A Study on Clinical Profile & Management of Acute Intestinal Obstruction
Acute intestinal obstruction is a failure of aboral progression of intestinal contents. The overall mortality and morbidity of bowel obstruction is substantial. Therefore better understanding of pathophysiology, improvement in diagnostic techniques, fluid and electrolyte correction, much potent a...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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BKL Walawalkar Rural Medical College & Hospital
2017-11-01
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| Series: | Walawalkar International Medical Journal |
| Subjects: | |
| Online Access: | http://www.wimjournal.com/html/journal/images/4a2.pdf |
| _version_ | 1819087351166533632 |
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| author | Abhijeet Patil Dhirendra Wagh |
| author_facet | Abhijeet Patil Dhirendra Wagh |
| author_sort | Abhijeet Patil |
| collection | DOAJ |
| description | Acute intestinal obstruction is a failure of aboral progression of intestinal contents. The overall
mortality and morbidity of bowel obstruction is substantial. Therefore better understanding of
pathophysiology, improvement in diagnostic techniques, fluid and electrolyte correction, much
potent antibiotics and knowledge of intensive care is required.
The present study was carried out to find out the common causes, variation in clinical features,
morbidity and mortality rate related to intestinal obstruction. Results of the study showed that
postoperative adhesions is most common cause of intestinal obstruction. Small bowel obstruction is
more common than large bowel obstruction. Large bowel obstruction is more common in patients
above 40 years than in younger group. Abdominal pain, vomiting, distension and constipation are the
four cardinal features of intestinal obstruction, present in most of the cases. Plain x-ray abdomen
taken in erect posture is the single most important investigation required for the patients. Intravenous
fluids and electrolytes, gastrointestinal aspiration, antibiotics and then appropriate surgery are still
the main stay of the treatment.
Among the factors influencing the mortality and morbidity are age, state of hydration,
nutritional status, viability of the bowel, etiology of obstruction, site of obstruction, delay in
diagnosis and surgical intervention and associated medical illness.
Therefore, early diagnosis of obstruction, skillful operative management, proper technique
during surgery and intensive postoperative treatment carries a grateful result. |
| first_indexed | 2024-12-21T21:34:46Z |
| format | Article |
| id | doaj.art-deb871a01d134fc68f92f85641f3e192 |
| institution | Directory Open Access Journal |
| issn | 2349-2910 2395-0684 |
| language | English |
| last_indexed | 2024-12-21T21:34:46Z |
| publishDate | 2017-11-01 |
| publisher | BKL Walawalkar Rural Medical College & Hospital |
| record_format | Article |
| series | Walawalkar International Medical Journal |
| spelling | doaj.art-deb871a01d134fc68f92f85641f3e1922022-12-21T18:49:32ZengBKL Walawalkar Rural Medical College & HospitalWalawalkar International Medical Journal2349-29102395-06842017-11-01411127A Study on Clinical Profile & Management of Acute Intestinal ObstructionAbhijeet Patil0Dhirendra Wagh1Senior Resident, B.K.L.Walawalkar Rural Medical College, Sawarde,Dist.RatnagiriProfessor, Jawaharlal Nehru Medical College, Sawangi, Wardha, Maharashtra, IndiaAcute intestinal obstruction is a failure of aboral progression of intestinal contents. The overall mortality and morbidity of bowel obstruction is substantial. Therefore better understanding of pathophysiology, improvement in diagnostic techniques, fluid and electrolyte correction, much potent antibiotics and knowledge of intensive care is required. The present study was carried out to find out the common causes, variation in clinical features, morbidity and mortality rate related to intestinal obstruction. Results of the study showed that postoperative adhesions is most common cause of intestinal obstruction. Small bowel obstruction is more common than large bowel obstruction. Large bowel obstruction is more common in patients above 40 years than in younger group. Abdominal pain, vomiting, distension and constipation are the four cardinal features of intestinal obstruction, present in most of the cases. Plain x-ray abdomen taken in erect posture is the single most important investigation required for the patients. Intravenous fluids and electrolytes, gastrointestinal aspiration, antibiotics and then appropriate surgery are still the main stay of the treatment. Among the factors influencing the mortality and morbidity are age, state of hydration, nutritional status, viability of the bowel, etiology of obstruction, site of obstruction, delay in diagnosis and surgical intervention and associated medical illness. Therefore, early diagnosis of obstruction, skillful operative management, proper technique during surgery and intensive postoperative treatment carries a grateful result.http://www.wimjournal.com/html/journal/images/4a2.pdfIntestinal obstructionadhesionsmorbiditymortalityearly intervention |
| spellingShingle | Abhijeet Patil Dhirendra Wagh A Study on Clinical Profile & Management of Acute Intestinal Obstruction Walawalkar International Medical Journal Intestinal obstruction adhesions morbidity mortality early intervention |
| title | A Study on Clinical Profile & Management of Acute Intestinal Obstruction |
| title_full | A Study on Clinical Profile & Management of Acute Intestinal Obstruction |
| title_fullStr | A Study on Clinical Profile & Management of Acute Intestinal Obstruction |
| title_full_unstemmed | A Study on Clinical Profile & Management of Acute Intestinal Obstruction |
| title_short | A Study on Clinical Profile & Management of Acute Intestinal Obstruction |
| title_sort | study on clinical profile management of acute intestinal obstruction |
| topic | Intestinal obstruction adhesions morbidity mortality early intervention |
| url | http://www.wimjournal.com/html/journal/images/4a2.pdf |
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