E-ISSN 2367-699X | ISSN 2367-7414
 

Original Research 


Etiological spectrum of acute small intestinal obstruction in adult patient

Lalit Choudhary, Narendra Singh bhat, Kedar Singh Shahi.

Abstract
Small intestinal obstruction is one of the most common abdominal emergency faced by surgery resident in emergency department. Diagnosis and management of these patients are challenging as underlying pathology is usually obscure and disease is associated with significant morbidity and mortality. Aims: in this study it was aimed to evaluate the common etiological factor related to small bowel obstruction in adult patients in our setting as our centre is the only tertiary care centre belongs to Kumaun region at present and also deal the patients from various nearby districts of state of Uttar Pradesh (the most populated state of India) like Moradabad, Rampur, Bijnor, Bareilly and Badanyu, most of these patient are from low socioeconomical strata of their region. Methods: our study was a retrospective analytic study. The data of adult patients who had surgical intervention for small bowel obstruction in the general surgery department of Dr. Sushila Tiwari Govt. hospital attached to GMC Haldwani, between 2014 and 2019 was evaluated retrospectively. All data of patients above age 14 year was collected which includes mainly information about age, additional morbidity and operative notes. Results: there were total 191 patients operated during this time span for small intestinal obstruction, out of these, 82 were female and 119 were male. Patients from 4íTh decades (25.13%) of their life were most commonly affected. Abdominal tuberculosis was most common etiology found in 30.89% patient, follow by post-operative adhesion, Hernias and malignancy respectively. Conclusions: The causes of intestinal obstruction are variable in different parts of the world. Tuberculosis was the leading cause of small intestinal obstruction in this study.

Key words: etiology, Haldwani, intestine Obstruction, laparotomy, low socioeconomical status, tuberculosis


 
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How to Cite this Article
Pubmed Style

Choudhary L, bhat NS, Shahi KS. Etiological spectrum of acute small intestinal obstruction in adult patient. Int J Surg Med. 2020; 6(4): 44-52. doi:10.5455/ijsm.2020-06-033


Web Style

Choudhary L, bhat NS, Shahi KS. Etiological spectrum of acute small intestinal obstruction in adult patient. http://www.ejos.org/?mno=111787 [Access: September 19, 2020]. doi:10.5455/ijsm.2020-06-033


AMA (American Medical Association) Style

Choudhary L, bhat NS, Shahi KS. Etiological spectrum of acute small intestinal obstruction in adult patient. Int J Surg Med. 2020; 6(4): 44-52. doi:10.5455/ijsm.2020-06-033



Vancouver/ICMJE Style

Choudhary L, bhat NS, Shahi KS. Etiological spectrum of acute small intestinal obstruction in adult patient. Int J Surg Med. (2020), [cited September 19, 2020]; 6(4): 44-52. doi:10.5455/ijsm.2020-06-033



Harvard Style

Choudhary, L., bhat, . N. S. & Shahi, . K. S. (2020) Etiological spectrum of acute small intestinal obstruction in adult patient. Int J Surg Med, 6 (4), 44-52. doi:10.5455/ijsm.2020-06-033



Turabian Style

Choudhary, Lalit, Narendra Singh bhat, and Kedar Singh Shahi. 2020. Etiological spectrum of acute small intestinal obstruction in adult patient. International Journal of Surgery and Medicine, 6 (4), 44-52. doi:10.5455/ijsm.2020-06-033



Chicago Style

Choudhary, Lalit, Narendra Singh bhat, and Kedar Singh Shahi. "Etiological spectrum of acute small intestinal obstruction in adult patient." International Journal of Surgery and Medicine 6 (2020), 44-52. doi:10.5455/ijsm.2020-06-033



MLA (The Modern Language Association) Style

Choudhary, Lalit, Narendra Singh bhat, and Kedar Singh Shahi. "Etiological spectrum of acute small intestinal obstruction in adult patient." International Journal of Surgery and Medicine 6.4 (2020), 44-52. Print. doi:10.5455/ijsm.2020-06-033



APA (American Psychological Association) Style

Choudhary, L., bhat, . N. S. & Shahi, . K. S. (2020) Etiological spectrum of acute small intestinal obstruction in adult patient. International Journal of Surgery and Medicine, 6 (4), 44-52. doi:10.5455/ijsm.2020-06-033