Study of Clinical Features, Etiology and Operative Management of Acute Intestinal Obstruction in Adults
Journal Title: New Indian Journal of Surgery - Year 2018, Vol 9, Issue 3
Abstract
Introduction: Acute bowel obstruction is an emergency. It should be diagnosed early and treated promptly, if not the patient’s life may be endangered. Hence it is essential for every surgeon to have complete knowledge of this condition. Aims & objectives: To study clinical presentation, various etiologies and management of acute intestinal obstruction in adults. Material and Methods: Present study was a hospital based prospective study conducted over period of 2 years. Hundred patients admitted with acute bowel obstruction were evaluated on basis of detailed clinical history and physical examination. Results: Presenting symptoms were pain (100%), constipation (99%), vomiting (94%), fever in 54% of the cases. Obstipation was least common symptom (40%), distension was next commonly seen sign (89%) followed by abdominal tenderness (100%). Patients with absent bowel sounds were 68%, 18% patients showed evidence of hypotension. Causes of obstruction were: adhesions (27%), obstructed external hernias (19%) followed by volvulus (15%), pseudo obstruction (3%). For postoperative adhesions appendectomy was most common cause (44.44%) followed by gynecological operations and perforation peritonitis. Conclusion: Abdominal pain was most common presenting symptom of acute intestinal obstruction. Most common sign of acute obstruction was tenderness followed by abdominal distention and absent bowel sounds. Small bowel obstruction was more common than large bowel. Most common cause of acute bowel obstruction in adults was adhesions followed by obstructed external hernias and Volvulus. In large bowel obstruction, malignancy was most common cause. Most common procedure performed for acute bowel obstruction in adults was resection and anastomosis followed by adhesiolysis.
Authors and Affiliations
Gautam N. Gole
Keywords
Related Articles
- EP ID EP545804
- DOI 10.21088/nijs.0976.4747.9318.2
- Views 83
- Downloads 0
Varied Presentation of Carcinoma Penis in our Institute in the Last Two Years: A Clinical Study
Objectives: To study varied presentation and managing penile carcinoma in a medical college and teaching hospital. Materials and methods: A retrospective study was carried out in teaching hospital from the period of Jan2...
A Study to Determine the First Line Treatment in Pleural Empyema
Introduction: Pleural empyema is a collection of pus in the area between the lungs and the inner surface of the chest wall that is caused by microorganisms, usually bacteria. Prompt evacuation of the infected fluid along...
Nail Reconstruction by Nonvascularised Graft from Toe to a Reconstructed Finger –Possible Method of Reconstruction
There are conditions where the nail may be lost. The cosmetic importance of nail is very clear in this case of finger reconstruction. There are may methods to camouflage the defect with synthetic nails and materials. But...
A Comparative Study of Management of Phimosis By Preputioplasty and Circumcision
Introduction: Phimosis is defined as a condition in which the prepuce cannot be retracted over the glans penis, usually treated by circumcision. A minimal surgical techniques have been proposed preputioplasty for prepuci...
Comparison Study of Single Layer versus Double Layer Anastomosis in Bowel Surgery in Western India
Introduction: Recently several reports have appeared advocating the benefits of single layer extramucosal (serosubmucosal) anastomosis over conventional double layer anastomosis. The present study has been conducted to c...