Proportion of colonic carcinoma in cases presenting with acute intestinal obstruction: a cross sectional study

Background: Acute intestinal obstruction is one of the most common emergencies encountered by the general surgeon in routine practice. Although historically, obstructed hernia has been the most common cause, recent studies have shown that adhesive intestinal obstruction is now the commonest reason. Malignant bowel obstruction is also on the rise especially with the change in dietary habits. This study aims at identifying the proportion of colonic carcinoma in cases presenting with acute intestinal obstruction.Methods: The patients with acute intestinal obstruction which was diagnosed clinically and radiologically were studied. Based on operative and clinical findings along with investigation results, the etiology was identified. The patients having colonic neoplasms were identified and the data was compared with other etiological factors to find out the proportion of colonic carcinoma in the cases.Results: The proportion of colon cancer in patients presenting with acute intestinal obstruction was around 15%. The most common cause was obstructed hernia followed by post-operative adhesions. Males were more commonly affected than females. Most of the cases underwent operative management. The most common age group affected was around 50-60 years.Conclusions: This study confirms that there is a definite rise in the number of cases of colon cancer presenting as acute intestinal obstruction. There is also a skewing of the age at presentation towards younger age groups. Small bowel obstructions were much more common mainly due to adhesions and obstructed herniae.

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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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Analysis of the clinical symptoms of patients complicated with acute intestinal obstruction after the surgery of colon cancer

Journal of Acute Disease ◽

10.1016/j.joad.2016.08.012 ◽

2016 ◽

Vol 5 (5) ◽

pp. 430-433

Author(s):

Pei-Jun Ye

Keyword(s):

Colon Cancer ◽

Intestinal Obstruction ◽

Clinical Symptoms ◽

Acute Intestinal Obstruction

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STUDY IN PAEDIATRIC AGE GROUP UNDERGOING EMERGENCY LAPAROTOMY : OBSERVATIONAL STUDY

10.36106/ijsr/6529703 ◽

2021 ◽

pp. 1-2

Author(s):

Akash KR. Gupta ◽

Manoj KR Das ◽

Marshal D Kerketta

Keyword(s):

Intestinal Obstruction ◽

Acute Abdomen ◽

Gastrointestinal Diseases ◽

Acute Intestinal Obstruction ◽

Emergency Laparotomy ◽

Age Group ◽

Common Cause ◽

Colonic Atresia ◽

Paediatric Age ◽

Perforation Peritonitis

INTRODUCTION: Acute abdomen can be defined as “syndrome included by wide variety of pathological conditions that require emergent medical or more often surgical management.” Acute abdomen is caused due to gastrointestinal diseases such as intestinal obstruction and perforation peritonitis. AIM: The aim of our study was to observe the common cause in paediatric age group undergoing emergency laprotomy in our institutions. MATERIAL AND METHODS:This prospective study included 77children aged below or equal to 15years, underwent emergency laprotomy for acute intestinal conditions between January 2019 to December 2019 in RIMS,RANCHI. We excluded neonates ,patients of jejunoileal colonic atresia and stenosis, anorectal malformation(ARM), congenital pouch colon, neonatal necrotizing enterocolitis(NEC), hirschprung’s disease, gastrointestinal tumor. RESULTS: Total of 77 laprotomies were performed in emergency in children below or equal to 15 years age,59(76.62% ) were boys and 18(23.37% )were girls with male:female ratio of 3.2:1. 36(46.75%) cases were done for acute intestinal obstruction and 41(53.24%) cases were done for perforation peritonitis.20(25.97%)emergency laprotomy was performed in the age group 1-5 years and 57(74.02% ) were performed in the age group 5-15 years. Causes in order of frequency for intestinal obstruction were intussusceptions, post operative band/adhesion, abdominal tb obstruction, meckel’s diverticulum and worm obstruction. Causes in order of frequency for perforation peritonitis were typhoid, abdominal tb, appendicular perforation and abdominal trauma. CONCLUSION: In our study maximum emergency laprotomy was performed in male patients with male:female ratio of 3.2:1. Perforation peritonitis was more common than acute intestinal obstruction. 5-15 year age group were more commonly affected. Typhoid ileal perforation was the most common cause for emergency laprotomy followed by intussusception.

