Clinicoepidemiology and treatment outcome of acute intestinal obstruction in adult in KIMS Amalapuram: a retrospective observational study


  • Y. Anantha Lakshmi Department of General Surgery, Konaseema Institute of Medical Sciences and Research Foundation, Amalapuram, Andhra Pradesh, India
  • K. V. Narasimha Reddy Department of General Surgery, Konaseema Institute of Medical Sciences and Research Foundation, Amalapuram, Andhra Pradesh, India



Acute intestinal obstruction, Adhesion, Treatment outcome


Background: The intestinal obstruction is a common potentially risky surgical emergency in all age group globally. This is responsible for 12% to 15% of surgical admission due to acute abdomen. Obstruction to gastrointestinal tract can occur at all labels but it is small intestine which more commonly involved. To improve the outcome early diagnosis and management is essential. Present study has been designed to study the epidemiology, demography and clinical presentation of acute intestinal obstruction and to study the complications and outcome of surgical management of acute intestinal obstruction.

Methods: In present study patients admitted with diagnosis of acute intestinal obstruction during study period were enrolled for this study as per inclusion and exclusion criteria. As per that 126 patients were enrolled for this study. Case record of all patients were closely reviewed and analysed thoroughly.

Results: The mean age of the patients was 54.64±12.93 years. The acute intestinal obstruction was more common in 41 to 60 years of age group that is (44.45%). Regarding etiology of acute intestinal obstruction 44.45% patient adhesion was the etiology of obstruction. Resection of adhesion was most common procedure done for removal of obstruction (42.85%).

Conclusions: Adhesion was most common etiology and pain abdomen and tachycardia was common presentation. Regarding management of obstruction resection of adhesion was most common procedure done for removal of obstruction. Infection of wound was common complication.


Turner JR. The gastrointestinal tract. In: Robins and Croton. Pathological basis of disease. 8th ed. Elsevier; 2010:790-791.

White WH. The early diagnosis of acute intestinal obstruction. Lancet. 1904;163(4203):791-3.

Aldous GF, F.R.C.S. EDIN. Acute intestinal obstruction. Lancet. 1937;229(5924):639-40.

Adhikari S, Hossein MZ, Das A, Mitra N, Ray U. Etiology and outcome of acute intestinal obstruction: a review of 367 patients in Eastern India. Saudi J Gastroenterol. 2010;16(4):285-7.

Mariam TG, Abate AT, Getnet MA. Surgical management outcome of intestinal obstruction and its associated factors at University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia, 2018. Surg Res Pract. 2019;2019.

Soressa U, Mamo A, Hiko D, Fentahun N. Prevalence, causes and management outcome of intestinal obstruction in Adama Hospital, Ethiopia. BMC Surg. 2016;16(1):38.

Berry Rel. Diagnosis and treatment of acute intestinal obstruction. JAMA. 1952;148(5):347–55.

Lee MJ, Sayers AE, Drake TM, Marriott PJ, Anderson ID, Bach SP, et al. National prospective cohort study of the burden of acute small bowel obstruction. BJS Open. 2019;3(3):354-66.

Stewart B, Khanduri P, McCord C, Ohene-Yeboah M, Uranues S, Vega Rivera F, et al. Global disease burden of conditions requiring emergency surgery. Br J Surg. 2014;101:e9–e22.

Kirubagaran B, Abhilash KP, Sharma SL. A prospective study to determine the clinical profile of patients suspected to have acute intestinal obstruction in the emergency department. Curr Med Iss. 2019;17(3):49.

Markogiannakis H, Messaris E, Dardamanis D, Pararas N, Tzertzemelis D, Giannopoulos P, et al. Acute mechanical bowel obstruction: clinical presentation, etiology, management and outcome. World J Gastroenterol. 2007;13(3):432-437.

Catena F, De Simone B, Coccolini F, Di Saverio S, Sartelli M, Ansaloni L. Bowel obstruction: a narrative review for all physicians. World J Emerg Surg. 2019;14(1):1-8.

Ohene-Yeboah M, Adippah E, Gyasi-Sarpong K. Acute intestinal obstruction in adults in Kumasi, Ghana. Ghana Med J. 2006;40(2):50.

Ojo EO, Ihezue CH, Sule AZ, Ismaila OB, Dauda AM, Adejumo AA. Aetiology, clinical pattern and outcome of adult intestinal obstruction in JOS, north central Nigeria. Afr J Med Medi Sci. 2014;43(Suppl 1):29.

Goussous N, Kemp KM, Bannon MP, Kendrick ML, Srvantstyan B, Khasawneh MA, et al. Early postoperative small bowel obstruction: open vs laparoscopic. Am J Surg. 2015;209(2):385-90.






Original Research Articles