Original Articles
A prospective study to assess the indications and timing of surgery for subacute intestinal obstruction to follow up the progress of patients and find out the outcome of management | |
Dr. Vinod Kumar, Dr. Gaurav Gupta, Dr. Vishal Singh Chauhan, Dr. Abhishek Singh Rathore | |
Introduction: A frequent surgical emergency is an acute intestinal blockage. Strictures, polyps, and tumors are frequent causes; gallstones and foreign bodies are less common. Small bowel Intestinal Obstruction (SBIOs) may affect the small or large intestines mechanically or functionally. Constipation, obstipation, distention, nausea, and stomach discomfort are all common symptoms of obstruction. The most frequent surgical condition of the small intestine is an intestinal blockage. Aims And Objectives: To study the clinical profile and clinical features of patients presenting with subacute intestinal obstruction (SAIO), To study the role of investigations in diagnosis of SAIO, To find out the underlying cause of SAIO in patients under study, To study the predictors of relief of symptoms in patients with SAIO, To study the indications and timing for surgery for SAIO, To follow-up the progress of patients and find out the outcome of management. Methods: The work was conducted in L.L.R.M MEDICAL COLLEGE AND ASSOCIATED SVBP HOSPITAL, MEERUT. Results: This study consisted of 128 patients initially but then 8 of them either absconded or left the hospital against medical advice so the sample size of 120 (remaining) was taken into consideration. This study aids in the prediction of symptom relief in SAIO patients. Additionally, to investigate the need for SAIO surgery and its justification, as well as to keep track of patients progress and evaluate the effectiveness of treatment. Eight patients in total had history of previous surgery who had recurrences post management in our study of which Three patients were in the conservative therapy group and five patients in the surgical group. Conclusion: The present study revealed that subacute intestinal obstruction (SAIO) is seen more regularly in middle age group while no age is immune, with females more commonly afflicted than males. We discovered that abdominal discomfort was the most commonly reported symptom, while tenderness was the most frequently reported sign in these patients following patients in this study we can say surgery is preferred in SAIO patients who have previous history of surgery to stop recurrence. Despite the unusual presentation of this complex entity, the majority of SAIO patients were handled cautiously. |
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