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ONCOLOGICAL OPERATIONS IN EMERGENCY SURGERY (CLINICAL CASE)

Sibirskij medicinskij vestnik ◽

10.31549/2541-8289-2021-2-29-33 ◽

2021 ◽

pp. 29-33

Author(s):

K.V. Atamanov ◽

◽

V.E. Voitsitsky ◽

O.A. Tkachuk ◽

V.A. Lebedeva ◽

...

Keyword(s):

Colorectal Cancer ◽

Colon Cancer ◽

Postoperative Complications ◽

Intestinal Obstruction ◽

Clinical Case ◽

Positive Outcome ◽

Acute Intestinal Obstruction ◽

Major Surgery ◽

Number Of Patients ◽

Combined Interventions

The increase in the incidence of colorectal cancer cannot go unnoticed. The number of patients with its complications in general surgical hospitals is growing steadily. The main ones include acute intestinal obstruction, bleeding, tumor destruction with paracancerous abscess formation or perforation. This limits the possibilities of carrying out the radical treatment of oncoproctological patients significantly, and reduces the number of resection interventions considerably. The incidence of postoperative complications in emergency patients is statistically higher than after elective surgeries. The most fatal is the failure of the enterocolonic anastomosis, usually requiring relaparotomy and often colostomy. With regional tumors, combined interventions are necessary, a prerequisite for which is the availability of trained specialists. The article presents a clinical case of performing a major surgery with a positive outcome for complicated colon cancer in a hospital on duty.

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SURGICAL ASPECTS OF CELIAC DISEASE

Rossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics) ◽

10.21508/1027-4065-2018-63-5-188-191 ◽

2018 ◽

Vol 63 (5) ◽

pp. 188-191

Author(s):

A. R. Shakirova ◽

A. A. Kamalova ◽

R. Ya. Yafasov ◽

R. A. Nizamova

Keyword(s):

Celiac Disease ◽

Intestinal Obstruction ◽

Growth Retardation ◽

Acute Intestinal Obstruction ◽

Surgical Pathology ◽

Common Cause ◽

Intestinal Intussusception ◽

Rare Manifestation ◽

Surgical Aspects ◽

Clinical Cases

There are publications on the association of celiac disease with intussusception and intestinal obstruction in adults. Although intussusception is the most common cause of intestinal obstruction in children, it is rarely considered in association with celiac disease. The article presents clinical cases of a rare manifestation of celiac disease with acute surgical pathology – acute intestinal obstruction due to the intestinal intussusception and obstruction. Children with intussusception with non-established etiology should be examined for celiac disease, especially when they have the appropriate symptoms – growth retardation, anemia, bloating, increased transaminase levels and other manifestations of celiac disease, and in case the child’s age is not entirely characteristic of the intussusception.

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Management and post operative complication of acute intestinal obstruction

International Surgery Journal ◽

10.18203/2349-2902.isj20205888 ◽

2020 ◽

Vol 8 (1) ◽

pp. 248

Author(s):

Pradeep Tenginkai ◽

Parthiban Nagaraj ◽

Santosh Nayak K

Keyword(s):

Intestinal Obstruction ◽

Clinical Presentation ◽

Early Recognition ◽

Acute Intestinal Obstruction ◽

General Surgeons ◽

Obstructed Hernia ◽

Adhesive Obstruction ◽

Symptoms And Signs ◽

Selection Of

Background: Intestinal obstruction remains one of the most common intra-abdominal problems faced by general surgeons in their practice. Its early recognition and aggressive treatment in patients of all ages, including neonates, can prevent irreversible ischemia and transmural necrosis, thereby decreasing mortality and long-term morbidity. Objective of the study was to study the etiological factors, various modes of clinical presentation and management of intestinal obstruction.Methods: Study was conducted by selection of consecutive 50 cases presenting with symptoms and signs suggestive of acute intestinal obstruction from Chigateri General Hospital and Bapuji Hospital attached to J.J.M.Medical College, Davangere during the period from June 2009 to May 2011.Results: In our series, the maximum incidence is in the age group of 41-50 years. The occurrence of acute intestinal obstruction was common in male compared to female. Small bowel obstruction is more common. The commonest presenting symptom was abdominal pain followed by vomiting, distention of abdomen and absolute constipation. Adhesive obstruction (56%) was the commonest cause of acute intestinal obstruction, followed by Obstructed Hernia (18%), Malignancy (6%), Volvulus (4%), Intussusceptions (6%) and TB stricture (6%). Release of adhesions and bands was done in 22 cases. Resection and end-to-end anastomosis was done in 16 cases, which included cases of intussusception, adhesions, stricture, Ileo-caecal growth, colonic growth.Conclusions: Most common etiological factor for intestinal obstruction is postoperative adhesions. Release of adhesions and bands was the most common surgery done.

