European Journal of Biomedical and Pharmaceutical Sciences

ACUTE INTESTINAL OBSTRUCTION IN ADULT - AN ANALYTICAL STUDY

Dr. R. Narayanasami and Dr. J. Romul Dhayan Raja*

ABSTRACT

Introduction: Acute Intestinal Obstruction is the main surgical emergency problem which a general surgeon has to face place every day. The rapid onset and progress of the clinical feature and with which the morbidity endangers the patients due to so many practical factors. Based on this aim of our study is to identify the cause of acute intestinal obstruction, also mortality and morbidity in the analysed cases. Material and Methodology: This study is done in a tertiary care teaching hospital for period of two years. Immediately after admission, resuscitation was carried out personal particulars were recorded and detailed history was obtained. Thorough clinical examination was done. The above facts were recorded in a Proforma prepared for this study. Patients with acute Intestinal Obstruction in children below 12 yrs were excluded. Results and Discussion: The obstructed external hernias tops the list and stands first among the commonest cause of acute intestinal obstruction in adults. This is followed by adhesions and bands, colonic growth, sigmoid volvulus, tuberculous abdomen and intussusceptions contribute the rest in descending order. Out of 75 cases operated 6 (8%) patients died in the early post-operative period. Based on the results obtained acute intestinal obstruction is a real emergency and recognition of clinical status of obstruction at the shortest time interval and early intervention will be very essential because it minimises morbidity and mortality with a good prognosis.

Keywords: intestinal obstruction, causes, prognosis.