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Adhesive intestinal obstruction
1Moi University Medical School, P.O. Box, 4606-30100, Eldoret, Kenya.
East African Medical Journal
|September 23, 2006
Summary
Adhesive intestinal obstruction is a significant surgical issue, often stemming from prior abdominal surgeries. Inadequate fluid therapy and delayed surgical intervention present major management challenges.
Area of Science:
- General Surgery
- Gastroenterology
- Surgical Pathology
Background:
- Adhesions following abdominal and pelvic surgery are a primary cause of intestinal obstruction.
- The incidence of adhesion-related intestinal obstruction is increasing in clinical practice.
Purpose of the Study:
- To assess the prevalence of adhesive intestinal obstruction.
- To identify previous surgical procedures in affected patients.
- To evaluate treatment outcomes and management factors for adhesion-related intestinal obstruction.
Main Methods:
- Retrospective descriptive study design.
- Data collected from Moi Teaching and Referral Hospital (MTRH), Kenya.
- Analysis of 93 patients managed for adhesive intestinal obstruction.
Main Results:
- Abdominal distension, bilious vomiting, absolute constipation, and pain were key symptoms.
- 45% of patients underwent surgery, with 59% delayed over 72 hours.
- 8% experienced ischemic gut injury; 92% received inadequate fluid therapy.
Conclusions:
- Adhesion-related intestinal obstruction is a common surgical problem at MTRH, Eldoret.
- Inadequate fluid management and delayed surgical intervention are critical challenges.
- This highlights the need for improved patient management protocols.
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