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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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A clinical study of surgical management of acute intestinal obstruction

International Surgery Journal ◽

10.18203/2349-2902.isj20184085 ◽

2018 ◽

Vol 5 (10) ◽

pp. 3342

Author(s):

Gayathri V. ◽

Praveen Mali ◽

Harindranath H. R.

Keyword(s):

Intestinal Obstruction ◽

Bowel Obstruction ◽

Acute Intestinal Obstruction ◽

Emergency Laparotomy ◽

Hernia Surgery ◽

Number Of Patients ◽

General Surgeons ◽

Mechanical Bowel Obstruction ◽

The Common ◽

Obstructed Hernia

Background: Mechanical bowel obstruction remains one of the most common intra-abdominal problems faced by general surgeons in their practice and continues to be a major cause of morbidity and mortality.Methods: This retrospective study was carried out on data obtained from 50 patients who underwent emergency laparotomy for acute intestinal obstruction in Victoria and Bowring and Lady Curzon Hospital from January 2016 to December 2016.Results: Adhesions (26%) were found to be the most common cause followed by obstructed hernia (22%). The common age group was 51-60 years. The commonest symptom was abdominal pain followed by vomiting and constipation. The average duration of presentation was 2 days. Strangulation was found in 20% of cases. Mortality rate in the study was 16%.Conclusions: In conclusion, we have found that adhesions are becoming an ever-increasing underlying cause of bowel obstruction. A trend of elective hernia surgery has reduced the number of patients of hernias presenting with obstruction of bowel.

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A clinical study of aetiology of acute intestinal obstruction

International Surgery Journal ◽

10.18203/2349-2902.isj20190554 ◽

2019 ◽

Vol 6 (3) ◽

pp. 783

Author(s):

Syed Nasiruddin ◽

Sharangouda Patil ◽

Anil Reddy Pinate

Keyword(s):

Clinical Study ◽

Intestinal Obstruction ◽

Operative Procedure ◽

Age Groups ◽

Abdominal Tuberculosis ◽

Clinical History ◽

Diagnostic Techniques ◽

Acute Intestinal Obstruction ◽

General Surgeon ◽

Antitubercular Drugs

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.

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TAPP Repair of an Obstructed Obturator Hernia

Panamerican Journal of Trauma, Critical Care & Emergency Surgery ◽

10.5005/jp-journals-10030-1076 ◽

2013 ◽

Vol 2 (3) ◽

pp. 146-148

Author(s):

Nitin Aggarwal ◽

Ravinder Singh ◽

Darpan Bansal

Keyword(s):

Critical Care ◽

Inguinal Hernia ◽

Intestinal Obstruction ◽

The Elderly ◽

Acute Intestinal Obstruction ◽

Obturator Hernia ◽

High Morbidity ◽

Previous Surgery ◽

Common Cause ◽

Tapp Repair

ABSTRACT Intestinal obstruction can be a result of diverse pathology depending upon the age of the patient. In the elderly, the most common cause appears to be malignancy or previous surgery. Inguinal hernia is another reason for acute intestinal obstruction, particularly in males. A rather rare cause of similar presentation in a female is obstructed obturator hernia. Due to its rarity and difficulty in diagnosis, most of the cases present late and, as a result, strangulation and necrosis of the bowel leads to high morbidity and mortality. We present a case of obstructed obturator hernia in a 80 years old female treated by laparoscopic transabdominal preperitoneal (TAPP) approach. How to cite this article Singh R, Bansal D, Aggarwal N. TAPP Repair of an Obstructed Obturator Hernia. J Trauma Critical Care Emerg Surg 2013;2(3):146-148.

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