3 results
Management of Abdominal Distension and Bloating - Treatment Algorithm

Definitions
Pathophysiology
Organic/Pathologic Etiologies:
 • Small Intestinal Bowel Overgrowth (SIBO)
Small Intestinal Bowel ... • Prior GEJ surgery ... Fundoplication, Bariatric surgery ... • Irritable Bowel ... Syndrome • Chronic
Complications after Bariatric Surgery
Post Bariatric Intestinal Failure:
 • Severe protein malnutrition after bariatric surgery
 • More
Consider refeeding syndrome ... nutrients • TPN for treatment ... deficiencies) Dumping Syndrome ... bolus to the small bowel ... causes increased
Abdominal Distention - Differential Diagnostic Algorithm
Ascites
Bowel Dilatation
Other Causes
Mechanical Obstruction
 • Adhesions 60%
 • Volvulus 3%
 •
Abdominal Distention ... Ascites Bowel ... Dilatation Other Causes ... Intestinal Ogilvie's Syndrome ... • Trauma/Surgery