Prospective study of acute intestinal obstruction in adults based on etiology and severity indicators

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dc.contributor.authorMeena, Nen_US
dc.contributor.authorVidyarthi, SHen_US
dc.contributor.authorBarolia, DKen_US
dc.contributor.authorGupta, Ben_US
dc.contributor.authorDaga, D.en_US
dc.date.accessioned2023-06-27T06:39:20Z
dc.date.available2023-06-27T06:39:20Z
dc.date.issued2022-11
dc.description.abstractBackground: Intestinal obstruction is a common clinical entity in surgeons practice. In a large number of patient, therapeutic options are surgery versus conservative treatment; the choice of the treatment, that is, surgical versus conservative depends mainly on the surgeon’s assessment and therefore, is a clinical challenge to decide. Aims and Objectives: The purpose of our study is early detection of strangulated bowel obstruction based on a clinical, laboratory, and radiological parameters, a severity indicator score developed by combining these parameters. Materials and Methods: It was a hospital-based prospective observational study of 100 patients between April 2019 and October 2020 who presented with intestinal obstruction. Clinical, laboratory, and radiological parameters were noted and scoring was done as per severity scores. Results: Common cause of obstruction in this study was adhesions 41%, tuberculosis 13%, malignance 8%, and mesenteric ischemia 6% followed by intussusception and volvulus. Patients who had score <3 were managed conservatively, while 90.9% of patients having a score of three or more where operated on, which was statistically significant. Conclusion: Evaluation of the patient is not only to confirm the diagnosis but also timely management of strangulation and prevention of ischemia of gut to improve morbidity and mortality. This study used a severity scoring system of clinical parameters, laboratory and radiological investigation to help in the decision-making of treatment in a case of intestinal obstruction.en_US
dc.identifier.affiliationsDepartment of General Surgery, JLN Medical College and Hospital, Ajmer, Rajasthan, Indiaen_US
dc.identifier.affiliationsDepartment of Pediatric Surgery, JLN Medical College and Hospital, Ajmer, Rajasthan, Indiaen_US
dc.identifier.affiliationsDepartment of Dentistry, GMERS Medical College and Hospital, Gandhinagar, Gujarat, Indiaen_US
dc.identifier.affiliationsDepartment of Radiation Oncology, JLN Medical College and Hospital, Ajmer, Rajasthan, Indiaen_US
dc.identifier.citationMeena N, Vidyarthi SH, Barolia DK, Gupta B, Daga D.. Prospective study of acute intestinal obstruction in adults based on etiology and severity indicators. National Journal of Physiology, Pharmacy and Pharmacology. 2022 Nov; 12(11): 1865-1870en_US
dc.identifier.issn2231-3206
dc.identifier.issn2320-4672
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/217788
dc.languageenen_US
dc.publisherMrs Dipika Charan of MedScience (India) Publicationsen_US
dc.relation.issuenumber11en_US
dc.relation.volume12en_US
dc.source.urihttps://dx.doi.org/10.5455/njppp.2022.12.094322022009102022en_US
dc.subjectIntestinal Obstructionen_US
dc.subjectAcuteen_US
dc.subjectSurgeryen_US
dc.subjectSeverity Scoreen_US
dc.subjectEtiologyen_US
dc.titleProspective study of acute intestinal obstruction in adults based on etiology and severity indicatorsen_US
dc.typeJournal Articleen_US
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