scholarly journals A CROSS-SECTIONAL STUDY OF STANDARD INTERVENTION OF INTESTINAL OBSTRUCTION IN A TERTIARY HOSPITAL IN CENTRAL INDIA.

2021 ◽  
Vol 5 (4) ◽  
Author(s):  
Kunwar Anees Ahmad Khan
Keyword(s):  
Intestinal Obstruction ◽  
Surgical Techniques ◽  
Central India ◽  
Signs And Symptoms ◽  
Tertiary Hospital ◽  
Acute Intestinal Obstruction ◽  
Morbidity Rate ◽  
Postoperative Adhesions ◽  
Cross Sectional ◽  
Stomach Pain

Background: A common surgical emergency, intestinal blockage has a high death and morbidity rate. Intestinal blockage accounts for about 15% of all emergency room visits for acute abdominal discomfort. Acute intestinal obstruction can take several forms, ranging from a seemingly normal look with just minor stomach pain and distension to a situation of hypovolemic or septic shock (or both) requiring an emergency treatment. Aim: The goal of this study was to see how our tertiary hospital managed intestinal obstruction operations. Material and Methods: Patients in the current study ranged in age from 21 to 80 and had a surgically treated acute intestinal blockage. Patients with severe signs and symptoms of acute blockage were treated with an appropriate surgical approach after initial resuscitation. All of the data was entered into a spreadsheet and analysed with descriptive statistics. Results: During the study period, 288 patients received surgery for acute intestinal blockage. The most prevalent age group (26 percent) was 51 to 60 years old, followed by 41 to 50 years old (21 percent ). Male patients were 2.8 times more likely than female patients to be afflicted. Previous abdominal surgery (56 percent), diabetes (31%), smoking (25%), hypertension (24%), and bronchial asthma/ COPD (15%) were all discovered to be common co-morbidities in this study. The most common causes of intestinal obstruction in this study were postoperative adhesions (47 percent), malignancy (15 percent), obstructed hernia (11 percent), and Koch's abdomen (8 percent ). The most prevalent surgical procedures in this study were adhesion removal (47 percent), resection and anastomosis (22 percent), diversion colostomy (13 percent), and hernioplasty (13 percent) (11 percent ). Fever (15%) and wound infection (11%) were the most prevalent post-operative problems, respectively. The rate of post-operative death was 13%. There are nine patients in all. The majority of deaths are caused by complications such as septicemia, peritonitis, and lung infection. Conclusion: Postoperative adhesions are a common cause of intestinal blockage. Early surgical techniques, when combined with clinical diagnosis and radiological data, may improve the outcome of acute intestinal obstruction. Keywords: surgical management, acute intestinal obstruction, adhesions, adhesiolysis.

scholarly journals STUDY OF SURGICAL MANAGEMENT OF INTESTINAL OBSTRUCTION FROM CENTRAL INDIA: A CROSS SECTIONAL STUDY

2021 ◽  
Vol 10 (3) ◽  
pp. 3070-3073
Author(s):  
Samadhan Patil
Keyword(s):  
Abdominal Pain ◽  
Intestinal Obstruction ◽  
Surgical Management ◽  
Central India ◽  
Signs And Symptoms ◽  
Tertiary Hospital ◽  
Acute Intestinal Obstruction ◽  
Postoperative Adhesions ◽  
Cross Sectional ◽  
Mortality And Morbidity

