Dynamic Intestinal Obstruction – Study Of Fifty Cases

Dynamic Intestinal Obstruction-Study Of Fifty Cases

Abstract

Background: Acute intestinal obstruction is one of the commonest surgical emergencies accounting for nearly 30% of all acute abdominal emergencies. It is vital to distinguish strangulated from non-strangulated intestinal obstruction because former is associated with increase morbidity and mortality and is a surgical emergency. Success in the treatment of dynamic intestinal obstruction depends largely upon early diagnosis and skillful management of both the patho physiological effects of dynamic intestinal obstruction and the cause itself. Methodology: The present study includes fifty operated cases of dynamic intestinal obstruction of varied etiology admitted at our institution during the period of July 2008 to October 2010. Patients below the age of 10 years and Patients who were treated conservatively were not included in this study. The patients were followed up for a period varying from 3 months to 1 year postoperatively. Results: In present study post operative adhesions and bands were the commonest causes (40%) of dynamic intestinal obstruction. The most commonly performed surgery was adhesiolysis which consisted of division of band or adhesion causing obstruction. The majority of patients in the present study were in their third, fifth and sixth decades of life. The percentage of patients developing complications were much higher in strangulated obstruction. The overall mortality of 12% in the present series compares favourably with other series conducted in recent years. Conclusion: Both morbidity and mortality were higher in cases of strangulated obstruction when compared with simple luminal obstruction. Hence, an aggressive policy should be adopted to reach at an early diagnosis and treat accordingly, thereby preventing the potential complication of strangulation. [Bhadreshwara K et al NJIRM 2015; 6(3): 54-57