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Comprehensive Diagnostic Plan for Gastrointestinal Obstruction and Related Conditions

This detailed diagnostic plan outlines the processes for evaluating gastrointestinal obstruction based on presenting signs and symptoms. Initial assessments include a scout film of the abdomen to localize issues, assessing gas distribution, calcifications, tumors, and organ sizes. Barium enema enhances localization, while colonoscopy and endoscopy address lower and upper GI lesions respectively. Biopsy and tissue analysis help stage the disease, with advanced imaging like MRI and PET for prognosis. Blood studies, tumor markers, and laparoscopic options support further investigation.

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Comprehensive Diagnostic Plan for Gastrointestinal Obstruction and Related Conditions

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Presentation Transcript

  1. Laboratories, Diagnostics and Ancilliary Procedure

  2. Diagnostic Plan • Based on the Presenting Signs and Symptoms • Scout film of the Abdomen for localization • Look for: • Distribution of gas in the intestines • Calcifications • Tumors • Masses • Size of Kidney, Liver and Spleen Presence of Air fluid levels Barium Enema for confirmation

  3. Diagnostic Plan • Localization by Barium contrast enema • Colonoscopy and Proctosigmoidoscopy for lower lesions- maybe therapeutic or diagnostic • Endoscopy for upper GI lesions- maybe therapeutic or diagnostic • Identification of the Nature of Obstruction • Malignant/ Non- Malignant • Biopsy and Tissue analysis for Staging • MRI and PET for prognostication • Obstruction due to other causes (foreign bodies, volvulus, diverticulosis)

  4. Diagnostic Plan • Other tests: • Blood studies • Tumor Markers • Laparoscopy and/ or Tumor Resection • Prophylactic A proctosigmoidoscopy is done 4 hours after admission and reveals the ff. at the 18 cm level, scope can not be inserted further biopsies are taken Scout film showing dilated haustrations in bowel obstruction

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