DOI: http://dx.doi.org/10.18203/2349-2902.isj20190554

A clinical study of aetiology of acute intestinal obstruction

Syed Nasiruddin, Sharangouda Patil, Anil Reddy Pinate

Abstract


Background: Acute intestinal obstruction is one of common abdominal emergency and is associated with significant morbidity and mortality especially if it progresses to bowel ischemia. The diagnosis and management of the patient with intestinal obstruction is one of the more challenging emergencies that a general surgeon can come across. Although the mortality due to acute intestinal obstruction is decreasing with better understanding of pathophysiology and improvement in diagnostic techniques, fluid and electrolyte correction, much potent anti-microbials but still mortality ranges from 10-15% and more so in developing countries.

Methods: The study will be conducted in the department of general surgery with symptoms and signs of acute intestinal obstruction admitted in the surgical ward. Fifty cases of intestinal obstruction have been studied. Patients belonged to all the age groups except infants are included in present study. The criteria for selection of cases was based on clinical history, physical findings, radiological and haematological investigations. The study was divided into clinical study, investigations and treatment. The results are tabulated stressing on following points age, sex, symptoms examination findings, investigations, abnormalities, probable causative factors, operative findings and operative procedure adopted and complications if any.

Results: The commonest cause of intestinal obstruction in the adults in this study series was postoperative adhesions (36%) followed by obstructed/strangulated hernia (26%). Malignancy of the large bowel was seen in 9 cases constituting 18% of cases where as incidence of Volvulus of bowel was 4% in this series. Although pulmonary tuberculosis is more prevalent in India due to advent in use of antitubercular drugs incidence of abdominal tuberculosis is becoming less. In present study incidence of ileocaecal tuberculosis was 10%. One case of mesenteric ischaemia was present in our study.

Conclusions: Acute intestinal obstruction remains an important surgical emergency in the surgical field. Success in the treatment of acute intestinal obstruction depends largely upon its early diagnosis, skilful management and treating the pathological effects of the obstruction just as much as the cause itself.


Keywords


Acute intestinal obstruction, Obstructed/strangulated hernia, Postoperative adhesions, Volvulus of bowel

Full Text:

PDF

References


Khan M, Shah SA, Ali N. Pattern of dynamic intestinal obstruction in adults. J Postgrad Med Inst (Peshawar-Pakistan). 2014 Jun 1;19(2).

Adesunkanmi AR, Agbakwuru EA. Changing pattern of acute intestinal obstruction in a tropical African population. East Afr Med J. 1996 Nov;73(11):727-31.

Füzün M, Kaymak E, Harmancioǧlu Ö, Astarcioǧiu K. Principal causes of mechanical bowel obstruction in surgically treated adults in Western Turkey. Br J Surg. 1991 Feb;78(2):202-3.

Rai S, Chandra SS, Smile SR. A study of risk strangulation and obstruction in groin hernias. Aust N Z J Surg. 1998 Sep;68(9):650-4.

Sarkar PK, Sarkar V. Primary resection and anastomosis associated with maximal rectal stretching (MRS) for treatment of acute sigmoid volvulus. IJS. 2000;62(2):122-4.

Cole GJ. A review of 436 cases of intestinal obstruction in Ibadan. Gut. 1965 Apr;6(2):151.

Souvik A, Hossein MZ, Amitabha D, Nilanjan M, Udipta R. Etiology and outcome of acute intestinal obstruction: A review of 367 patients in Eastern India. Saudi Journal of Gastroenterol. 2010 Oct;16(4):285.

Thampi D, Tukka VN, Bhalki N, Sreekantha, Remya SSA. A clinical study of management of acute intestinal obstruction. Int J Res Health Sci. 2014 Jan 31;2(1):299-308.

Singh H. Acute intestinal obstruction. Arch Surg. 1965 Oct; 91:389-92.

Chalya PL, Mabula JB, Chandika AB, Giiti G. Dynamic bowel obstruction: aetiology, clinical presentation, management and outcome at Bugando Medical Centre, Mwanza, Tanzania. Tanzania J Health Res. 2014;16(1).

Khan JS, Alam J, Hassan H, Iqbal M. Pattern of intestinal obstruction a hospital based study. Pakistan Armed Forces Med J. 2007 Dec 31;57(4):295-9.

Malik AM, Shah M, Pathan R, Sufi K. Pattern of acute intestinal obstruction: is there a change in the underlying etiology?. Saudi J Gastroenterol. 2010 Oct;16(4):272.

Abufalgha F, Hbadi, Gaddafi A, Abdurrahim N. Acute intestinal obstruction in Misurata central hospital. Sebha Med J. 2009;8(1).