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Related Experiment Videos

Current spectrum of intestinal obstruction.

G McEntee1, D Pender, D Mulvin

  • 1Darlington Memorial Hospital, UK.

The British Journal of Surgery
|November 1, 1987
PubMed
Summary

Postoperative adhesions are now the most frequent cause of intestinal obstruction. However, strangulated hernias and intra-abdominal malignancy remain significant factors, particularly in the elderly, necessitating careful surgical consideration.

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Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Geriatric Medicine

Background:

  • Intestinal obstruction is a common surgical emergency.
  • Understanding the changing aetiologies and demographic trends is crucial for effective management.
  • Postoperative adhesions are increasingly recognized as a primary cause.

Purpose of the Study:

  • To analyze the aetiological factors, demographics, and outcomes of intestinal obstruction.
  • To identify trends in causes and patient populations.
  • To inform surgical management strategies.

Main Methods:

  • A 12-month prospective study across four district general hospitals.
  • Inclusion of 228 patients with 236 admissions for intestinal obstruction.
  • Data collection on aetiology, age, surgical intervention, and mortality.

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Main Results:

  • Adhesions (32%), malignant disease (26%), and strangulated hernias (25%) were the leading causes.
  • Peak incidence for these causes occurred in the eighth decade.
  • Overall mortality was 11.4%, with higher rates in the elderly for hernia and malignancy-related obstructions.

Conclusions:

  • Postoperative adhesions are the most common cause of intestinal obstruction.
  • Strangulated hernias and intra-abdominal malignancy are major contributors, especially in the elderly.
  • Aggressive surgical intervention in the elderly for these conditions may increase morbidity and mortality.