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Intestinal obstruction.

S Sufian, T Matsumoto

    American Journal of Surgery
    |July 1, 1975
    PubMed
    Summary
    This summary is machine-generated.

    Mechanical intestinal obstruction is often caused by adhesions, hernias, or neoplasms. Elderly patients and delayed admission significantly increase mortality risk in these cases.

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    Area of Science:

    • Gastroenterology
    • Surgical Pathology
    • Epidemiology

    Background:

    • Mechanical intestinal obstruction is a common surgical emergency.
    • Understanding its causes and risk factors is crucial for patient outcomes.

    Purpose of the Study:

    • To analyze the etiological factors, demographics, and outcomes of mechanical intestinal obstruction.
    • To identify contributing factors for mortality in these patients.

    Main Methods:

    • Retrospective study of 171 patients with mechanical intestinal obstruction.
    • Analysis of causes, patient demographics, treatment, and mortality rates.

    Main Results:

    • Adhesions, hernias, and neoplasms accounted for over 70% of obstructions.

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  • Over 40% of patients were older than 60; the average age was 52.7.
  • The overall mortality rate was 18.7%, higher in Black patients. Significant factors included metastatic disease, elderly patients, and delayed admission.

    • Conclusions:

    • Adhesions, hernias, and neoplasms are primary causes of intestinal obstruction.
    • Advanced age, metastatic disease, and delayed admission are critical risk factors for mortality.
    • Prompt diagnosis and management are essential for improving survival rates.