Intestinal Obstruction-A Clinical Study In Semi Urban Hospital.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 10
Abstract
Background Intestinal obstruction is one of the common general surgical emergencies which require prompt diagnosis and appropriate management to prevent complications. Mortality due to intestinal obstruction is on the decline especially in urban areas with improved access to health care, but the same may not be true in semi urban and rural populations due to delay in presentation and lack of awareness. Providing easy access to quality surgical care to these populations can reduce the morbidity due to intestinal obstruction. Objectives To study the etiological trends, presenting features, management and outcomes of intestinal obstruction. Methodology The study is conducted prospectively for a 2 year period from January 2015 to December 2017 in the Mediciti Institute Medical sciences which is a teaching hospital in a semi urban setting. All the cases of intestinal obstruction which are admitted in the hospital and managed surgically are included in the study. There are a total of 40 cases. Results Majority of the patients with intestinal obstruction are in the age range of 30 to 60 years. The main clinical features of presentation are pain abdomen, vomiting, abdominal distension and constipation. Small bowel obstruction is more common than large bowel obstruction. Post operative adhesions are the commonest etiological factor and hernia is the second commonest cause. Malignancy causing obstruction is more common in large bowel than small bowel. Correction of fluid and electrolyte imbalances, naso gastric aspiration, antibiotics and prompt surgical management are the main treatment modalities. A decreasing trend is observed in the mortality of intestinal obstruction. Conclusion Changing trends are observed in the frequency of some causes of the intestinal obstruction with post operative adhesions becoming the main etiology replacing hernia to second most common cause. Measures to prevent adhesion formation after surgery may result in the reducing incidence of intestinal obstruction.
Authors and Affiliations
Kalidindi Pardhasaradhi, Satyendra Ramnadh G, Vijayalakshmi M, Shekar Y. Tati
Keywords
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- EP ID EP402385
- DOI 10.9790/0853-1710084652.
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