Original Articles
Understanding the evolving aetiology and treatment approaches of intestinal blockage: A prospective study | |
Dr. Priyesh Prabhakar Naik | |
ABSTRACT Background: One of the most frequent intra-abdominal issues that surgeons face in their practice is bowel obstruction. The causes of these blockages are hernias, neoplasms, and/or biochemical abnormalities linked to adhesion. The primary cause of death and morbidity is still obstruction of the large or small intestine. Methods: 48 participants with intestinal blockage between the ages of 18 and 87 made up the study. Based on the participants' clinical history, physical examination, hematologic and radiologic data, and physical examination results, the diagnosis was determined. Results: The most frequent complication observed in 14.58% (n=7) research participants was the surgical site infection, which was observed in 10.41% (n=5) study participants. 8.33% (n=4) of research participants had a respiratory tract illness. Faecal fistula was the least frequent reported complication, occurring in 4.16% (n=2) of the research participants. Upon evaluating the study's mortality rate, it was observed that while 87.5% (n=42) of the individuals lived and experienced recovery from acute abdominal distension, 12.5% (n=6) of the subjects died after surgery. The current study shows that postoperative adhesion, which may be correctly detected with surgical, radiological, and clinical examination, is the most frequent cause of intestinal blockage. Undiagnosed cancer cases are related with a significant death rate and are considered emergencies in people with intestinal blockage. A positive prognosis is linked to prompt care and early diagnosis; bad results are linked to delayed prognosis, advancing age, and strangling |
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