Clinical study of bowel obstruction in relation to etiological factors

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 aims of this study was to analyse various modes of presentation of acute intestinal obstruction in both children and adult age group, etiopathogenesis, various therapeutic modalities of treatment and to accomplish operative management and anticipate the post operative complications.Methods: 50 consecutive patients of all age groups presenting with acute intestinal obstruction were admitted were taken randomly and managed between October 2013 to September 2015.Out of these 50 cases, 36 were male, 14 were female, patients with subacute intestinal obstruction and patients with paralytic ileus were excluded in this study. Plain X-ray erect abdomen was done in all cases. Ultrasonography was done only in those patients whose X-ray finding was inconclusive. CT as a modality also included for work up.Results: Mean age distribution was 35.4years and the standard deviation measured 24.57. Incidence in male (36) was more as compared to female population (14). Pain abdomen was found in 45(90%) patients, vomiting in 35(70%) patients, distension abdomen in 34 (68%) patients and constipation in 30 (60%) patients were noted as many patients had coincidence of symptoms. Commonest cause of acute intestinal obstruction noted was postoperative adhesions.Conclusions: Postoperative adhesions were the commonest cause of obstruction. Earlier the presentation, the better the outcome was found.

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THE PATTERN OF ACUTE INTESTINAL OBSTRUCTION: A HOSPITAL BASED. STUDY..

10.36106/ijsr/8502423 ◽

2019 ◽

pp. 1-3

Author(s):

Sunil Kumar Patanaik ◽

Chaitali Pattanayak*

Keyword(s):

Intestinal Obstruction ◽

Age Groups ◽

Operative Management ◽

Acute Intestinal Obstruction ◽

Common Symptom ◽

Common Procedure ◽

Therapeutic Modalities ◽

Study Results ◽

Obstructed Hernia ◽

Subacute Intestinal Obstruction

BACKGROUND: Intestinal obstruction is a surgical emergency that causes confusion both in the diagnosis and the management. It is related by important disease and mortality. The goal of this study was to classify the etiology, to analyse the methods of performance of acute duodenal obstruction in different age groups, various therapeutic modalities of treatment, to accomplish operative management, anticipate the post-operative complications and outcomes of patients with acute intestinal obstruction. MATERIAL& METHODS: 82 patients of all age groups (except infants) presenting with acute intestinal obstruction were studied between June 2017 and December 2018 in a multispeciality hospital in Eastern India. Patients with history of subacute intestinal obstruction and paralytic ileus were excluded from this study. RESULTS: Males were found to be affected much more than females. Pain abdomen was the most common symptom found in 94% cases followed by distension and vomiting in 86.6% and 68.3% cases respectively. Most common etiology of intestinal obstruction was due to adhesion and bands (40.3%) followed by obstructed hernia (22%) and malignancy (17%). The most common procedure done in intestinal obstruction in present study was release of adhesions and bands (37.8%) followed by resection and anastomosis (26.8%). CONCLUSION: Bowel obstruction continues to be one of the most common abdominal problems faced by general surgeons. Success in the treatment of intestinal obstruction depends largely upon early diagnosis, skilful management and treating the pathological effects of the obstruction just as much as the cause itself.

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THE PATTERN OF ACUTE INTESTINAL OBSTRUCTION: A HOSPITAL BASED STUDY

10.36106/8502423 ◽

2019 ◽

pp. 1-3

Author(s):

Sunil Kumar Patanaik ◽

Chaitali Pattanayak*

Keyword(s):

Intestinal Obstruction ◽

Age Groups ◽

Operative Management ◽

Acute Intestinal Obstruction ◽

Common Symptom ◽

Common Procedure ◽

Therapeutic Modalities ◽

Study Results ◽

Obstructed Hernia ◽

Subacute Intestinal Obstruction

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Clinical study of acute intestinal obstruction in tertiary care centre

