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Adhesive intestinal obstruction.

R T Kuremu1, G Jumbi

  • 1Moi University Medical School, P.O. Box, 4606-30100, Eldoret, Kenya.

East African Medical Journal
|September 23, 2006
PubMed
Summary
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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.

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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.