Intestinal obstruction is a common surgical emergency with high mortality and morbidity rates. About 15% of all emergency room visits for acute abdominal pain are due to intestinal obstruction. Acute intestinal obstruction may manifest in a variety of ways, from a relatively normal appearance with only minor abdominal pain and distension to a condition of hypovolemic or septic shock (or both) that necessitates an emergency procedure. In present study we aimed to evaluate surgical management of intestinal obstruction at our tertiary hospital. The current research included patients aged 21 to 80 who had an acute intestinal obstruction that was surgically treated. After initial resuscitation, patients with strong signs and symptoms of acute obstruction were treated with an appropriate surgical procedure. All of the information was recorded in a preformat and analysed using descriptive statistics. 144 patients had surgery for acute intestinal obstruction during the study period. 51 to 60 years old was the most common age group (26 %), followed by 41 to 50 years old (21 %). In a ratio of 2.8:1, male patients were more frequently affected than female patients. Previous abdominal surgery (56 %), diabetes (31 %), smoking (25 %), hypertension (24 %), and bronchial asthma/ COPD (15 %) were all found to be common comorbidities in this research. Postoperative adhesions (47 %), malignancy (15 %), obstructed hernia (11 %), and Koch's abdomen were the most common causes of intestinal obstruction in this report (8 %). Adhesiolysis (47 %), resection and anastomosis (22 %), diversion colostomy (13 %), and hernioplasty were the most common surgical procedures in this study (11 %). The most common post-operative complications were fever (15%) and wound infection (11%) respectively. The post-operative mortality rate was 13%. (9 patients). Complications such as septicaemia, peritonitis, and respiratory infection account for the majority of deaths. Intestinal obstruction is often caused by postoperative adhesions. Early operative procedures, in combination with clinical diagnosis and radiological findings, may enhance the outcome of acute intestinal obstruction.

Long Term Effect of Acute Intestinal Obstruction Management following Laparotomy in a Tertiary Care Hospital

2020 ◽  
Vol 7 (2) ◽  
pp. 73-79
Author(s):  
Md Mamunur Rahman ◽  
Nelema Jahan ◽  
Md Mahfuzul Momen ◽  
Syed Masud Reza ◽  
Karina Rahman ◽  
...  
Keyword(s):  
Intestinal Obstruction ◽  
Complication Rate ◽  
Tertiary Care ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Acute Intestinal Obstruction ◽  
Care Hospital ◽  
Surgical Morbidity ◽  
Cross Sectional ◽  
Long Term Effect

Background: Post-surgical outcomes are very crucial for acute intestinal obstruction following laparotomy. Objective: The purpose of the present study was to identify the causes and risk factors that influence the outcome of post laparotomy acute intestinal obstruction and also to assess their management and outcome. Methodology: This cross sectional study comprising fifty patients irrespective of age and sex with diagnosis of Acute intestinal obstruction following laparotomy who attended at the Department of Surgery in different tertiary Hospital of Dhaka city, within the time period of July 2017 to June 2019. All these data were analyzed and tried to find out the outcome of management of acute intestinal obstruction following laparotomy. Results: All the 50 patients had undergone some conventional surgeries in previous instance. Acute intestinal obstruction was found in 80.0% of cases who had undergone emergency surgery and 20.0% cases were after routine surgery. The reasons behind Laparotomy for burst appendix (16.0%) followed by laparotomy for blunt trauma abdomen (12.0%) and classical appendicectomy (12.0%). After conservative management complication rate was low (21.0%) and the most prominent complication was UTI (28.57%) whereas mortality was 14.29%. After surgical management complication rate was higher which was in 56.25% of cases. Conclusion: Post laparotomy of acute intestinal obstruction can improve the outcome and reduce the chance of relaparotomy, surgical morbidity. Journal of Current and Advance Medical Research 2020;7(2): 73-79

scholarly journals Polycystic ovarian syndrome (PCOS) awareness among young women of central India

2018 ◽  
Vol 7 (10) ◽  
pp. 3960
Author(s):  
Jaya Patel ◽  
Shailesh Rai
Keyword(s):  
Young Women ◽  
Polycystic Ovarian Syndrome ◽  
Central India ◽  
Signs And Symptoms ◽  
Cross Sectional Study ◽  
P Value ◽  
Cross Sectional ◽  
The People ◽  
Study Participants ◽  
Ovarian Syndrome

Background: Polycystic ovarian syndrome (PCOS) associated with multiple presentation in females although it is common disorder but due to lack of knowledge females often delays in getting confirm diagnosis and treatment. PCOS remains a syndrome and as such no single diagnostic criterion is sufficient for clinical diagnosis. Objective: To assess the knowledge about PCOS in young women.Methods: Cross sectional study was performed on 400 women of age group 18-30 years either studying in Colleges or working in Indore city. Written informed consent was obtained and simple random technique was applied for selection of study participants. Pre-designed, pre-tested, semi-structured questionnaire was used for data collection. The data collected were analyzed through percentages and frequencies using Excel. Relevant statistical test was applied was applied and p value was calculated where ever required and considered statistically significant when it is <0.05.Results: Among 400 participants, only 41% of the women were aware of the term PCOS. 46% of the subjects who were aware about the organ system involved in this disease. Most of the people know about this disorder through friends or relatives. 49% of the women knew about the various signs and symptoms associated with PCOS.Conclusions: The results of present study show that very few of the young women understand what this disease is and what are the earliest symptoms that should alarm them to consult a physician.  Discussion with the girls in college authors came to know that most of the people are considering menstrual pain and irregularities as a part of their physiological process and do not consider consulting a doctor.

