Prevalence, causes and management outcome of intestinal obstruction in Adama Hospital, Ethiopia

Soressa, Urgessa; Mamo, Abebe; Hiko, Desta; Fentahun, Netsanet

doi:10.1186/s12893-016-0150-5

Cited by 74 publications

(131 citation statements)

References 7 publications

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“…A study conducted by Soressa U et al concluded that patients who presented within 24 h of symptom presentation are less likely to develop an unfavourable outcome, compared with patients who presented after 24h. 9 Similarly, a study conducted by Heis HA et al showed that delayed presentation and/or surgical intervention frequently results in relatively poor surgical outcomes and/or longer hospital stays.…”

Section: 10mentioning

confidence: 99%

Acute intestinal obstruction: small intestine vs. large intestine: an analysis

et al. 2017

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Background: Bowel obstruction is one of the most common causes of acute abdomen and also a common surgical emergency.The causes of IO vary significantly depending on geographical location. The aim of this study was to identify the etiology, clinical presentation, management and outcomes of patients with acute mechanical IO presenting in Jodhpur, Rajasthan.Methods: A prospective study was conducted at Mahatma Gandhi Hospital and Mathura Das Mathur Hospital (associated with Dr. SN Medical College), Jodhpur, Rajasthan. 100 patients with acute intestinal obstruction were admitted and evaluated. Blood routine, X-Ray abdomen, USG abdomen and CECT (if required) were done. A pre-operative diagnosis was made. Intra-operative findings and Post-operative complications were noted and follow up was done till the patient was discharged from the hospital.Results: A total of 69 male and 31 female patients, presented with acute mechanical IO during the period of the study. Mean patient age was 48.5 years with peak incidence in those aged 31-45 years. The foremost signs and symptoms were abdominal distension (88%), obstipation (87%), abdominal pain (81%) and nausea/ vomiting (47%). Adhesions and bands (29%), hernia (13%), neoplasm (9%) and pseudo-obstruction (8%) were the leading causes of intestinal obstruction. The sensitivity of X-ray and USG in present study was 67% and 75% respectively. Most common complication associated was wound infection (17%) followed by paralytic ileus (7%) and respiratory tract infections (6%). Late presentation was associated with poor prognosis. 4 patients expired before surgery. Post-operative mortality was associated with 6 patients and was more common in cases which presented with gangrenous bowel.Conclusions: The most common causes of IO in this study were adhesions and bands, hernia, neoplasm and pseudo-obstruction. Presence of bowel gangrene was associated with higher morbidity and mortality.

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Section: 10mentioning

confidence: 99%

Acute intestinal obstruction: small intestine vs. large intestine: an analysis

et al. 2017

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“…[3,11] In the last 50 years, the incidence of strangulated hernia has decreased from 55.8% to 26.5%, while tumors increased from 6.3% to 22.2% and adhesions remained statistically unchanged. [8] Volvulus and intussusception were reported to be the most common causes of AMBO in Ethiopia, [12] and hernia remained the most common cause of intestinal obstruction in Sudan in some research. [13] The etiology of AMBO has varied over time and according to geographic region in Turkey.…”

Section: Discussionmentioning

confidence: 99%

Etiology, Management, and Survival of Acute Mechanical Bowel Obstruction: Five-Year Results of A Training and Research Hospital in Turkey

Karakaş

Yeşiltaş

Gökçek

et al. 2019

Ulus Travma Acil Cerrahi Derg

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BACKGROUND: Acute mechanical bowel obstruction (AMBO) is still a major surgical problem for emergency departments. The aim of this study was to evaluate AMBO in terms of etiology, management, and survival.METHODS: Data of the age, sex, etiology, management, and survival of patients who were hospitalized for bowel obstruction between January 2014 and December 2018 were evaluated retrospectively. Adhesions, tumors, hernias and peritoneal carcinomatosis were evaluated in detail. RESULTS:A total of 735 patients were included in the study. The obstruction was located in the small bowel (AMSBO) in 60% and in the large bowel (AMLBO) in 40%. The mean patient age was 59.9±16.02 years and 52.9% of the patients were male. Adhesion, tumor, and hernia were the most common etiologies of the overall AMBO group (43.3%, 26.2%, and 6%, respectively). The most common etiology for AMSBO was an adhesion (69.3%), while it was a tumor for AMLBO cases (61.6%). The most common management of AMBO patients was a conservative approach (53.2%; adhesions: 76.7%). Surgical palliation was performed in 24.9% (peritoneal carcinomatosis: 65.7%), and resection was performed in 21.9% (volvulus: 61.9%). The mortality rate in the group was 8.6%. The most common etiology was colorectal surgery (51.4%) for adhesions, colorectal cancer (93.8%) for tumors, and incisional hernia (47.7%) in cases of hernia-related AMBO. CONCLUSION:Adhesions, tumors, and hernias are the most common etiologies of AMBO. The incidence of femoral/inguinal hernia have decreased while that of incisional hernia has increased, and it was further observed that peritoneal carcinomatosis has now become as common as hernia as a cause. .). AMBO is described as small (AMSBO) or large (AMLBO) according to the level of the bowel obstruction, and complete or incomplete obstruction according to the discharge of gas. [2] AMBO is observed in the small bowel in 75% to 80% of cases and in the large bowel in 20% to 25%. [3] The etiology of AMBO varies according to considerations such as age, development of the country of occurrence, and the level of the obstruc- ORIGINAL ARTICLEAcute mechanical bowel obstruction (AMBO) is still one of the major surgical problems encountered in emergency departments. AMBO constitutes 3% of all emergency admissions and 15% of acute abdominal pain cases. AMBO is an important cause of mortality as well as costs, as it may involve a long hospital stay, readmissions, and reoperations. [1] AMBO is described as local blockage of intestinal content transit for reasons that may be intramural (e.g., invagination, bezoar,

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“…Bowel resection and anastomosis was the commonest intra-operative procedure done and is associated with postoperative complications [15]. Over the last century there have not been significant changes in the anatomical location of obstruction.…”

Section: Discussionmentioning

confidence: 99%

The Clinical Presentations and Patterns of Management of Bowel Obstruction in Northern Saudi Arabia

Gharbi¹,

Shammari²,

Marshadi³

et al. 2018

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Background: The prompt management of patients with bowel obstruction is essential and requires initial rapid diagnosis and therapeutic intervention. Therefore, the objective of the present study was to explore the clinical presentation and pattern of management of bowel obstruction in Northern Saudi Arabia. Methodology: About 92 files referring to patients presented with obstructive bowel conditions during the period from 2013 to 2017 were retrieved from department of surgery at King Khalid Hospital, Hail, Northern Saudi Arabia. Results: Most of cases of bowel obstruction were found in 2014, followed by 2013, 2016, and 28 of the patients presented with pain, constipation, vomiting, abdominal distention, bowel sound and accompanied disease, respectively. Conclusion: Laparotomy was the most common methods of bowel obstruction management in Northern Saudi Arabia. Many patients with bowel obstruction symptoms can improve without surgical intervention.

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Prevalence, causes and management outcome of intestinal obstruction in Adama Hospital, Ethiopia

Cited by 74 publications

References 7 publications

Acute intestinal obstruction: small intestine vs. large intestine: an analysis

Acute intestinal obstruction: small intestine vs. large intestine: an analysis

Etiology, Management, and Survival of Acute Mechanical Bowel Obstruction: Five-Year Results of A Training and Research Hospital in Turkey

The Clinical Presentations and Patterns of Management of Bowel Obstruction in Northern Saudi Arabia

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