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ISSN: 2394-4137 (E) 2394-6318 (P)

IJIMS.2015.133

Type of Article: Original Research

Volume 2; Issue 10: October 2015

Page No.: 178-181

DOI: 10.16965/ijims.2015.133

 

A Prospective Study on Adhesive Intestinal Obstruction in a Tertiary Care Centre, South India

Bhaskar Babu GN *1, Naresh Y 2, Shivakrishna G 3.

*1 Senior Resident, Department of General Surgery, Government Medical College and General Hospital, Anantapuram. Andhra Pradesh, India.

2 Assistant Professor, Department of Biochemistry, Viswabharathi Medical College, Kurnool. A.P.

3 Tutor, Department of Biochemistry, Andaman and Nicobar Island Institute of Medical Sciences, Port Blair, India.

CORRESPONDING AUTHOR ADDRESS:  Dr. Bhaskar Babu GN, Senior Resident, Department of General Surgery, Government Medical College and General Hospital, Anantapuram. Andhar Pradesh. E-Mail: gnbkmc1982@gmail.com

 

ABSTRACT

Introduction: Bowel obstruction remains one of the most common presentation of acute abdomen encountered by general surgeons in their routine clinical practice. It remains one of the major causes of morbidity and mortality in acute emergencies.

Aim of the study: The present study was focused to prospectively evaluate and analyze the various types of clinical manifestations, etiology, management and outcome among patients diagnosed with acute intestinal obstruction pertained to South Indian population admitted in a tertiary care centre, Andhra Pradesh.

Materials and Methods: The present cross sectional prospective study includes patients diagnosed with acute intestinal obstruction at Department of General Surgery, SVRGGH, Tirupati, Andhra Pradesh, India.  A total of 70 were included to evaluate incidence, causes, symptoms and signs at the time of presentation, associated complications, management and mortality of AIO.

Results and Discussion: The mean age at the time of the presentation with AIO was found to be 48±16 years. The most common age group diagnosed with AIO was between 31-40 years (24%). The male to female ratio observed was 2.2:1.  Pain abdomen was the most common symptom in 90%, followed by vomiting (80%), abdominal distension (65%), and constipation (52%).  The most common cause of admission was post operative adhesions (48%) followed by obstructed hernia (20%). The most common surgical management of adhesions was done by release of adhesions (48%). Complications noticed during the course of the present study include septicemia (6%), wound infection (3%), respiratory tract infection (3%) and wound dehiscence (2%).  The results of the present study are in agreement with the earlier studies.

KEY WORDS: Acute abdomen, Acute Intestinal obstruction, Post operative adhesions.

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