2

See text for details. For patients with contrast allergy, use rapid 5 hour corticosteroid IVprep. For patients with CKD 4-5, AKI, or dialysis patients with significant urine output, discuss the pros and cons of contrast administration with the radiologist, and consider saline infusion to prevent contrast-induced nephropathy.

3

These are suggested triage guidelines. In some cases, triage decisions may require discussion among admitting services. If appropriate service is unclear, appropriate disposition may require discussion among attending clinicians to address the patient’s needs

4

From: Evaluation and Management of Mechanical Small Bowel Obstruction in Adults

Cover of Evaluation and Management of Mechanical Small Bowel Obstruction in Adults
Evaluation and Management of Mechanical Small Bowel Obstruction in Adults [Internet].
Vercruysse G, Busch R, Dimcheff D, et al.
Ann Arbor (MI): Michigan Medicine University of Michigan; 2021 Apr.
© Regents of the University of Michigan.

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