A study on incidence of various causes of acute intestinal obstruction along with their management and outcome
Journal Title: MedPulse -International Medical Journal - Year 2015, Vol 2, Issue 8
Abstract
Introduction: Despite advances in imaging and a better understanding of small bowel pathophysiology, bowel obstruction is often diagnosed late or misdiagnosed, resulting in significant morbidity and mortality. The condition is often treated conservatively over a period of 2–5 days with the patient's progress regularly monitored by an assigned physician. Surgical procedures are performed in life-threatening cases, and when conservative approach fails or is not feasible. Aim: To determine the incidence of various causes of acute intestinal obstruction in local settings (rural area near jaipur) along with their surgical managements and outcomes. Material and Method: 100 Patients of acute abdomen, requiring surgery were evaluated for the cause of acute intestinal obstruction during the operative procedure from July 2013 to August 2014. Results: The most frequent etiological factor seen was postoperative adhesions from various commonly done procedures like cholecystectomy, herniorrhaphy, appendisectomy. Obstructed and strangulated hernias, and intraluminal obstruction also remain a common cause in our country. Intestinal tuberculosis also appeared to be an important factor in the etiology given the high prevalence of tuberculosis in the Indian subcontinent as well as the rising incidence of HIV in the Indian population. CONCLUSION Despite many improvements in the health care setup, obstructed/strangulated hernias constitute common neglected causes of intestinal obstruction, depicting a delay in diagnosis and treatment of this common surgical problem. Due to the recent increase in the various operative procedures, adhesion are a common upcoming etiology of intestinal obstruction.
Authors and Affiliations
Sunil Agarwal, Sachin Bhayana, Shirin Khanna
Keywords
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