Application of Sonography in Diagnosis of Intestinal Obstruction

Transabdominal ultrasonography is considered informative in the diagnosis of the acute intestinal obstruction and the assessment of the treatment effectiveness. Conservative treatment is basically ineffective when the diameter of the enlarged intestinal loops is more than 4.0 ± 1.51 cm, the thickness of the intestinal wall is more than 4.9 ± 1.62 mm, the presence of Kerkring folds is thicker than 5 mm and the fluid in the loop space. On 5-6 days after surgery, sonography shows that 45.5% of patients have violations of intestinal peristalsis, in connection with which their therapy is continued by stimulating the intestinal peristalsis and prokinetics at the outpatient stage. Due to its safety and usability, dynamic ultrasonography can be used to clarify further therapeutic tactics.