scholarly journals Temporomandibular disorder is more prevalent among patients with primary headaches in a tertiary outpatient clinic

2015 ◽  
Vol 73 (11) ◽  
pp. 913-917 ◽  
Author(s):  
James Felipe Tomaz-Morais ◽  
Luciana Barbosa de Sousa Lucena ◽  
Isabella Araújo Mota ◽  
Ana Karine Farias da Trindade Coelho Pereira ◽  
Brunna Thaís Luckwu de Lucena ◽  
...  
Keyword(s):  
Medication Overuse ◽  
Temporomandibular Disorder ◽  
Clinical Status ◽  
Signs And Symptoms ◽  
Primary Headache ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Tension Type Headache ◽  
Primary Headaches ◽  
Cross Sectional

Objective The aim of this study was to estimate the prevalence of signs and symptoms of temporomandibular disorders (TMD) in patients with primary headaches attended in a tertiary neurology ambulatory.Method Authorized by the Ethics Committee, the present cross-sectional study was conducted with a random sample of patients screened for orofacial pain and primary headaches at a tertiary hospital in Northeast of Brazil.Results The sample consisted in 42 patients with primary headache, 59.5% male. The prevalence of > 6 TMD signs and symptoms was 54.8%. In those patients with migraine TMD was present in 71.4% and in tension-type headache in 38.1% (p = 0.030; OR = 4.1). TMD was related to the clinical status of headache associated or attributed to medication overuse (p = 0.001).Conclusion TMD has a high prevalence in patients with primary headaches (54.8%). Special attention must be given to patients with migraine and headache associated or attributed to medication overuse.

scholarly journals Small Bowel Strangulation due to Right Para-Duodenal Hernia - A Case Report

2018 ◽  
Vol 1 (1) ◽  
pp. 1-5
Author(s):  
R Rajkumar ◽  
◽  
p Beulah ◽  
R Sundarapandiyan ◽  
S Dash ◽  
...  
Keyword(s):  
Small Bowel ◽  
Intestinal Obstruction ◽  
Primary Anastomosis ◽  
Signs And Symptoms ◽  
Acute Intestinal Obstruction ◽  
Hernia Sac ◽  
Small Bowel Strangulation ◽  
The Right ◽  
Bowel Strangulation ◽  
Rare Diagnosis

Para-duodenal hernias are rare causes of intestinal obstruction and strangulation, are difficult to diagnose preoperatively. It is a rare congenital anomaly which occurs due to defect in the rotation of gut. It is usually discovered incidentally at radiological study or at laparotomy. Here we report of right para-duodenal hernia presented in emergency with signs and symptoms of acute intestinal obstruction. Pre-operative Computer Tomography cuts show hernia sac, filled with loops of small bowel crowded in the right hypochondrium suggesting the rare diagnosis of Waldeyer’s hernia. He required resection of the gangrenous segment and primary anastomosis. The mouth of the sac was obliterated with suturing to the posterior abdominal wall. The patient was discharged uneventfully on 7th post-operative day.

scholarly journals EVALUATION OF HELICOBACTER PYLORI IN PATIENTS INVOLVED TO CHRONIC DYSPEPSIA

2020 ◽  
Vol 22 (1) ◽  
pp. 35-39
Author(s):  
Hamed Parsa ◽  
◽  
Ghullam Mushtari ◽  
Keyword(s):  
Helicobacter Pylori ◽  
Age Groups ◽  
Winter Season ◽  
Signs And Symptoms ◽  
Cross Sectional Study ◽  
Stool Examination ◽  
Cross Sectional ◽  
Loss Of Weight ◽  
Stomach Pain ◽  
Presence And Absence

