Pattern, management and outcome of acute intestinal obstruction at Chitwan medical college teaching hospital

Authors

  • Abhishek Bhattarai
  • Pragya Devkota
  • Anup Shrestha
  • Manoj Chand
  • Santosh Timalsina
  • Kishor Kumar Tamrakar
  • Harish Chandra Neupane

Keywords:

Adhesion; Hernia; Intestinal obstruction; Malignancy.

Abstract

Background: Acute intestinal obstruction is one of the commonly encountered emergencies in surgical practice. Gynecological surgery, especially adnexal surgery and hysterectomy has a higher incidence of bowel obstruction as compared to bowel surgery. Conservative management can be done in patients with post-operative adhesive bowel obstruction if there is no evidence of ischemia, bowel necrosis, or perforation. Therefore, a correct diagnosis is essential for appropriate management. We conducted a study to evaluate the etiology, clinical presentation as well as management and outcome of patients presenting with Acute intestinal obstruction at our center.

Methods: This was a retrospective study of all the patients with a diagnosis of Acute intestinal obstruction from January 2015 to December 2019. The diagnosis of Acute intestinal obstruction was made by a combination of clinical and radiological parameters. The data were analyzed using Statistical Package for Social Sciences (SPSS) for Windows version 16. The  data  were  expressed in  number and percentage.

Results: During the study period, 178 patients were admitted with the diagnosis of Acute intestinal obstruction. Abdominal pain and vomiting were the main complaints seen in 98.3% (n=175) and 84.8% (n=151) respectively. Hernia (n=49, 27.5%) was the most common cause of acute intestinal obstruction in adults, and Intussusception (n=15, 8.4%) was the leading cause of Acute intestinal obstruction in a pediatric age group. Majority of the patients’ needs (n=148,83.1%) operative intervention to relieve the obstruction. The overall mortality rate was 6.7% (n=12).

Conclusions: Hernia was the most common cause of Acute intestinal obstruction in adults while intussusception was the commonest in the pediatric age group.

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Published

2022-03-15

How to Cite

Bhattarai, A., Devkota, P., Shrestha, A., Chand, M., Timalsina, S., Tamrakar, K. K., & Neupane, H. C. (2022). Pattern, management and outcome of acute intestinal obstruction at Chitwan medical college teaching hospital. Journal of Chitwan Medical College, 12(1), 65–70. Retrieved from https://nepjol.info/index.php/JCMC/article/view/43828

Issue

Section

Original Research Articles