Study of Etiology, Fatal Outcome and Different Surgical Techniques in the Management of Small Bowel Obstruction.

Management of Small Bowel Obstruction

  • Prem Prakash Associate Professor, Department Of General Surgery, Indira Gandhi Institute Of Medical Sciences, Patna, India.
  • Nadeem Ahmad Assistant Professor, Department of General Surgery, Indira Gandhi Institute of Medical Sciences, Patna, India.
  • Kanchan Sone Lal Baitha Assistant Professor, Department of General Surgery, Indira Gandhi Institute of Medical Sciences, Patna, India.
  • Seema Rani Sinha Junior Resident, Department of Biochemistry, Indira Gandhi Institute Of Medical Sciences, Patna.
  • Anand Deoraj Senior Resident, Department of General Surgery, Indira Gandhi Institute Of Medical Sciences, Patna.
  • Abhishek chaudhary Senior Resident, Department of General Surgery, Indira Gandhi Institute Of Medical Sciences, Patna.
Keywords: Small Bowel Obstruction, Emergency operation

Abstract

Background: Small bowel obstruction is a common surgical emergency and is a leading cause of admission in emergency department worldwide. The aim of this study is to evaluate various etiology and fatal complications of different surgical techniques in the management of small bowel obstruction. Subjects and Methods: A retrospective study of 95 patients >14 years of age suffering from small bowel obstruction admitted in the department of general surgery in a  tertiary care hospital in eastern India was done. The study period was April 2016 to March 2018. Results: The various causes of small intestinal obstruction included adhesions (most common 34.8%) followed by intestinal tuberculosis (26.31%) and obstructed/strangulated hernia (23.15%). Adhesiolysis (34.7%) was the commonest operation done followed by resection anastomosis (23.15%) and ileostomy creation (15.7%). The commonest fatal post-operative complication observed was pulmonary complications (9.47%) with an overall mortality rate of 10.5%. Conclusion: Early diagnosis and timely intervention is the key in the surgical management of small bowel obstruction as delay may increase morbidity and mortality significantly.

Published
2019-07-08