Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Search research articles

Related Experiment Videos

Intestinal obstruction: still a lethal clinical entity.

J Canady, Z Jamil, J Wilson

Journal of the National Medical Association

|December 1, 1987

Summary

This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Disparity in management of diabetes and coronary heart disease risk factors by sex in DCCT/EDIC.

Diabetic medicine : a journal of the British Diabetic Association·2010

Same author

Structure and function of the superior temporal plane in adult males with cleft lip and palate: pathologic enlargement with no relationship to childhood hearing deficits.

Journal of child psychology and psychiatry, and allied disciplines·2006

Same author

Transient radiculopathy after 5% lidocaine or 0.75% bupivacaine spinal anesthesia in 3 surgical positions.

AANA journal·2002

Same author

Increased incidence of a midline brain anomaly in patients with nonsyndromic clefts of the lip and/or palate.

Journal of neuroimaging : official journal of the American Society of Neuroimaging·2001

Same author

Investigations of a pressure-sensitive theory of marginal velopharyngeal inadequacy.

The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association·2001

Same author

Abnormal brain morphology in patients with isolated cleft lip, cleft palate, or both: a preliminary analysis.

The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association·2000

Clinical signs of intestinal obstruction are poor indicators of compromised bowel. Early surgical intervention is crucial to reduce ischemic bowel and mortality rates in patients with intestinal obstruction.

Area of Science:

Gastroenterology
Surgical Oncology
Abdominal Surgery

Background:

Intestinal obstruction is a common surgical emergency.
Accurate diagnosis of bowel compromise is critical for patient outcomes.
Classical clinical signs are often used to assess severity.

Purpose of the Study:

To evaluate the predictive value of clinical signs for diagnosing gangrenous bowel in patients with intestinal obstruction.
To determine the association between clinical indicators and bowel compromise.
To assess the impact of early surgical intervention on mortality.

Main Methods:

Retrospective analysis of 70 patients diagnosed with intestinal obstruction.
Review of etiological factors, complications, and mortality.

Related Experiment Videos

Univariant and multiple regression analyses to assess clinical signs' predictive power for gangrenous bowel.

Main Results:

Adhesions (50%) were the leading cause of obstruction, followed by malignancy (24%).
Clinical signs like fever, tachycardia, leukocytosis, and tenderness showed no significant association with gangrenous bowel.
Multiple regression analysis indicated that clinical signs explained only 14% of the variance in predicting gangrenous bowel.

Conclusions:

Classical clinical signs are unreliable indicators of compromised bowel in intestinal obstruction.
Early surgical intervention is recommended to decrease the incidence of ischemic bowel and reduce overall mortality.
Further research may explore advanced diagnostic methods for bowel viability.