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Intestinal obstruction in a Saudi Arabian population
S Jastaniah1, S Abu-Eshy, A N Batouk
1Department of Surgery, College of Medicine, Abha, Saudi Arabia.
East African Medical Journal
|November 1, 1996
Summary
Adhesions from prior surgery are the most frequent cause of intestinal obstruction in Saudi Arabia. This pattern mirrors developed nations, with conservative treatment successful for 50% of adhesion-related cases.
Area of Science:
- Gastroenterology
- Surgical Outcomes
- Epidemiology
Background:
- Intestinal obstruction is a significant surgical emergency.
- Understanding the etiological patterns is crucial for effective management.
- Previous studies highlight variations in causes between developed and developing countries.
Purpose of the Study:
- To analyze the causes and management of intestinal obstruction at Asir Central Hospital.
- To compare the epidemiological pattern of intestinal obstruction in Saudi Arabia with global trends.
Main Methods:
- Retrospective analysis of 56 intestinal obstruction cases over six years.
- Data collected included patient demographics, surgical history, and treatment outcomes.
Main Results:
- Adhesions from previous laparotomy were the leading cause (57.1%), commonly following appendicectomy.
- Faecal impaction was the second most common cause (7.1%).
- Conservative treatment succeeded in 50% of adhesion-related obstructions; 15% required surgery, with 43.8% needing bowel resection.
Conclusions:
- The pattern of intestinal obstruction in this Saudi Arabian hospital resembles that of developed countries.
- Adhesions are the primary cause, with a significant success rate for conservative management.