Journal of Cardiovascular Disease Research
CLINICOEPIDERMIOLOGIC STUDY OF SMALL AND LARGE BOWEL OBSTRUCTION – IS THERE MORE ROLE FOR CONSERVATIVE MANAGEMENT
Dr. Arun Rao,Dr. Ramesh M ,Dr. Ashwin Rao
JCDR. 2024: 292-299
Abstract
Intestinal obstruction is the most prevalent surgical emergency globally, with variations influenced by age, sex, area, and socio-economic position. The obstruction of the gut is either mechanical or due to atony, hindering the progression of intestinal contents. Numerous predisposing variables may or may not be identified prior to surgery. While diagnosing intestinal blockage is straightforward, determining the underlying reason may prove more complex. The underlying cause may occasionally become apparent solely during laparotomy. The illness is associated with a significant risk of morbidity and mortality, underscoring the importance of early identification and care. The therapy may be conservative or surgical depending on the aetiology and necessitates sufficient fluid and electrolyte resuscitation. Timely surgical intervention is emphasised by the traditional adage: ‘never allow the sun to set or rise on a case of unresolved intestinal obstruction’ (3). Early intervention has resulted in a reduction of strangulation cases, which was a significant cause of mortality
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