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Obstruction

MedGen UID:
18135
•Concept ID:
C0028778
•
Finding
Synonym: Block
SNOMED CT: Obstruction (26036001); Block (26036001)

Definition

Blockage of the normal flow of the contents of an anatomical passageway. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVObstruction

Professional guidelines

PubMed

Diagnosis and severity criteria for sinusoidal obstruction syndrome/veno-occlusive disease in adult patients: a refined classification from the European society for blood and marrow transplantation (EBMT).
Mohty M, Malard F, Alaskar AS, Aljurf M, Arat M, Bader P, Baron F, Bazarbachi A, Blaise D, Brissot E, Ciceri F, Corbacioglu S, Dalle JH, Dignan F, Huynh A, Kenyon M, Nagler A, Pagliuca A, Perić Z, Richardson PG, Ruggeri A, Ruutu T, Yakoub-Agha I, Duarte RF, Carreras E
Bone Marrow Transplant 2023 Jul;58(7):749-754. Epub 2023 Apr 24 doi: 10.1038/s41409-023-01992-8. PMID: 37095231
Venous Ulcers: Diagnosis and Treatment.
Bonkemeyer Millan S, Gan R, Townsend PE
Am Fam Physician 2019 Sep 1;100(5):298-305. PMID: 31478635
Clinical practice guideline: Allergic rhinitis.
Seidman MD, Gurgel RK, Lin SY, Schwartz SR, Baroody FM, Bonner JR, Dawson DE, Dykewicz MS, Hackell JM, Han JK, Ishman SL, Krouse HJ, Malekzadeh S, Mims JW, Omole FS, Reddy WD, Wallace DV, Walsh SA, Warren BE, Wilson MN, Nnacheta LC; Guideline Otolaryngology Development Group. AAO-HNSF
Otolaryngol Head Neck Surg 2015 Feb;152(1 Suppl):S1-43. doi: 10.1177/0194599814561600. PMID: 25644617

Recent clinical studies

Etiology

Malignant Bowel Obstruction Management Over Time: Are We Doing Anything New? A Current Narrative Review.
Shariff F, Bogach J, Guidolin K, Nadler A
Ann Surg Oncol 2022 Mar;29(3):1995-2005. Epub 2021 Oct 18 doi: 10.1245/s10434-021-10922-1. PMID: 34664143
AGA Clinical Practice Update on the Optimal Management of the Malignant Alimentary Tract Obstruction: Expert Review.
Ahmed O, Lee JH, Thompson CC, Faulx A
Clin Gastroenterol Hepatol 2021 Sep;19(9):1780-1788. Epub 2021 Apr 1 doi: 10.1016/j.cgh.2021.03.046. PMID: 33813072
Intestinal Obstruction: Evaluation and Management.
Jackson P, Vigiola Cruz M
Am Fam Physician 2018 Sep 15;98(6):362-367. PMID: 30215917
Evaluation and management of intestinal obstruction.
Jackson PG, Raiji MT
Am Fam Physician 2011 Jan 15;83(2):159-65. PMID: 21243991
Intestinal obstruction.
Shelton BK
AACN Clin Issues 1999 Nov;10(4):478-91. doi: 10.1097/00044067-199911000-00007. PMID: 10865532

Diagnosis

Dilated gut conditions: diagnosis and management.
Mari A, Emmanuel A
Clin Med (Lond) 2023 Nov;23(6):558-560. doi: 10.7861/clinmed.2023-GA2. PMID: 38065609Free PMC Article
The neonatal airway.
Kane T, Tingay DG, Pellicano A, Sabato S
Semin Fetal Neonatal Med 2023 Oct;28(5):101483. Epub 2023 Nov 18 doi: 10.1016/j.siny.2023.101483. PMID: 38030433
Small Bowel Obstruction.
Bower KL, Lollar DI, Williams SL, Adkins FC, Luyimbazi DT, Bower CE
Surg Clin North Am 2018 Oct;98(5):945-971. Epub 2018 Aug 7 doi: 10.1016/j.suc.2018.05.007. PMID: 30243455
Nasal Airway Obstruction.
Villwock JA, Kuppersmith RB
Otolaryngol Clin North Am 2018 Oct;51(5):xix-xx. Epub 2018 Jul 20 doi: 10.1016/j.otc.2018.06.002. PMID: 30032999
Evaluation and management of intestinal obstruction.
Jackson PG, Raiji MT
Am Fam Physician 2011 Jan 15;83(2):159-65. PMID: 21243991

Therapy

Study Design and Rationale of EXPLORER-HCM: Evaluation of Mavacamten in Adults With Symptomatic Obstructive Hypertrophic Cardiomyopathy.
Ho CY, Olivotto I, Jacoby D, Lester SJ, Roe M, Wang A, Waldman CB, Zhang D, Sehnert AJ, Heitner SB
Circ Heart Fail 2020 Jun;13(6):e006853. Epub 2020 Jun 5 doi: 10.1161/CIRCHEARTFAILURE.120.006853. PMID: 32498620
An expert consensus to standardise definitions, diagnosis and treatment targets for anti-fibrotic stricture therapies in Crohn's disease.
Rieder F, Bettenworth D, Ma C, Parker CE, Williamson LA, Nelson SA, van Assche G, Di Sabatino A, Bouhnik Y, Stidham RW, Dignass A, Rogler G, Taylor SA, Stoker J, Rimola J, Baker ME, Fletcher JG, Panes J, Sandborn WJ, Feagan BG, Jairath V
Aliment Pharmacol Ther 2018 Aug;48(3):347-357. Epub 2018 Jun 19 doi: 10.1111/apt.14853. PMID: 29920726Free PMC Article
Bronchodilator therapy for chronic cough.
Matera MG, Rogliani P, Zanasi A, Cazzola M
Pulm Pharmacol Ther 2017 Dec;47:88-92. Epub 2017 May 17 doi: 10.1016/j.pupt.2017.05.011. PMID: 28527922
Saline nasal irrigation for acute upper respiratory tract infections.
King D, Mitchell B, Williams CP, Spurling GK
Cochrane Database Syst Rev 2015 Apr 20;2015(4):CD006821. doi: 10.1002/14651858.CD006821.pub3. PMID: 25892369Free PMC Article
Palliative radiation therapy.
Konski A, Feigenberg S, Chow E
Semin Oncol 2005 Apr;32(2):156-64. doi: 10.1053/j.seminoncol.2004.11.013. PMID: 15815960

