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Related Experiment Videos

Mechanical bowel obstruction: the Chandigarh experience.

S Sinha1, R Kaushik, T D Yadav

  • 1Department of Surgery, Government Medical College and Hospital, Sector 32 B, Chandigarh, 160 047, India. tdyadav@yahoo.com

Tropical Gastroenterology : Official Journal of the Digestive Diseases Foundation
|August 13, 2002
PubMed
Summary

This study reviewed 97 intestinal obstruction surgeries in India, finding adhesions and hernias as common causes. Strangulation increased post-operative morbidity but not mortality.

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Area of Science:

  • Surgery
  • Gastroenterology
  • Public Health

Background:

  • Intestinal obstruction is a frequent surgical emergency in India.
  • Limited data exists on the spectrum and complications of intestinal obstruction in India.

Purpose of the Study:

  • To retrospectively review surgical cases of intestinal obstruction.
  • To analyze patient demographics, causes, complications, morbidity, and mortality.

Main Methods:

  • Retrospective review of 97 patient case files from 1997-2000.
  • Analysis included pre-operative, intra-operative, and post-operative data.
  • Investigated patient particulars, investigations, findings, diagnosis, morbidity, and mortality.

Main Results:

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  • Mean patient age was 39.46 years; male to female ratio was 2.46:1.
  • Common causes included intra-abdominal adhesions/bands (27.10%) and obstructed herniae (22.43%).
  • Strangulation (21 patients) led to significantly higher post-operative morbidity but not mortality.

    • Conclusions:

    • Intra-abdominal adhesions and obstructed herniae are leading causes of intestinal obstruction in this Indian cohort.
    • Strangulation is a significant factor associated with increased post-operative morbidity in intestinal obstruction.
    • Further research is needed to address the spectrum and outcomes of intestinal obstruction in India.