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New Indian Journal of Surgery

Volume  8, Issue 3, Jul-Sep 2017, Pages 397-400
 

Original Article

A Clinical Profile of Acute Intestinal Obstruction Cases at Tertiary Care Hospital

Pradeepkumar J.a, Kailas C.T.b, Vijaykumar G.c, Suresh U. Kadlid, R.L. Chandrasekhara

aAssistant Professor, Dept. of Surgery, Basaveshwara Medical College, Chitradurga, Karnataka, India. bAssistant Professor dProfessor, Dept. of Surgery, JJM Medical College, Davangere, Karnataka, India. cAssociate Professor, Dept.of Surgery, Al-Hazar Medical College, Thodupuzha, Kerala, India.

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DOI: https://dx.doi.org/10.21088/nijs.0976.4747.8317.18

Abstract

Introduction: Mortality and morbidity are dependent on early recognition and correct diagnosis of obstruction. If untreated, strangulated obstruction causes death in 100% of patients. If surgery is performed within 36 hours, the mortality decreases to 8%. The mortality rate is 25% if surgery is postponed beyond 36 hours in these patients.

Methodology: A minimum of 50 consecutive cases presenting with acute intestinal obstruction in hospital was selected for the study. This was a prospective study of 50 cases presenting with symptoms and signs suggestive of acute intestinal obstruction. A detailed structured Proforma was used to collect this information. All data was entered on master chart for analysis.

Results: The commonest presenting symptom was abdominal pain (100%) followed by vomiting (92%), distention of abdomen (84%) and absolute constipation (60%).

Conclusion: The incidence of intestinal obstruction is more common in males compared to females. Small bowel obstruction was more common than large bowel obstruction.

 


Keywords : Small Bowel Obstruction; Abdominal Pain; Distention of Abdomen. 
Corresponding Author : Kailas C.T., Assistant Professor, Dept. of Surgery, JJM Medical College, Davangere, Karnataka 577004, India.