Abstract

More early the diagnosis of acute intestinal obstruction is made, more chances of success are there. At the same time, after diagnosis, appropriate management also decides the chances of success. Pathophysiological effects of the condition should be kept in mind while managing such cases. Objective: To study clinical profile of patients with acute intestinal obstruction. Methods: Prospective observational study was carried out among 90 cases of acute intestinal obstruction. Complete resuscitation of the patients was carried out. Once the patient was stable, surgical intervention was done in the indicated cases as per the standard operative guidelines. Throughout the postoperative period, the patients were monitored carefully in the postoperative intensive care units or wards depending on the patients' general condition and toxemia. Results: Incidence of acute intestinal obstruction was 25.7%. Incidence of intestinal obstruction was highest in >50 years (66.7%) cases. Hernia and Strictures (TB and non-TB) was more common in females than males. Incisional hernia was most common type in 64.3%. Descending colon, sigmoid, rectum was the most common site of carcinoma in 41.7%. Small bowel was involved more than large bowel for hernia, adhesions and band, strictures, mesenteric ischemia. But, carcinoma was almost three times more in large bowel compared to small bowel. Incidence of gangrene was 100% in case of mesenteric ischemia. Only 13 cases had postoperative complications. Most common complication was wound infection in six cases. Conclusion: Incidence of acute intestinal obstruction was 25.7%. incidence of complications was very less postoperatively.

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