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

Kailas C.T., Assistant Professor, Dept. of Surgery, JJM Medical College, Davangere, Karnataka 577004, India. , Pradeepkumar J.a , Kailas C.T.b , Vijaykumar G.c , Suresh U. Kadlid , R.L. Chandrasekhara

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New Indian Journal of Surgery 8(3):p 397-400, Jul-Sep 2017. | DOI: https://dx.doi.org/10.21088/nijs.0976.4747.8317.18

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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.

 

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

Keywords

Small Bowel Obstruction; Abdominal Pain; Distention of Abdomen. 

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