STUDY ON “SURGICAL MANAGEMENT IN DYNAMIC SMALL BOWEL OBSTRUCTION IN ADULT”
DOI:
https://doi.org/10.22159/ajpcr.2024.v17i5.50363Keywords:
Intestinal obstruction, Dynamic small bowel obstruction, AdhesionsAbstract
Objectives: This study undergoes cases of dynamic small bowel obstruction in the adult population, requiring surgical intervention based on cause, anatomical and pathological nature, age-related factors, mode of presentation, investigation modalities, surgical procedure done, outcome after surgery, and complications.
Methods: The study was conducted on 100 small bowel obstructions from 2020 to 2022. 50 patients in each group requiring surgical intervention based on cause, anatomical, and pathological nature, age-related factors, mode of presentation, investigation modalities, surgical procedure done, and outcome after surgery and complications were analyzed.
Results: In the present study, the most common cause was adhesions and bands followed by hernia. In this study, 56% of the cases belonged to 31–50- year age group; there are 25 males and 25 females. On abdominal examination, diffuse tenderness was present in all 50 cases, followed by (muscle hold) guarding in 35, rigidity in eight, with mass abdomen including seven cases.
Conclusion: Intestinal obstruction is an important surgical emergency, demand vigorous correction of fluid, and electrolyte. Adhesions and bands are the common cause to produce intestinal obstruction. Patients with intestinal obstruction due to adhesions and bands are more likely to develop post-operative complications. Early operation is mandatory to avoid the development of peritonitis and systemic sepsis associated with multi-system organ failure.
Downloads
References
Stewardson RH, Bombeck CT, Nyhus LM. Critical operative management of small bowel obstruction. Ann Surg. 1978 Feb;187(2):189.
Wangensteen OH. Historical aspects of the management of acute intestinal obstruction. Surgery. 1969 Feb;65(2):363-83.
Decker GA. The Groin and Scrotum. Lee McGregor’s Synopsis of Surgical Anatomy. 12th ed. Bombay: K. M. Varghese Company; Reprint 1999. p. 22-61.
Rosenberg JC, DiDio LJ. Anatomic and clinical aspects of the junction of the ileum with the large intestine. Dis Colon Rectum. 1970 Jun;13(3):220-4.
Duron JJ, Silva NJ, Du Montcel ST, Berger A, Muscari F, Hennet H, et al. Adhesive postoperative small bowel obstruction: incidence and risk factors of recurrence after surgical treatment: A multicenter prospective study. Ann Surg. 2006 Nov;244(5):750-7.
Brewer BJ, Golden GT, Hitch DC, Rudolf LE, Wangensteen SL. Abdominal pain. An analysis of 1,000 consecutive cases in a University Hospital emergency room. Am J Surg. 1976 Feb 1;131(2):219-23.
Gill SS, Eggleston FC. Acute intestinal obstruction. Arch Surg. 1965 Oct;91(4):589-91.
Naveen N, Mukherjee A, Nataraj YS, Lingegowda SN. A clinical study of intestinal obstruction and its surgical management in rural population. J Evol Med Dent Sci. 2013 May 27;2(21):3636-50.
Tiddle B. Complications and death after surgical treatment of small bowel obstruction. Ann Surg. 1999;231(4):297-306.
Brooks VE, Butler AK. Acute intestinal obstruction in Jamaica. Surg Gynecol Obstet. 1966:261-3.
Iwuagwu O, Deans GT. Small bowel volvulus: A review. J R Coll Surg Edinb. 1999 Jun 1;44(3):150-5.
Lee MJ, Sayers AE, Drake TM, Singh P, Bradburn M, Wilson TR, et al. Malnutrition, nutritional interventions and clinical outcomes of patients with acute small bowel obstruction: Results from a national, multicentre, prospective audit. BMJ Open. 2019 Jul 1;9(7):e029235.
Sukhlecha AG. Prevalence of intestinal obstruction in patients attending tertiary care institute of Gujarat. Acad J Surg. 2019;2(1):10-2.
Published
How to Cite
Issue
Section
Copyright (c) 2024 Dr Patidar, Dr Anil Meena, Manoj Kumar Gupta, Anshul Meena
![Creative Commons License](http://i.creativecommons.org/l/by/4.0/88x31.png)
This work is licensed under a Creative Commons Attribution 4.0 International License.
The publication is licensed under CC By and is open access. Copyright is with author and allowed to retain publishing rights without restrictions.