A prospective observational study of etiology and management of acute intestinal obstruction in a tertiary care centre

Shahid Ahmed; Arvind Ade; Rajesh Chincholkar

doi:10.18203/2349-2902.isj20251907

Authors

Shahid Ahmed Department of General Surgery, GMC Akola, Akola, Maharashtra, India
Arvind Ade Department of General Surgery, GMC Akola, Akola, Maharashtra, India
Rajesh Chincholkar Department of General Surgery, GMC Akola, Akola, Maharashtra, India

DOI:

https://doi.org/10.18203/2349-2902.isj20251907

Keywords:

Obstruction, Intestinal, Obstructed hernias, Presentation

Abstract

Background: There are major differences not only in the etiology of the condition but also the treatment and management resources between developed and developing regions. With the improvement of living standards and better access to healthcare facilities, previously reported causes and outcomes of intestinal obstruction from developing countries might be changing.

Methods: An observational study was conducted in government medical college and hospital, Akola from August 2022 to July 2024 among patients of age >12 years being admitted to the surgical wards of government medical college hospital, Akola with symptoms and signs of acute intestinal obstruction. Analysis of the various causes, presentations, management strategies of mechanical bowel obstruction and the outcome following management of the patients will be done using the collected data.

Results: Present study consisting of 120 cases requiring operative management presenting at GMC, Akola. In this study there is higher incidence of intestinal obstruction among males. As far as age distribution is concerned, most common occurrence was between 65-74 years. Most common cause of intestinal obstruction was obstructed hernias followed by adhesions. The commonest symptom in our study was pain and abdominal tenderness as the commonest sign. Most common surgical procedure performed were hernia repair and adhesiolysis. In present study commonest postoperative complication encountered-postoperative fever and wound infection.

Conclusions: In present study obstructed hernias were found to be the commonest cause for obstruction. Adhering to the basic principles of preoperative preparation like nasogastric tube suctioning, correcting dehydration and electrolyte imbalances can significantly lower the morbidity and mortality. If preoperative preparation is improved and anesthetic management is more optimum, the mortality from abdominal exploration should approach minimum. With timely management, most patients have an excellent prognosis.

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