EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

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 ISSN 2394-3211

Impact Factor: 6.222

 ICV - 79.57

Abstract

A STUDY ON THE SURGICAL MANAGEMENT OF ACUTE INTESTINAL OBSTRUCTION IN ADULTS IN A DISTRICT HEADQUARETRS HOSPITAL

Dr. K. Sridharan*

ABSTRACT

Introduction:Intestinal obstruction remains as one of the most common intra-abdominal pathologies encountered by surgeons whether it is caused by hernia, neoplasm, adhesions or any biochemical disturbances. Intestinal obstruction of the small or large bowel continues to be an important cause of morbidity and mortality. The objective of this study is to analyse the clinical features, treatment and outcome of patients with acute intestinal obstruction along with the cause of obstruction and causes of bowel ischaemia, necrosis and perforation. Methodology: The materials for the clinical study of bowel obstruction were collected from various Cases getting admitted to surgical wards. 50 cases of acute intestinal obstruction have been studied. Patients were belonging to the age groups from 12 years to 85 years, paediatric age group (<12 yrs) is excluded from this study. Results: The prevalent age groups are 31-40 and 51-60 age group with around 20% each in the total study. The most common cause of acute intestinal obstruction in the adults in this study series has been post-operative Adhesions (40%) and the next being obstructed Hernia (30%). The clinical features of abdominal pain, vomiting, constipation have been the main symptoms in this study. The commonest type of obstruction has been due to adhesions or band arising from the previous surgeries.The complication rate in this study was 18%. Overall mortality of this study was 14%. Discussion and Conclusion: Acute intestinal obstruction remains to be an important surgical emergency in the surgical field. Success in the treatment of acute bowel obstruction depends mainly on the early diagnosis and efficient management and treating the pathological effects of the obstruction as much as the treatment of the cause itself. Erect abdomen X-ray is a valuable tool in the diagnosis of acute intestinal obstruction. Postoperative adhesions have been the most common cause to produce bowel obstruction. Clinical, radiological and operative findings when put together can diagnose the intestinal obstruction. Mortality is still significantly high in acute intestinal obstruction in adults.

Keywords: Acute intestinal obstruction, Treatment, Outcome.


[Full Text Article]

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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (IP Value 2.40) Web of Science Group (Under Process) Directory of Research Journals Indexing