Appendix G

(ulcer excision, partial gastrectomy)                            

Algorithm of diagnosis and treatment

of bowel obstruction

(obligatory)

 

 

Cramp-like abdominal pain, vomiting, constipation

 

 

Signs of peritonitis, strangulation

 

          

Yes                                                                No

 

 

 

         Preoperative                                         Abdominal X-ray +

         preparation                                           barium meal intake

 

 

 

                                                                    Conservative treatment

 

 

                                                                    Clinical evaluation +

                                                                  X-ray control of

                                                                  efficiency after

                                                                       4–6 hours

 

 

                                                                          No                      Yes