DOI: http://dx.doi.org/10.18203/2349-2902.isj20205876

Acute intestinal obstruction in adults: etiology, clinical presentation, investigations and management: a longitudinal study

Pankaj Bargaje, Nitin Wasnik

Abstract


Background: Aim of the study was to evaluate the causes of acute intestinal obstruction, modes of presentation and outcome of conservative and operative management in acute intestinal obstruction.

Methods: The study was conducted in tertiary care academic hospital from November 2017 to October 2019. 60 Patients over 18 years of age who were diagnosed with acute intestinal obstruction were included in this study.

Results: The result of present study showed that mean age distribution was 46±15.4 years. Incidence in males was more compared to females. Pain in abdomen was found in 54 (90%), vomiting in 38 (63%), distension of abdomen in 37 (61%) and constipation in 42 (70%) as patient’s chief complaint. Commonest cause was adhesions followed by obstructed inguinal hernia.

Conclusions: From the result of present longitudinal study it can be concluded that conservative management can be tried in patients with previous history of abdominal operation and intestinal tuberculosis. Acute intestinal obstruction was more common in male than female. X ray abdomen in standing position and USG helps in ascertaining the site of intestinal obstruction.


Keywords


Etiology, Clinical presentation, Investigations

Full Text:

PDF

References


Priscilla SB, Edwin IA, Kumar K, Gobinath M, Arvindraj VM, Anandan H. A clinical study on acute intestinal obstruction. Int J Scientific Study. 2017;5(2):107-10.

Aquinas B. A study on the surgical management of acute intestinal obstruction in adults. (Doctoral dissertation, Thanjavur Medical College, Thanjavur).

Shukla S, Kumar K, Khusram B, Damor M. Clinico-pathological study of intestinal obstruction and its management. Int Surg J. 2017;4(2):604-11.

Pandey Y. A prospective study of cases of intestinal obstruction and role of conservative expectant management. Int Surg J. 2018;5(6):2191-4.

Vijayakumar S. A study on acute intestinal obstruction (KAP Viswanatham Government Medical College, Tiruchirappalli).

Akgün Y, Yilmaz G, Akbayin H. Causes and effective factors on mortality of intestinal obstruction in the south east Anatolia. Turkish J Med Sci. 2002;32(2):149-54.

Markogiannakis H, Messaris E, Dardamanis D, Pararas N, Tzertzemelis D, Giannopoulos P, et al. Acute mechanical bowel obstruction: clinical presentation, etiology, management and outcome. World journal of gastroenterology. WJG. 2007;13(3):432.

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 J Gastroenterol. 2010;16(4):285.

Ojo EO, Ihezue CH, Sule AZ, Ismaila OB, Dauda AM, Adejumo AA. Aetiology, clinical pattern and outcome of adult intestinal obstruction in JOS, north central Nigeria. Afr J Med Sci. 2014;43(1):29.

Sharif A. Intestinal obstruction-etiological and treatment outcome. J Rawalpindi Med College. 2015;19(3):215-9.

Soressa U, Mamo A, Hiko D, Fentahun N. Prevalence, causes and management outcome of intestinal obstruction in Adama Hospital, Ethiopia. BMC Surgery. 2016;16(1):38.

Shukla S, Kumar K, Khusram B, Damor M. Clinico-pathological study of intestinal obstruction and its management. Int Surg J. 2017;4(2):604-11.

Priscilla SB, Edwin IA, Kumar K, Gobinath M, Arvindraj VM, Anandan H. A clinical study on acute intestinal obstruction. Int J Scientific Study. 2017;5(2):107-10.

Shivakumar CR, Shoeb MF, Reddy AP, Patil S. A clinical study of etiology and management of acute intestinal obstruction. Int Surg J. 2018;5(9):3072-7.

Ojha A, Jalaj A, Tiwari S, Mujalde V. Diagnosis and management of subacute intestinal obstruction: a prospective study. J Evol Med Dental Sci. 2014;3(26):7326-41.

Winslet MC. Intestinal Obstruction. In: Russel RCG, Norman WS, Bulstrode Christopher JK, eds. Bailey & Love’s Short Practice of Surgery. London: Arnold. 2004:1186-1202.