Abstract
Background: Intestinal defined as obstruction in forward propulsion of the contents as obstruction in the intestine either due to mechanical or neurological cause. Aim of the present study was to know the various causes of intestinal obstruction and also to analyse the symptomatology of intestinal obstruction. Subjects and Methods: The present study was under taken with the aim to evaluate the various causes and the mode of presentation. A total of 60 cases of the intestinal obstruction attending Department of Surgery, tertiary care institute of Gujarat for the period of two years were included in the study. All the patients were assessed clinically in details after admission. All the pathological and biochemical investigations were carried out in all the patients. Results: The mean age was found to be 43 years. The intestinal obstruction was found to be more common in male as compared to female. More number of cases was of small bowl obstruction as compared to large bowel obstruction. Majority of the patients had the symptoms of tenderness. It was found in 93% of the cases. Next was the pain present in the abdomen found in 83%, followed by vomiting present in 80% of the cases. Conclusion: The incidence of intestinal obstruction is more common in males compared to females. Patients with a clinical picture of obstruction of the bowel demand vigorous correction of fluid and electrolyte, which can be severe, and life threatening. Intestinal obstruction is more common in the age group of 30-60 years. Large bowel obstruction is more common in patients above 40 years than in younger group. Intestinal obstruction was also found more common in young children.
Highlights
Intestinal obstruction is a common surgical emergency all over the world
The mortality due to acute intestinal obstruction is decreasing with better understanding of pathophysiology, improvement in diagnostic techniques, fluid and electrolyte, correction, much potent anti-microbials and the knowledge of intensive care.[6,7]
The aim of the present study was to know the various causes of intestinal obstruction and to analyse the symptomatology of intestinal obstruction
Summary
Intestinal obstruction is a common surgical emergency all over the world. It is defined as obstruction in forward propulsion of the contents as obstruction in the intestine either due to mechanical or neurological cause. Most of the mortalities occurs in elderly individuals who seek late treatment and who are having associated preexisting comorbid conditions.[8] The dictum of never let the sun set or rise in small bowel obstruction has made early surgical intervention for intestinal obstruction This in turn has reduced the incidence of strangulation of bowel, which was major cause of mortality in already ill patient.[9] Early diagnosis of obstruction skillful operative management, proper technique during surgery and intensive postoperative treatment carries a grateful result.[6] the aim of the present study was to know the various causes of intestinal obstruction and to analyse the symptomatology of intestinal obstruction. Intestinal obstruction was found more common in young children
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