Is intestinal obstruction the only treatment option?

Intestinal obstruction does not necessarily require surgery. The treatment method depends on the cause and severity of the disease, including medication, non-surgical treatment, and surgical treatment. The causes of intestinal obstruction may include intestinal tumors, adhesions, hernias, inflammation, or foreign body blockage. The treatment plan needs to be formulated according to the specific situation.

1. Drug treatment: For some mild intestinal obstructions, drugs can be used as auxiliary treatment. Commonly used drugs include antibiotics, which are used to prevent or treat infections, such as cephalosporins or penicillins; antispasmodics, such as atropine, to relieve intestinal spasms; and prokinetic drugs, such as domperidone, to help restore intestinal motility. Drug treatment is usually suitable for patients with incomplete intestinal obstruction or mild symptoms.

2. Non-surgical treatment: For some patients, non-surgical treatment may be the first choice. Gastrointestinal decompression is to reduce intestinal pressure and fluid accumulation through nasogastric or intestinal drainage to relieve symptoms; fluid and electrolyte supplementation, correct dehydration and electrolyte imbalance through intravenous infusion; intestinal obstruction enema, use warm saline or drug enema to promote intestinal patency. These methods are suitable for patients who are discovered early and have no serious complications.

3. Surgical treatment: When intestinal obstruction is severe or non-surgical treatment is ineffective, surgery is necessary. Surgical methods include intestinal resection and anastomosis, which is used to remove necrotic or diseased intestinal segments; intestinal adhesion lysis, which relieves intestinal adhesions; and enterostomy, which temporarily or permanently opens the intestine to the abdominal wall to relieve obstruction. Surgery is suitable for patients with complete intestinal obstruction, intestinal necrosis, or suspected malignant tumors.

The treatment of intestinal obstruction needs to be comprehensively judged based on the cause, severity of the disease and the patient's physical condition. Early detection and timely treatment are the key to avoid worsening of the disease. Patients should actively cooperate in choosing appropriate treatment plans, and pay attention to postoperative care and dietary adjustments to promote recovery. The goal of treating intestinal obstruction is to restore intestinal patency, prevent complications, and improve quality of life.