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Ileus, tarmobstruktion

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Sakkunnig:
Definition:
Akut obstruktion av tunntarmen eller tjocktarmen uppstår när tarminnehållets rörelse ner i tarmen förhindras.
Förekomst:
Orsakar cirka 6–15 % av alla inläggningar för akuta buksmärtor.
Symtom:
Typiska symtom är koliksmärta, illamående och kräkningar, utspänd buk, upphörande av gasavgång och tarmrörelser.
Kliniska fynd:
Utspänd buk, palpationsömhet över buken, högfrekventa tarmljud eller få tarmljud.
Diagnostik:
DT-buk i första hand.
Behandling:
Avlasta tarmen och ta bort orsaken till obstruktionen, eventuellt kirurgi.
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  • Anna Nager, docent och specialist i allmänmedicin, Karolinska institutet
  • Terje Johannessen, professor i allmennmedisin, Trondheim