A Clinical Study Of Acute Large Gut Obstruction With Special Reference To Its Surgical Management

Abstract

Introduction: Acute large gut obstruction is a common emergency condition mainly affecting older age group with male predominance. Whatever may be the cause the management of acute large gut obstruction is a challenging one. Primary resection of the obstructing lesion without immediate anastomosis or with primary anastomosis are the options of which last one being a more popular approach recently. Materials and methods: The cases were studied with a suitable proforma maintaining the records
of detailed history, clinical examination, ancillary investigations as per as possible to reach a pre operative diagnosis of acute large gut obstruction, operative details and post operative complications.
Results: Most common cause of acute large gut obstruction is volvulus, and then comes carcinoma and lastly tuberculosis. Primary anastomosis in selected patients gives more satisfactory results then multiple staged procedures.
Conclusion: Right sided colonic obstruction can be managed by resection of obstructing lesions with primary anastomosis as a standard procedure, except in very poor risk patients. For left sided colonic obstruction surgeon should be aware of the controversies and consensus in its management.