Objective: To determine the frequency of Helicobacter pylori (HP) in patients with chronic dyspepsia referred to private laboratories in Mazar-i-Sharif city in 2019. Methods: This study is a descriptive cross-sectional study which the sampling method has performed randomly on six private laboratories in Mazari-Sharif city. The population under study consisted people with digestive disorders and a number of them had no any signs and symptoms. Subjects of study were persons that referred to serological and stool testing for HP at private laboratories in Mazar-e Sharif city in the winter season of 2019. Of course, the patients included in this study are mostly those who have been treated with gastritis tablets at one time but have not been cured. The variants of study included gender, age group, presence and absence of signs and symptoms, place of residence. The patients’ information was obtained through the patient record book and patient’s examination result sheet in which the blood serum and their stool were used for diagnosis. Results: From 108 patients were recruited for HP study, 53 people were men and 55 people women, who were used for diagnosis serologic and stool tests, which showed that 74% of patients had positive result for HP and 26% negative result for HP and these patients were between the ages of 15-65 in terms of presence and absence of sign and symptoms, 57% with loss of weight and stomach irritation, 14% with anorexia, 7% had headache and vertigo and 22% had no signs and symptoms. Conclusions: The present study on 108 who were referred to private laboratories for blood or stool examination were positive for male (39%) and negative (13%), for female (33%) were positive and (15%) negative. Likewise their age groups were different with the majority of patients being between the ages of 15-25 and the minority were 56-65 years. 57% of patient complaining gastric irritation, severe stomach pain and loss of weight. Keywords: Helicobacter pylori, gastritis, indigestion, dyspepsia, diagnostic tests, sensitivity, resistance.

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 Clinical study and surgical management of acute intestinal obstruction in the adults

2020 ◽  
Vol 7 (11) ◽  
pp. 3703
Author(s):  
Jaydeep M. Gadhavi ◽  
Rahul Charpot
Keyword(s):  
Hernia Repair ◽  
Intestinal Obstruction ◽  
Treatment Protocol ◽  
Signs And Symptoms ◽  
Right Hemicolectomy ◽  
Acute Intestinal Obstruction ◽  
Provisional Diagnosis ◽  
The Common ◽  
Operative Findings ◽  
Resection And Anastomosis

Background: The aim of this study was to evaluate the treatment protocol of intestinal obstruction in adults.Methods: A total of 60 patients diagnosed with intestinal obstruction were included in the study. All the patients with the provisional diagnosis of the intestinal obstruction were assessed clinically after the admission. Appropriate surgical procedures were implemented on the patients with clear signs and symptoms of acute abdominal obstruction. Surgery adopted and criteria for deciding the procedure were noted.Results: For the management of small bowl obstruction. Adhesiolysis was done in 14 patients, resection and anastomsis was done in 8 patients, in 4 patients the band release procedure was performed, hernia repair was done in 8 patients, followed by resection, hernia repair, volvulus derotation and Mekels diverticulectomy was done in 2 patients respectively. For the management of large bowl obstruction the Colostomy was done in 8 cases, resection and anastomosis in 4 cases, intussusception milking in two cases, volvulus derotation was done in 2 cases and right hemicolectomy was done in 4 cases of CA ascending colon.Conclusions: Success in the treatment of acute intestinal obstruction depends largely upon early diagnosis skilful management and treating the pathological effects of the obstruction just as much as the cause itself. Postoperative adhesions are the common cause to produce intestinal obstruction. Clinical radiological and operative findings put together can diagnose the intestinal obstruction. Mortality is still significantly high in acute intestinal obstruction.

scholarly journals Acute intestinal obstruction due to appendicular tie syndrome: a rare case report

2019 ◽  
Vol 6 (9) ◽  
pp. 3446
Author(s):  
Akash Agrawal ◽  
Palak Vora
Keyword(s):  
Small Bowel ◽  
Intestinal Obstruction ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Rare Case ◽  
Acute Intestinal Obstruction ◽  
Postoperative Adhesions ◽  
Surgical Emergencies ◽  
Common Causes ◽  
Rare Case Report

Acute intestinal obstruction is one of the most common surgical emergencies encountered by surgeons on daily bases. Most common causes for small bowel obstruction includes postoperative adhesions and hernia. One of the rarest cause of intestinal obstruction is appendicular band syndrome. Here we report a case of small bowel obstruction due to appendicular tie syndrome in a 70 years old male patient at GMERS hospital, Dharpur, Patan, Gujarat, India.

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