Determining the Relative Frequency of Intestinal Obstruction Causes in Patients Referred to Ahvaz Golestan Hospital During October 2003 to 2008

Nahidi, Abdolrahim; Ghosuri, Atefeh

doi:10.13005/bpj/874

Cited by 1 publication

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“…11 However, males comprised the majority of our cases for SBO (60.8%), LBO (63.7%), and overall (61.4%). Our findings are in line with those from a 2003–2008 study in Ahwaz, Iran, where 60.3% of patients with bowel obstruction were male 9 ; the 2006–2012 study at our center also revealed a similar proportion of males (61.5%). 10 However, the 1994–1996 study of Zafarqandi et al in Tehran, Iran, showed a stronger (70%) male predominance, while the 1963–1967 study of Adl and Alavi revealed an even higher proportion of male patients (78.3%).…”

Section: Discussionsupporting

confidence: 92%

“…8 In a study conducted by Nahidi and Ghosuri on 214 bowel obstruction patients at Golestan Hospital (Ahvaz, Iran) between 2003–2008, adhesion bands were the most common cause of bowel obstruction (52.4%), followed by stool impaction, ileus, hernia, and colon cancer. 9 Finally, Akrami et al reviewed the clinical characteristics of 411 patients hospitalized in our center between 2006 and 2012, revealing that the most common intraoperative findings were adhesion band formation (48.1%), masses (17.3%), and hernia (6.7%), 10 though the study only examined SBO.…”

Section: Introductionmentioning

confidence: 99%

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A Seven-Year Etiological Study of Adult Bowel Obstruction in Shiraz, Iran

Hosseini,

Abdzaid Akool,

Emami Meybodi

et al. 2023

Arch Iran Med

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Background: Bowel obstruction is a disorder in the passage of bowel contents, the etiology of which varies depending on temporal and geographical conditions. This study investigated the etiology of bowel obstruction in a large number of patients at an adult surgery referral center in southern Iran. Methods: In this cross-sectional study, we reviewed the medical records of all patients admitted to Shahid Faghihi hospital (Shiraz, Iran) between 2014 and 2020 with a diagnosis of small or large bowel obstruction. Patients with missing or obscure data on etiology were excluded. Data was collected on the patients’ age, gender, history of relevant surgeries, comorbidities, cause of obstruction, site/type of obstruction, treatment, intensive care unit (ICU) admission, length of hospital stay, and outcome. Statistical analyses were made using SPSS v. 25.0. Results: A total of 2781 bowel obstruction patients (61.4% males, 38.6% females) with a median age of 58 (IQR 43-71) years were studied. Most responded to non-surgical treatment (61.3%). While the obstruction was mostly partial (65.5%), 94.4% of patients with complete obstruction required surgery. Small bowel obstruction (SBO) was almost three times more prevalent than large bowel obstruction (LBO). Adhesion bands were the leading cause of SBO (66.77%), while LBO was primarily due to colorectal tumors (33.9%). Conclusion: The predominant etiology of LBO was colorectal cancer, suggesting that policymakers should improve surveillance programs to detect the condition earlier. Regarding SBO, the leading cause was adhesion bands, indicating the necessity of further efforts to reduce the rate of adhesions following intra-abdominal operations.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%