A Prospective Study on Clinico-Pathology, Management and Outcome of Acute Mechanical Bowel Obstruction in a Tertiary Care Centre in Jharkhand
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 4
Abstract
Acute mechanical bowel obstruction is a common surgical emergency and a frequently encountered problem in abdominal surgery. It constitutes a major cause of morbidity and financial expenditure in hospitals around the world and a significant cause of admissions to emergency surgical departments. This was a prospective observational study of patients admitted to the Department of General Surgery, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India with a diagnosis of acute mechanical bowel obstruction between April 2015 and October 2016. 157 patients included in the study. Mean age of the patients was 58.8 years. Constipation (86.0%) and absence of passage of flatus (77.1%) were the most common presenting symptoms, and abdominal distension (89.2%) was the most frequent physical finding on clinical examination. In the total study group of patients with small or large bowel obstruction- adhesions, incarcerated hernias, and malignancies constituted the most frequent causes (64.8%, 14.8%, and 13.4%, respectively). 84 patients (53.5%) of the total study group were treated conservatively. 7 patients died (mortality-4.5%); and mostly died due to multiple organ failure.
Authors and Affiliations
Dr. Shyam Charan Baskey, Dr. Anup Kumar Tirkey, Dr. Sasmita Soren, Dr. Shital Malua
Keywords
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- EP ID EP370392
- DOI 10.9790/0853-1704024550.
- Views 78
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