Name of the Condition

• Common Names: Intestinal Obstruction, Complete Bowel Obstruction
• Medical Term: Other Complete Intestinal Obstruction

Summary

Other Complete Intestinal Obstruction refers to a blockage that prevents the passage of contents through the intestines, categorized under ICD code K56.691. This type of blockage can lead to serious complications if not promptly addressed.

Causes

• Hernias: Portions of the intestine can protrude through a weakened spot in the abdominal wall.
• Tumors: Growths in or near the intestines can obstruct flow.
• Adhesions: Scar tissue from surgeries can cause portions of the intestines to stick together.
• Volvulus: Twisting of the intestine.
• Intussusception: A part of the intestine slides into an adjacent part.

Risk Factors

• Prior abdominal or pelvic surgery.
• History of inflammatory bowel diseases such as Crohn’s disease.
• Genetic predisposition.
• Presence of abdominal tumors.

Symptoms

• Severe abdominal pain or cramping.
• Bloating and distention of the abdomen.
• Nausea and vomiting.
• Inability to pass gas or stool.
• Abdominal tenderness.

Diagnosis

• Physical examination assessing abdominal sounds and tenderness.
• Imaging tests such as X-rays, CT scans, or MRI to locate the blockage.
• Blood tests to check for signs of infection or electrolyte imbalances.

Treatment Options

• Nasogastric tube insertion to relieve pressure and remove accumulated material.
• Intravenous fluids to prevent dehydration.
• Surgery to remove the obstruction if non-surgical methods are ineffective.
• Medications to manage symptoms and treat underlying causes, if applicable.

Prognosis and Follow-Up

• With prompt treatment, prognosis is generally favorable.
• Regular follow-ups to monitor for recurrences or complications.
• Chronic or recurrent cases may require ongoing management or surgeries.

Complications

• Bowel perforation leading to infection and peritonitis.
• Strangulation of the bowel resulting in tissue death.
• Sepsis if untreated or inadequately managed.

Lifestyle & Prevention

• Eating a balanced diet high in fiber to maintain healthy digestion.
• Regular exercise to facilitate intestinal movement.
• Avoiding excessive intake of foods that are difficult to digest.
• Monitoring for early signs of bowel obstruction, especially after surgeries.

When to Seek Professional Help

• Persistent abdominal pain or cramping.
• Inability to pass stools or gas for several days.
• Severe vomiting or signs of dehydration.
• Fever or symptoms of systemic infection.

Additional Resources

• American College of Gastroenterology (https://gi.org)
• Crohn's & Colitis Foundation (https://www.crohnscolitisfoundation.org)
• MedlinePlus (https://medlineplus.gov)

Tips for Medical Coders

• Ensure accurate documentation of the exact type and cause of obstruction.
• Double-check for any concomitant symptoms or conditions that may alter coding.
• Be aware of coding updates and guidelines specific to intestinal obstructions.