International Surgery Journal ◽

10.18203/2349-2902.isj20173704 ◽

2017 ◽

Vol 4 (9) ◽

pp. 2903

Author(s):

Vikas M. Daddenavar ◽

Pramod Mirji ◽

Ishwar Kalburgi

Keyword(s):

Intestinal Obstruction ◽

Tertiary Care ◽

Age Distribution ◽

Age Groups ◽

Acute Intestinal Obstruction ◽

Postoperative Adhesions ◽

Tertiary Care Centre ◽

X Ray ◽

Main Complaint ◽

Pain Abdomen

Background: Acute intestinal obstruction is one of common abdominal emergencies and is associated with significant morbidity and mortality, especially if it progresses to bowel ischemia. The aim of this study is to analyse various modes of presentation of acute intestinal obstruction in both children and adult age group, etiopathogenesis, various therapeutic modalities of treatment and to accomplish operative management and anticipate the post-operative complication.Methods: Fifty consecutive patients of all age groups presenting with acute intestinal obstruction were admitted in SN Medical College HSK hospital were taken randomly and managed between February 2013 to February 2016. A detailed examination was done as per proforma after admission. Plain X-ray erect abdomen was done in all cases except inguinal hernias with obstruction.Results: Mean age distribution was 35.4 years. Incidence in male was more compared to female. Pain abdomen was found in 39 (78%), vomiting in 35 (70%), distension abdomen in 29 (58%) and constipation in 26 (52%) patients as main complaint. Commonest cause was postoperative adhesions. Mean duration of stay in hospital was between 1-5 weeks (average 2 weeks).Conclusions: All age groups were involved. More commonly found in males than females. Main complaint was pain abdomen followed by vomiting, distension and constipation. Plain X-ray abdomen and ultrasonography were important. Pathology ranged from simple bands to malignant obstruction. Postoperative adhesions were the commonest cause of obstruction. Earlier the presentation better the outcome was found.

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Study of acute intestinal obstruction management and its outcome

International Surgery Journal ◽

10.18203/2349-2902.isj20214741 ◽

2021 ◽

Vol 8 (12) ◽

pp. 3535

Author(s):

Valarmathi M.

Keyword(s):

Intestinal Obstruction ◽

Clinical Presentation ◽

Operative Management ◽

Acute Intestinal Obstruction ◽

High Morbidity ◽

Common Symptom ◽

Abdominal Emergency ◽

Postoperative Therapy ◽

Correct Technique ◽

Surgery Department

Background: Acute intestinal blockage (AIO) is a common abdominal emergency with a high morbidity and mortality rate. Early blockage diagnosis, skilled operative management, correct technique during surgery and intense postoperative therapy yield superior results. The aim was to study the aetiology, clinical presentation, therapy and outcomes of patients with IO who presented in the emergency department.Methods: This prospective study was conducted at the general surgery department from June 2019 to May 2021. The study comprised 60 patients with IO who presented to the OPD or emergency room and the data was analysed.Results: Among 60 patients with IO, peak incidence was observed in patients above 50 years of age, predominantly among males. Abdominal pain turned out to be the most common symptom of IO in our patients. Patients obstructed in the small intestine were found to be predominant. Post-operative adhesions were the most common cause of IO.Conclusions: Early diagnosis, proper preoperative hydration, fast investigations, and early operational intervention were found to increase survival in patients with intestinal obstruction in the current study.

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

International Surgery Journal ◽

10.18203/2349-2902.isj20205876 ◽

2020 ◽

Vol 8 (1) ◽

pp. 170

Author(s):

Pankaj Bargaje ◽

Nitin Wasnik

Keyword(s):

Longitudinal Study ◽

Intestinal Obstruction ◽

Tertiary Care ◽

Intestinal Tuberculosis ◽

Age Distribution ◽

Previous History ◽

Operative Management ◽

Standing Position ◽

Acute Intestinal Obstruction ◽

History Of

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.

