scholarly journals A clinical study of etiology and management of acute intestinal obstruction

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.

scholarly journals Study of acute intestinal obstruction management and its outcome

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.

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

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.

scholarly journals Ileosigmoid knotting: an unusual cause of acute intestinal obstruction with bowel gangrene

2019 ◽  
Vol 12 (5) ◽  
pp. e226663
Author(s):  
Raj Kumar ◽  
Pavan Kumar Shamanur Kenchappa ◽  
Kusum Meena ◽  
Brijesh Kumar Singh
Keyword(s):  
Intestinal Obstruction ◽  
Sigmoid Colon ◽  
Bowel Obstruction ◽  
Exploratory Laparotomy ◽  
Large Bowel Obstruction ◽  
Acute Intestinal Obstruction ◽  
Haemodynamic Instability ◽  
Ileocolic Anastomosis ◽  
Bowel Gangrene

Ileosigmoid knotting (ISK) is a rare cause of intestinal obstruction rapidly progressing to bowel gangrene. It is characterised by the wrapping of loops of ileum and sigmoid colon around each other. The condition often remains undiagnosed preoperatively; however, it can be suspected by the triad of small bowel obstruction, radiographic features suggestive of predominately large bowel obstruction and inability to deflate the intestine by a sigmoidoscope. We are reporting a case of 56-year-old man who presented with features of acute intestinal obstruction and compensated shock within 24 hours of onset of symptoms. Exploratory laparotomy revealed ISK resulting in gangrene of ileum and sigmoid colon. In view of haemodynamic instability, end ileostomy was done after excising gangrenous segments. The patient improved and stoma closure and ileocolic anastomosis were done after 3 months in follow-up.

scholarly journals Study of clinical spectrum and management of acute intestinal obstruction

2018 ◽  
Vol 5 (4) ◽  
pp. 1310
Author(s):  
N. K. Jaiswal ◽  
Sandeep Shekhar ◽  
Pushkar Ranade
Keyword(s):  
Abdominal Pain ◽  
Small Bowel ◽  
Intestinal Obstruction ◽  
Bowel Obstruction ◽  
Large Bowel ◽  
Signs And Symptoms ◽  
Large Bowel Obstruction ◽  
Acute Intestinal Obstruction ◽  
Medical College ◽  
Tertiary Centre

Background: Acute intestinal obstruction is one of the major surgical emergencies. Intestinal obstruction is defined as partial or complete interference with forward flow of small or large intestinal contents. Intestinal obstruction of either small or large bowel continues to be a major cause of morbidity and mortality. Study aims to find the aetiology, diagnosis and management of acute intestinal obstruction.Methods: A total of 135 patients of acute intestinal obstruction was studied from November 2013 to October 2015 in government medical college, Nagpur. Study was done in patients in OPD of this tertiary centre. Inclusion criteria being patients coming to the hospital with features suggestive and further confirmed of acute intestinal obstruction. Patients included were in, age group of 18 years to 80 years giving written informed consent. Patient of pseudo obstruction were excluded from the study.Results: A total of 135 patients, presented with acute intestinal obstruction during the period of the study. Mean patient age was 45.87 years with peak incidence in those aged 21-30years. The foremost signs and symptoms were constipation (85.93%) and abdominal pain (91.11%). Adhesions and bands (61.9%) was the leading causes of intestinal obstruction.Conclusions: Present study concluded that small bowel obstruction is more common than large bowel obstruction. Abdominal pain, constipation and distension are the most common symptoms, while increased bowel sounds, tachycardia and tenderness is most common sign. Post-operative adhesion in small bowel and malignancy in large bowel is major cause of acute intestinal obstruction.

scholarly journals THE PATTERN OF ACUTE INTESTINAL OBSTRUCTION: A HOSPITAL BASED STUDY

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.

EP.FRI.798 Emergency surgery: Acute intestinal obstruction – how are we doing three years post NASBO guidelines?

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Guillaume Lafaurie ◽  
James Butterwoh ◽  
Angeliki Iakovou ◽  
Alec Engeldow
Keyword(s):  
Small Bowel ◽  
Intestinal Obstruction ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Holistic Approach ◽  
District General Hospital ◽  
Operative Management ◽  
Acute Intestinal Obstruction ◽  
Water Soluble ◽  
Average Hospital

Abstract Aims 10% of emergency surgical admissions are due to acute intestinal obstruction. If surgery is required, the mortality is raised to 10%. The latest 2017 National Audit of Small Bowel Obstruction (NASBO) has identified several key investigative and therapeutic targets. Our aim is to look into our clinical practice and compare it to the NASBO standards.  Methods In a district general hospital (DGH), we prospectively collected data of 30 patients coming consecutively with acute small bowel obstruction looking into imaging, conservative management, surgical management and outcomes.  Results 30 patients were included in this study with mean age of 69 years (24-88 years old), with an average hospital stay of 7 days (1 - 46 days). Bowel obstruction aetiology included: 15 secondary to adhesions, 5 hernias, 4 crohns strictures and others. 28 patients had AXR on admission as well as CT with average time to CT of 13.4 hours from admission. A third received water soluble contrast, on average 32.9 hours after admission. A third patients required surgery, undertaken on average 60 hours from admission. The outcomes showed 25 recovering well and going home and a 30-day mortality of 13% (4/30). Seven patients received dietician input, two patients were reviewed by geriatricians before surgery and none post-operatively.  Conclusion From a previous review of our practice we improved in terms of instigating timely investigations and prompt decision to surgery. However, we need to clearly work towards a more holistic approach including dietician and geriatrician input within the complex post-operative management of these patients. 