Prognosis

The Elderly Emergency Laparotomy Patient - More Than Just the Operation.
Fernando J, Loh SM
Ann Acad Med Singap 2019 Nov;48(11):382-385. PMID: 31960019
Syndromic lipomatosis of the head and neck: a review of the literature.
Tadisina KK, Mlynek KS, Hwang LK, Riazi H, Papay FA, Zins JE
Aesthetic Plast Surg 2015 Jun;39(3):440-8. Epub 2015 Apr 10 doi: 10.1007/s00266-015-0478-8. PMID: 25860506
The management of thyroid carcinoma invading the larynx or trachea.
Honings J, Stephen AE, Marres HA, Gaissert HA
Laryngoscope 2010 Apr;120(4):682-9. doi: 10.1002/lary.20800. PMID: 20213659
The role of the nose in the pathogenesis of obstructive sleep apnea.
Kohler M, Bloch KE, Stradling JR
Curr Opin Otolaryngol Head Neck Surg 2009 Feb;17(1):33-7. doi: 10.1097/MOO.0b013e32831b9e17. PMID: 19225303
Small intestinal neoplasms.
Gill SS, Heuman DM, Mihas AA
J Clin Gastroenterol 2001 Oct;33(4):267-82. doi: 10.1097/00004836-200110000-00004. PMID: 11588539

Clinical prediction guides

Acute pancreatitis: A review of diagnosis, severity prediction and prognosis assessment from imaging technology, scoring system and artificial intelligence.
Hu JX, Zhao CF, Wang SL, Tu XY, Huang WB, Chen JN, Xie Y, Chen CR
World J Gastroenterol 2023 Oct 7;29(37):5268-5291. doi: 10.3748/wjg.v29.i37.5268. PMID: 37899784Free PMC Article
Performance of the cuff leak test in adults in predicting post-extubation airway complications: a systematic review and meta-analysis.
Kuriyama A, Jackson JL, Kamei J
Crit Care 2020 Nov 7;24(1):640. doi: 10.1186/s13054-020-03358-8. PMID: 33160405Free PMC Article
Diagnostic histochemistry in hepatic pathology.
Iezzoni JC
Semin Diagn Pathol 2018 Nov;35(6):381-389. Epub 2018 Oct 16 doi: 10.1053/j.semdp.2018.10.003. PMID: 30409459
Decision to extubate.
Epstein SK
Intensive Care Med 2002 May;28(5):535-46. Epub 2002 Apr 12 doi: 10.1007/s00134-002-1268-8. PMID: 12029399
Comparing the areas under two or more correlated receiver operating characteristic curves: a nonparametric approach.
DeLong ER, DeLong DM, Clarke-Pearson DL
Biometrics 1988 Sep;44(3):837-45. PMID: 3203132

Recent systematic reviews

MASCC multidisciplinary evidence-based recommendations for the management of malignant bowel obstruction in advanced cancer.
Madariaga A, Lau J, Ghoshal A, Dzierżanowski T, Larkin P, Sobocki J, Dickman A, Furness K, Fazelzad R, Crawford GB, Lheureux S
Support Care Cancer 2022 Jun;30(6):4711-4728. Epub 2022 Mar 10 doi: 10.1007/s00520-022-06889-8. PMID: 35274188Free PMC Article
Management of haematoma after thyroid surgery: systematic review and multidisciplinary consensus guidelines from the Difficult Airway Society, the British Association of Endocrine and Thyroid Surgeons and the British Association of Otorhinolaryngology, Head and Neck Surgery.
Iliff HA, El-Boghdadly K, Ahmad I, Davis J, Harris A, Khan S, Lan-Pak-Kee V, O'Connor J, Powell L, Rees G, Tatla TS
Anaesthesia 2022 Jan;77(1):82-95. Epub 2021 Sep 21 doi: 10.1111/anae.15585. PMID: 34545943Free PMC Article
Removal of foreign body airway obstruction: A systematic review of interventions.
Couper K, Abu Hassan A, Ohri V, Patterson E, Tang HT, Bingham R, Olasveengen T, Perkins GD; International Liaison Committee on Resuscitation Basic and Paediatric Life Support Task Force Collaborators
Resuscitation 2020 Nov;156:174-181. Epub 2020 Sep 16 doi: 10.1016/j.resuscitation.2020.09.007. PMID: 32949674
A Systematic Review of the Clinical Presentation, Diagnosis, and Treatment of Small Bowel Obstruction.
Rami Reddy SR, Cappell MS
Curr Gastroenterol Rep 2017 Jun;19(6):28. doi: 10.1007/s11894-017-0566-9. PMID: 28439845
Burden of adhesions in abdominal and pelvic surgery: systematic review and met-analysis.
ten Broek RP, Issa Y, van Santbrink EJ, Bouvy ND, Kruitwagen RF, Jeekel J, Bakkum EA, Rovers MM, van Goor H
BMJ 2013 Oct 3;347:f5588. doi: 10.1136/bmj.f5588. PMID: 24092941Free PMC Article

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