Predictors of Intestinal Ischemia in Small Bowel Obstruction - A Prospective Study
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 4
Abstract
Background: The purpose of this prospective study is to assess the predictors of intestinal ischemia in small bowel obstruction. Materials and Methods: This study comprises of 92 cases of acute small bowel obstruction managed in the surgery department in Government Medical College, Jammu, over 12 months from 1st November to 31st October. The diagnosis of acute intestinal obstruction was made in these cases by detail history, clinical examination, and radiological investigation. A detail history and a thorough clinical examination were recorded as per pro forma attached. Aims and Objectives: The aims of this study are (1) to define various clinical, laboratory, and radiological predictors of intestinal ischemia in acute bowel obstruction, (2) to correlate the predictive factors with operative findings of intestinal ischemia in acute bowel obstruction, and (3) to formulate the protocol for the management of bowel obstruction with suspected intestinal ischemia. Results: Intestinal obstruction affects patients of all age groups from <1 year to more than 80 years. The highest incidence was in the age group of <20 years. However, there was no association found between age group and presence or absence of ischemia. Most common etiology of obstruction found was adhesion, followed by hernia. Males were more commonly affected than females, but again no association was found between gender and ischemia. Conclusion: To summarize, patients with bowel obstruction should initially be managed conservatively. The presence of predictors which have a positive correlation with ischemia should raise an alarm of underlying bowel ischemia and prompt the surgeon for need of surgical intervention.
Authors and Affiliations
Ritesh Bazaz, Sadhana Tiwari, Bikramjit Singh Sodhi, Jasmine Kokiloo
Keywords
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