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A clinical study of etiology and management of acute intestinal obstruction

International Surgery Journal ◽

10.18203/2349-2902.isj20183725 ◽

2018 ◽

Vol 5 (9) ◽

pp. 3072

Author(s):

Shivakumar C.R ◽

Mohammad Fazelul Rahman Shoeb ◽

Anil P. Reddy ◽

Sharangouda Patil

Keyword(s):

Intestinal Obstruction ◽

Bowel Obstruction ◽

Operative Management ◽

Large Bowel Obstruction ◽

Acute Intestinal Obstruction ◽

Postoperative Treatment ◽

Common Symptom ◽

Abdominal Emergency ◽

Common Sign ◽

A Prospective Study

Background: Acute intestinal obstruction is one of common abdominal emergency and is associated with significant morbidity and mortality. Early diagnosis of obstruction, skilful operative management, proper technique during surgery and intensive postoperative treatment carries better results. The aim of this study was to identify the etiology, clinical presentation, management and outcomes of patients with acute intestinal obstruction presenting in GIMS, Gulbarga.Methods: This is a prospective study carried out in the department of general surgery A unit at Gulbarga Institute of Medical Sciences, Gulbarga, from May 2014 to January 2018. 50 patients with acute intestinal obstruction coming to the OPD and emergency department were included in study and data was analysed.Results: A total of 50 patients, presented with acute intestinal obstruction during the period of the study. Mean patient age was 46.5 years with peak incidence in 50-59 years. Small intestinal obstruction was seen more commonly than large intestinal obstruction. Most common etiology of intestinal obstruction was due to adhesion and bands (40%).Conclusions: Present study concluded that Intestinal obstruction is seen more commonly in middle age group. Males were affected twice as common as females. Abdominal pain was the most common symptom, while tenderness was the most common sign. Post-operative adhesion caused most cases of small bowel obstruction while large bowel obstruction was caused most commonly by malignancy. Earlier the presentation better will be the outcome.

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Differential fertility among immigrants to England and Wales and some implications for population projections

Journal of Biosocial Science ◽

10.1017/s0021932000023270 ◽

1969 ◽

Vol 1 (S1) ◽

pp. 119-127 ◽

Cited By ~ 3

Author(s):

Jean Thompson

Keyword(s):

Age Structure ◽

Age Groups ◽

Population Projections ◽

Fertility Rates ◽

Female Population ◽

Differential Fertility ◽

England And Wales ◽

Adult Age ◽

Completed Family Size ◽

Socio Economic Factors

SummaryThe age structure of the immigrant female population as shown by the 1961 Census was heavily biased towards the young adult age groups, where fertility rates are highest. The birth rate for such a population could be expected considerably to exceed the average for this country as a whole, due to differences in age structure alone. The Census also showed marked differences betwen the fertility rates of different groups of immigrants but suggested that for the most important groups —from the Irish Republic, the Indian sub-continent and the Caribbean—they then amounted to a completed family size of roughly ½ child above the England and Wales average. There were also marked differences in 1961 between the socio-economic structure of immigrant groups; such evidence as there is points to socio-economic factors as playing an important part in explaining the fertility of immigrants, and its possible change over time.

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Sub-Acute Intestinal Obstruction – A Rare Complication in a patient with Autosomal Dominant Polycystic Kidney Disease

Pakistan Journal of Kidney Diseases ◽

10.53778/pjkd40355 ◽

2021 ◽

Vol 4 (03) ◽

Author(s):

Nazish Naseer ◽

Sonia Yaqub

Keyword(s):

Intestinal Obstruction ◽

Rare Complication ◽

Acute Intestinal Obstruction ◽

Polycystic Kidney ◽

Radiological Findings ◽

X Ray ◽

Distended Abdomen ◽

X Ray Computed ◽

Autosomal Dominant Polycystic Kidney ◽

Tomography Scan

associated with vomiting and constipation. On examination he was an obese, ill looking male with a distended abdomen and bilateral palpable flank masses. Gut sounds were sluggish. Small and large bowel loops were found to be dilated on abdominal x-ray. Computed tomography scan of the abdomen showed grossly enlarged kidneys occupying almost whole of the abdomen pushing small bowel loops anteriorly. Based on clinical and radiological findings a diagnosis of sub-acute intestinal obstruction was made. Patient was managed conservatively (i.e. with NG tube and rectal decompression). This case highlights intestinal obstruction as a rare complication of ADPKD.

