European Journal of Biomedical and Pharmaceutical Sciences

TO STUDY THE CLINICAL PROFILE AND MANAGEMENT OF ACUTE INTESTINAL OBSTRUCTION AT ACHARYA VINOBA BHAVE RURAL HOSPITAL

*Dr. Niranjan Jadhav, Dr. Dhirendra Wagh and Dr. Harshal Ramteke and Dr. Abhijeet Patil

ABSTRACT

Acute intestinal obstruction is one of the most common surgical emergencies. It describes failure of aboral progression of intestinal contents. It involves a partial or complete blockage of the bowel which induces mechanical impairment or complete arrest of the passage of content through the intestine. Obstruction may occ ur in the small bowel (SBO) or large bowel (LBO). Intestinal obstruction is found in 20% of individuals admitted to hospital with acute abdominal pain; of this 80% of the obstructions involve the small intestine and the other 20% occur in the colon. The overall mortality and morbidity of bowel obstruction is substantial. Mortality rates range from up to 3% for simple obstructions to as much as 30% when there is vascular compromise or perforation of the obstructed bowel. This study aims to evaluate common causes of intestinal obstruction, clinical features and to assess the mortality and morbidity in rural setup, undertaken at AVBRH sawangi (meghe). Aim: To identify the common causes of acute intestinal obstruction. Objectives: To study the various clinical features of intestinal obstruction. To compare the morbidity and mortality rate with the various studies published. Material and Methods: Patients that attended the outpatient department and the casualty and those who got admitted in the surgical wards of Acharya Vinoba Bhave hospital in the period of May 2009 - Sep 2011 were included in the study. Patients belonged to the age groups ranging from 1 year to 85 years were included. Conclusion: In our study, most of the patients (43.14%) had no complications however fever occurred as a postoperative complication in 17.65% of patients, wound gaping in 16.67% of patients, prolonged ileus was seen in 9.80% of patients, burst abdomen was seen in 4.90% patients, faecal fistula in 2.94% patients and short bowel syndrome in 98% patients.

Keywords: Small bowel, Large bowel, obstruction.