Aetiology and Presentation of Intestinal Obstruction among Patients Presenting to a Tertiary Hospital in Uganda

Nakanwagi, Arlene Muzira

doi:10.23937/2474-3674/1510018

Cited by 7 publications

(15 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This study showed that hernias were the most common etiology across all areas, contrasting sharply with the findings of Collom ML et al in Europe showing peritoneal adhesions as the most common cause of bowel obstruction [14] and also with that of Pavlidis et al in America who described hernia as a rare etiology of intestinal obstruction [15]. However, our results were very similar to those of Nakanwagi et al in Uganda, where hernias were the main etiology [1]. This finding also reflects the African continent where hernias are the leading cause of bowel obstruction, which may be due to the fact that most young adults are involved in heavy labor such as agriculture, masonry and many more others.…”

Section: Etiologiescontrasting

confidence: 83%

“…This obstruction can be mechanical intestinal obstruction which is defined as conditions that arise when there is failure in the spread of intestinal contents due to obstruction or strangulation, associated with intra-abdominal hypertension and abdominal compartment syndrome. It can also be non-mechanical bowel obstruction which refers to the symptoms of bowel obstruction occurring due to dysfunction of the enteric nerve, smooth muscle, or contraction weakness, including dynamic bowel obstruction, acute enteric vascular ischemia [1]. The etiological factors of OI vary by geographic location with dependence on a people's diets, lifestyles, genetics, and health-seeking behavior as well as access to surgical services [1] [2].…”

Section: Introductionmentioning

confidence: 99%

“…It can also be non-mechanical bowel obstruction which refers to the symptoms of bowel obstruction occurring due to dysfunction of the enteric nerve, smooth muscle, or contraction weakness, including dynamic bowel obstruction, acute enteric vascular ischemia [1]. The etiological factors of OI vary by geographic location with dependence on a people's diets, lifestyles, genetics, and health-seeking behavior as well as access to surgical services [1] [2].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Etiologies, Clinical Presentation and Outcome of Adult Patients Presenting with Bowel Obstruction on a Virgin Abdomen

Motto¹,

Fabrice²,

Boukar³

et al. 2023

View full text Add to dashboard Cite

Context: Generally in Africa, BO remains the leading cause of acute abdomen. We therefore sought to study the current etiological factors of intestinal obstruction on a virgin abdomen or unhealed abdomen at the central hospital of Yaoundé in order to better understand the main causes and to better anticipate and improve the diagnosis, management and the evolution of intestinal obstruction on a virgin abdomen. Method: The patients were prospectively included from June 2021 to May 2022, these patients were recruited from the digestive and emergency surgery units of the Yaoundé Central Hospital during the study period and who met the inclusion criteria, with suspicion of partial or total intestinal obstruction or those with an intraoperative confirmed diagnosis were enrolled. Results: We recruited 73 patients including 43 (60.3%) men and 29 (39.7%) women whose mean age was 42.

show abstract

Section: Etiologiescontrasting

confidence: 83%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Etiologies, Clinical Presentation and Outcome of Adult Patients Presenting with Bowel Obstruction on a Virgin Abdomen

Motto¹,

Fabrice²,

Boukar³

et al. 2023

View full text Add to dashboard Cite

show abstract

“…Bowel obstruction (intestinal atresia) or engulfment of one section of the gut by another (intussusception or intussusception). [8,9,10,11] Adults are most commonly affected by adhesions, which are collections of scar tissue from past abdominal operations, sections of the intestine that protrude through an irregular aperture (hernia), and malignancies. Depending on where portion of the intestine is afflicted, the chance of each specific cause occurring varies.…”

Section: Introductionmentioning

confidence: 99%

A cross-sectional study to know the results of intestinal obstruction surgery in children in Iraq

2023

JPTCP

View full text Add to dashboard Cite

This paper aims to know the results of intestinal obstruction surgery in children in Iraq and. In this research was recruited included 60 patients from Iraqi pediatric patients in different hospitals in Iraq with ages from one month and fifteen years with the period year 2020-2021 analyzed data and demographic results according to using Excel and SPSS programs in addition to the (Epi Info TM) program. The results were found in this paper 60 patients collected with ages from one month to 15 months; patients were distributed according to sex (for 34 Boys with, 56.67% -Girls for, 26 patients with, 43.33%, In this study,

show abstract

“…There is a high variability in etiologies of intestinal obstruction in children, which is noted in different parts of the world, geographic region, among age and socioeconomic groups 5 7 8. In studies carried out in different countries of Africa, Hirschsprung’s disease was the most common cause in Malawi and intussusception was a common cause in Uganda and Ghana,9 10 whereas ascaris plug was the leading cause in Kenya 4 5. In studies done elsewhere, intussusception was the main cause in India, China and Nepal 6 11 12…”

Section: Introductionmentioning

confidence: 99%

Pediatric intestinal obstruction: analysis of etiologies and factors influencing short-term outcomes in Rwanda

Twahirwa

Ndayiragije

Nyundo

et al. 2022

World Jnl Ped Surgery

View full text Add to dashboard Cite

BackgroundIntestinal obstruction is a common presentation in pediatric surgical emergencies and presents with different etiologies depending on country or region. Its morbidity and mortality are high in low-income and middle-income countries, with variable influencing factors. The aims of this study were to determine the etiologies, morbidity and mortality of pediatric intestinal obstruction and to assess the factors associated with the outcomes of these conditions in Rwanda.MethodsThis was a cross-sectional study conducted on pediatric patients with intestinal obstruction in two Rwandan university teaching hospitals. The patients were followed from admission until discharge, and we documented their basic characteristics, diagnosis, operative details and postoperative outcomes. Data were collected using data collection form and were electronically captured and analysed using SPSS software.ResultsA total of 65 patients were enrolled in this study. They were predominantly male (n=49, 75.4%), and the majority of patients (86.2%) were below age 6 years. Intussusception was the most common etiology (n=22, 33.8%). Other common etiologies were Hirschsprung’s disease (n=13, 20%), incarcerated inguinal and umbilical hernias (n=6, 9.2%), intestinal worms’ impaction (n=5, 7.7%) and adhesions (n=5, 7.7%). Mortality and morbidity were 9.2% and 39.7%, respectively. The most common complications were surgical site infection (n=6, 9.5%) and sepsis (n=6, 9.5%). Preoperative anemia (p=0.001), finding of gangrenous bowels (p=0.003) and bowel resection at the time of laparotomy (p=0.039) were factors associated with postoperative complications.ConclusionsThe etiologies of intestinal obstruction are variable and common in children below 6 years in Rwanda. The associated morbidly is high and is influenced by the preoperative anemia, finding of gangrenous bowels and bowel resection.

show abstract

Aetiology and Presentation of Intestinal Obstruction among Patients Presenting to a Tertiary Hospital in Uganda

Cited by 7 publications

References 0 publications

Etiologies, Clinical Presentation and Outcome of Adult Patients Presenting with Bowel Obstruction on a Virgin Abdomen

Etiologies, Clinical Presentation and Outcome of Adult Patients Presenting with Bowel Obstruction on a Virgin Abdomen

A cross-sectional study to know the results of intestinal obstruction surgery in children in Iraq

Pediatric intestinal obstruction: analysis of etiologies and factors influencing short-term outcomes in Rwanda

Contact Info

Product

Resources

About