ETIOLOGY AND OUTCOME OF INTESTINAL OBSTRUCTION

Abstract :

Background : Acute intestinal obstruction is a frequently encountered surgical emergency and present study aimed to study the cause, clinical course and outcome of patients in mechanical bowel obstruction ,to justify the rationale for surgical intervention and conservative management and also to assess usefulness of different radiological investigations.Patients and Methods: 62 newly diagnosed patients of Mechanical intestinal obstruction were recruited from IPD over 1 year period at a tertiary centre in dehradun . Intestinal obstruction was diagnosed clinically and confirmed on radiological investigation . Different parameters were studied with help of SPSS 22.0. Results:A total of 62 patients of mechanical intestinal obstruction cases were enrolled in the study and evaluated thoroughly clinically and radiologically in order to reach at a diagnosis and to determine a suitable intervention. Age of patients ranged from 18 to 83 years (Mean age 46.47+18.30 years). Majority (59.7%) were males. Abdominal pain was the universal presenting complaint.Distension was the most common sign (71%).On radiological evaluation , X-ray abnormalities were detected in 58/61 (95.1%), on USG abnormalities were seen in only 19/38 (50%) cases. All the 20 patients undergoing CT showed abnormalities.A total of 14 (22.6%) cases had previous history of abdominal surgery. Adhesion was the most common etiology (22.6%) followed by hernia (17.7%) and intestinal tuberculosis (11.3%).Along with clinical findings, X-ray was able to identify the underlying etiology in 34 (54.8%) cases . Conservative management was done in 21 (33.9%) cases. Complications were seen in a total of 14 (22.6%) cases.Outcome was favourable in 57/62 (91.9%).Conclusion:A successful diagnosis of etiology and thereafter appropriate intervention based on overall clinic-radiological picture is the key to a successful outcome.

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