Background: Acute intestinal obstruction is one of common abdominal emergencies and is associated with significant morbidity and mortality, especially if it progresses to bowel ischemia. The aim of this study is to analyse various modes of presentation of acute intestinal obstruction in both children and adult age group, etiopathogenesis, various therapeutic modalities of treatment and to accomplish operative management and anticipate the post-operative complication.Methods: Fifty consecutive patients of all age groups presenting with acute intestinal obstruction were admitted in SN Medical College HSK hospital were taken randomly and managed between February 2013 to February 2016. A detailed examination was done as per proforma after admission. Plain X-ray erect abdomen was done in all cases except inguinal hernias with obstruction.Results: Mean age distribution was 35.4 years. Incidence in male was more compared to female. Pain abdomen was found in 39 (78%), vomiting in 35 (70%), distension abdomen in 29 (58%) and constipation in 26 (52%) patients as main complaint. Commonest cause was postoperative adhesions. Mean duration of stay in hospital was between 1-5 weeks (average 2 weeks).Conclusions: All age groups were involved. More commonly found in males than females. Main complaint was pain abdomen followed by vomiting, distension and constipation. Plain X-ray abdomen and ultrasonography were important. Pathology ranged from simple bands to malignant obstruction. Postoperative adhesions were the commonest cause of obstruction. Earlier the presentation better the outcome was found.

INTRODUCTIONForeign body ingestion is a common medical emergency in both children and adults. Children constitute 80% of total ingestions. In children most of them are true FBs like coins, marbles, toys, safety pins and batteries.1 In adult's food bolus impaction is more common and true foreign body ingestion (non-food objects) occur in those with psychiatric disorders and alcohol intoxication. Most of the ingested foreign bodies pass spontaneously but few of them pose as an endoscopic emergency.2 Upper esophagus is the commonest site followed by middle esophagus, stomach, pharynx, lower esophagus, pharynx and finally duodenum. 3 The aim of the current study is to report our clinical experiences in the endoscopic management of foreign bodies in the upper gastrointestinal tract in both children and adults. METHODSWe evaluated cases of foreign body ingestion admitted to department of general surgery in SN Medical college from January 2015 to December 2016. Data were collected from the department and recorded information was entered into pre-coded proforma which included details of demography, clinical profile, treatment and outcome. The data collected were cross checked by two independent observers. The data were analyzed using SPSS computer software version 15 (SPSS Inc, Chicago 2, USA) and expressed as a number and a percentage for ABSTRACT Background: Foreign body ingestion and food bolus impaction is a common clinical scenario and can present as an endoscopic emergency. Though majority of them pass spontaneously 10-20% require endoscopic intervention. Flexible endoscopy is recommended as therapeutic measure with minimal complications. The aim of our study is to present 2 years' experience in dealing with foreign bodies in the upper gastrointestinal tract. Methods: Cases of foreign body (FB) ingestion admitted to department of general surgery from January 2015 to December 2016 were evaluated. The patients were reviewed with details on age, sex, type of FB, its location in gastrointestinal tract, treatment and outcome. Results: A total of 23 cases were studied. Age range was 2-75 years. Males were predominant (60.87%). Coins were found most commonly (52.17%). Esophagus was the commonest site of FB lodgment (65.22%). Upper esophagus being the most common (39.13%). Upper gastrointestinal flexible endoscopy was useful in retrieving FB in all the 23 cases. There were no complications throughout the study period. Conclusions: Flexible endoscopy should be used as definitive treatment and endoscopic treatment is safe and effective.

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