COMPUTED TOMOGRAPHY EVALUATION OF BOWEL OBSTRUCTION

2017 ◽  
pp. 29-36
Author(s):  
Van Phuong Nguyen ◽  
Van Ngoc Cuong Le
Keyword(s):  
Computed Tomography ◽  
Intestinal Obstruction ◽  
Bowel Obstruction ◽  
Malignant Lesion ◽  
Abdominal Distension ◽  
University Hospital ◽  
Common Symptom ◽  
Surgical Emergencies ◽  
Common Causes ◽  
Common Sign

Background: Bowel obstruction (intestinal obstruction) is one of the most common surgical emergencies, occurring at all ages and for many reasons. Computed tomography (CT) has great value to diagnosis bowel obstruction, especially to determine the cause of bowel obstruction. Therefore, we conducted this study to investigate the common causes as well as the severe signs of bowel obstruction by CT scan. Materials and methods: The study including 47 patients who have image of bowel obstruction on CT at Hue Central Hospital and Hue University Hospital from April 2016 to May 2017. These variables were included a number of clinical features, the causes and some signs suggesting complications of bowel obstruction. Results: Abdominal pain is the most common symptom while abdominal distension is the most common sign. 72.3% of bowel obstructions occur in the small intestine; the other 27.7% occur in the colon. Adhesion is the most common cause (27.7%), other common causes are: malignant lesion (25.5%), bezoar (12.8%), volvulus (8.5%); 4.3% of cases cannot be found cause on CT image. The most common sign suggesting complications are mesenteric fluid (59.6%). Conclusion: Computed tomography can determine most of causes of bowel obstruction and itcan show complications of bowel obstruction. Key words: bowel obstruction, intestinal obstruction, computed tomography

scholarly journals Clinical study of bowel obstruction in relation to etiological factors

2017 ◽  
Vol 4 (2) ◽  
pp. 485 ◽  
Author(s):  
Pradeep Kumar Chitumalla ◽  
Naresh Kumar Vemulapally ◽  
Surya Narayana Reddy
Keyword(s):  
Intestinal Obstruction ◽  
Age Distribution ◽  
Age Groups ◽  
Operative Management ◽  
Acute Intestinal Obstruction ◽  
Female Population ◽  
X Ray ◽  
Adult Age ◽  
Abdominal Emergency ◽  
Therapeutic Modalities

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.

scholarly journals TOURNIQUET APPENDIX: RARE ETIOLOGY OF ORGANIC ACUTE INTESTINAL OBSTRUCTION

2021 ◽  
Vol 9 (08) ◽  
pp. 834-836
Author(s):  
Bicane Ma. ◽  
◽  
Malaaynine Mf. ◽  
Rabbani K. ◽  
Louzi A. ◽  
...  
Keyword(s):  
Acute Appendicitis ◽  
Intestinal Obstruction ◽  
Bowel Obstruction ◽  
Paralytic Ileus ◽  
Rare Case ◽  
Acute Intestinal Obstruction ◽  
Ileal Loop ◽  
Surgical Emergency ◽  
Mechanical Bowel Obstruction

Acute appendicitis is the most common surgical emergency. A bowel obstruction due to the appendicitis is in most cases functional with a paralytic ileus mechanical bowel obstructions are rare or exceptional. We describe a rare case of a mechanical bowel obstruction due to a strangulation of the last ileal loop by the appendix.

scholarly journals A prospective study of cases of intestinal obstruction and role of conservative expectant management

2018 ◽  
Vol 5 (6) ◽  
pp. 2191 ◽  
Author(s):  
Yuktansh Pandey
Keyword(s):  
Intestinal Obstruction ◽  
Prospective Study ◽  
Conservative Management ◽  
Expectant Management ◽  
Abdominal Tuberculosis ◽  
Acute Intestinal Obstruction ◽  
Age Group ◽  
Abdominal Adhesions ◽  
Tract Infections ◽  
A Prospective Study

Background: Intestinal obstruction continues to be a common surgical emergency throughout the world and its management protocol has evolved over years.  In our study we aimed to provide a complete epidemiological description of intestinal obstruction in adult age group patients in a tertiary care hospital in Northern India.Methods: This is a prospective study of patients belonging to age group more than 12 years admitted in our unit with clinical features suggestive of intestinal obstruction from September 2011 to December 2013 at R. N. T. Medical College, Udaipur. The study comprised of 134 patients.Results: Intestinal obstruction contributed to 6.5% of all surgical admissions. It was nearly twice more common in males. 43% patients presented with features of acute intestinal obstruction in comparison to 57% who presented with features of sub-acute intestinal obstruction. Most common cause observed was obstruction due to intra-abdominal adhesions followed by abdominal tuberculosis 48 and 29 percent respectively. Features of intestinal obstruction resolved in 60% patients with conservative management. Adhesions, abdominal tuberculosis and malignancy counted for majority of patients with sub-acute obstruction.  Emergency surgery was done in 32% of patients and 36.5 % of patients were discharged non-operatively. Planned Surgery after successful expectant management was done in 24 % patients. Most frequently seen complication was wound site collection (72.5%) followed by respiratory tract infections (49%). Total mortality in our study was 12.6% of which 41% was post-operative mortality and 59% mortality seen in patients who expired during conservative management.    Conclusions: This study demonstrates that intra-abdominal adhesions and abdominal tuberculosis account for most cases of intestinal obstruction in countries like India. A watchful expectant management can be tried in patients with prior operative history and those with history of tuberculosis.

Sign in / Sign up

Export Citation Format

Share Document