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Acute Intestinal Obstruction Complicating Abdominal Pregnancy: Conservative Management and Successful Outcome

Case Reports in Obstetrics and Gynecology ◽

10.1155/2016/2576280 ◽

2016 ◽

Vol 2016 ◽

pp. 1-4 ◽

Cited By ~ 1

Author(s):

Gerald Okanandu Udigwe ◽

George Uchenna Eleje ◽

Eric Chukwudi Ihekwoaba ◽

Onyebuchi Izuchukwu Udegbunam ◽

Richard Obinwanne Egeonu ◽

...

Keyword(s):

Intestinal Obstruction ◽

Exploratory Laparotomy ◽

Acute Intestinal Obstruction ◽

University Teaching ◽

Successful Outcome ◽

Management Approach ◽

Abdominal Pregnancy ◽

Case Presentation ◽

X Ray ◽

Female Baby

Background. Acute intestinal obstruction during pregnancy is a very challenging and unusual nonobstetric surgical entity often linked with considerable fetomaternal morbidity and mortality. When it is synchronous with abdominal pregnancy, it is even rarer.Case Presentation. A 28-year-old lady in her second pregnancy was referred to Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria, at 27 weeks of gestation due to vomiting, constipation, and abdominal pain. Examination and ultrasound scan revealed a single live intra-abdominal extrauterine fetus. Plain abdominal X-ray was diagnostic of intestinal obstruction. Conservative treatment was successful till the 34-week gestational age when she had exploratory laparotomy. At surgery, the amniotic sac was intact and the placenta was found to be adherent to the gut. There was also a live female baby with birth weight of 2.3 kg and Apgar scores of 9 and 10 in the 1st and 5th minutes, respectively, with the baby having right clubbed foot. Adhesiolysis and right adnexectomy were done. The mother and her baby were well and were discharged home nine days postoperatively.Conclusion. To the best of our knowledge, this is the first report of abdominal pregnancy as the cause of acute intestinal obstruction in the published literature. Management approach is multidisciplinary.

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Acute intestinal obstruction due to gastrointestinal stromal tumours: case report

International Surgery Journal ◽

10.18203/2349-2902.isj20203811 ◽

2020 ◽

Vol 7 (9) ◽

pp. 3140

Author(s):

Kewithinwangbo Newme ◽

Donkupar Khongwar ◽

Ranendra Hajong ◽

Vandana Raphel

Keyword(s):

Emergency Department ◽

Case Report ◽

Intestinal Obstruction ◽

Acute Intestinal Obstruction ◽

Imaging Studies ◽

Gastrointestinal Stromal Tumours ◽

X Ray ◽

Main Culprit ◽

Aged Individual ◽

Rule Out

Gastrointestinal stromal tumours (GIST) as such is a rare disease, but according to some study it may end up to malignant type in approximately 10-30%. Herein we present a 2 cases of GIST who presented with acute intestinal obstruction in emergency department. In imaging studies (X-ray erect abdomen, ultrasonography abdomen), it showed a features of intestinal obstruction but could not rule out the exact mechanism or pathology behind the obstruction. As commonly adhesions is a main culprit behind the cause of acute intestinal obstruction in case of any post-operative patient. So, we try to highlight that in case of any old aged individual and in virgin abdomen GIST should be keep in mind as a cause of intestinal obstruction.

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