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[Clinical differences between surgically treated patients with large bowel obstruction in the cities of Van and

Günay Gürleyik¹, Cetin Kotan, Ender Dulundu

¹Haydarpaşa Numune Eğitim ve Araştirma Hastanesi 4. Genel Cerrahi Kliniği, Istanbul.

Ulusal Travma Dergisi = Turkish Journal of Trauma & Emergency Surgery : TJTES

|March 8, 2002

Summary

This summary is machine-generated.

Colonic obstruction cases show significant regional differences in Turkey, with higher complication rates in the East. Surgical treatment outcomes are impacted by obstruction complexity, leading to elevated mortality in complicated cases.

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Area of Science:

Gastroenterology
Surgical Oncology
Public Health

Background:

Colonic obstruction presents varying clinical courses and outcomes based on geographical factors.
Understanding regional disparities in colonic obstruction is crucial for patient management.

Purpose of the Study:

To investigate and delineate regional clinical differences in colonic obstruction between eastern and western Turkey.
To compare demographic features, causes, locations, complication rates, and mortality.

Main Methods:

Retrospective analysis of 224 surgically treated colonic obstruction patients.
Comparison between patients from Istanbul (West) and Van (East) Turkey.
Evaluation of demographic data, obstruction etiology, colon location, complication status, and postoperative outcomes.

Main Results:

Significant differences observed in obstruction site, causes (cancer in West, volvulus in East), and complication rates (higher in East).
Overall postoperative mortality was 12.9%, with complicated obstructions showing a mortality rate of 28% compared to 8.6% in simple obstructions.
Volvulus was the predominant cause in the East (80.2%), while obstructive cancer was more common in the West (52.5%).

Conclusions:

Distinct geographical variations in colonic obstruction exist within Turkey.
Eastern Turkey experiences a higher incidence of complicated colonic obstructions.
Surgically treated colonic obstruction carries significant mortality, particularly when complicated by strangulation, necrosis, or perforation.