Kloiber bowl for abdominal x-ray

When there is a suspicion that the patient has intestinal obstruction, an instrumental study is required that helps not only to make a diagnosis, but also to determine the causes of the disease. One of the signs of intestinal obstruction is the Kloiber bowl.

Determination of intestinal obstruction

cloiber bowl
Symptoms of intestinal obstruction are simple: with a disease, food cannot pass through the intestinal tract due to mechanical obstruction or impaired bowel function. The main symptoms that a person experiences with this:

  • bloating;
  • constipation;
  • nausea or vomiting
  • bursting pains in the abdomen, sometimes extending to the back.

Most often, obstruction is a consequence of a change in diet, the appearance of tumors, polyps, or impaired intestinal motility. To determine the disease, it is necessary to do an ultrasound of the digestive tract.

X-ray examination

abdominal x-ray
At the slightest suspicion of intestinal obstruction, an abdominal x-ray should be taken . To begin with, only a panoramic fluoroscopy is done, in which, for certain signs, a diagnosis can be made. X-ray is the main method for examining the intestines.

There are 5 main signs of intestinal obstruction:

  • intestinal arches;
  • Kloiber bowl;
  • lack of gas in the gut;
  • transfusion of fluid from one loop of the intestine to another;
  • striation of the intestine in the transverse direction.

More on Kloiber Bowls

X-ray Cloiber Bowls
Consider the Kloiber bowl on the x-ray in more detail. If such bowls are found in the picture, you can see swollen sections of the intestine filled with liquid in a horizontal position (the patient is in this vertical position) and gas. Gas is located above the liquid, on the x-ray it appears as an inverted bowl. The detection of foci in the form of bowls appears only when the x-ray is taken in the vertical or lateral position of the patient.

Usually, with intestinal insufficiency, more than one Kloiber bowl appears, there are many, and they are located in the area of ​​the loops of the small intestine, approximately in the center of the abdominal cavity. It is noteworthy that the width of the liquid in the bowl must exceed the level of the height of the gases. Bowls can have different sizes, while maintaining proportionality of height and width.

The manifestation of many small foci indicates that a significant amount of fluid accumulates in the small intestine. They rarely turn out to be a sign of colon obstruction.

Treatment for intestinal failure

First of all, you need to decide on the diet. First you need to strictly follow a diet and not overeat. Overeating leads to the fact that the symptoms of insufficiency can worsen, especially if it occurs after a long break. Next, you need to give up food, which leads to gas formation. Such foods include beans, peas, soybeans, cabbage and other similar products. It is best to eat more often, but in small portions, this will prevent overeating.

ultrasound
Treatment begins with more humane and conservative methods: enemas, excretion of the contents of the stomach, the introduction into the body of special solutions on a crystalloid basis, as well as the introduction of protein preparations. With advanced and severe forms, surgical intervention is performed.

Dieting after surgery

After they take an x-ray of the abdominal cavity, doctors determine whether to undergo surgery or limit themselves to conservative means. In the case when surgery is performed, after the operation, the patient should not eat or drink for 12 hours. In order to enrich the body with nutrients, doctors use a probe or dropper with glucose. After this, you need to eat only liquid nutrient mixtures until the doctor's permission to switch to another food.

What follows is a zero diet. Its meaning is that you need to take only light food, which is quickly absorbed and does not contain salt. In this case, you need to eat 6-8 times a day in very small portions, and the calorie content of the entire daily diet should not exceed 1020 calories. Also, you can’t eat something cold or hot, all products should be at room temperature and in a jelly-like form.

Kloiber’s bowl is a formidable symptom, therefore, at the first signs of intestinal failure, you must immediately go to the doctor and conduct an x-ray of the abdominal cavity.


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