Mehboob A, Ali A, Hassan H, Chaudhry S H.
Functional Outcome of Intestinal Obstruction patients Reported in Tertiary Care Hospital.
Biomedica Jan ;33(3):216-22.

Background and Objective: Intestinal objection is a serious clinical problem presented in surgical emergency. Timely surgical intervention is essential otherwise the problem carries high morbidity and mortality. Objective of this study is to observe functional outcome in term of causes and complications in patients reported with intestinal obstruction in surgical department of Jinnah hospital, Lahore. Methods: This descriptive case series was conducted in Jinnah Hospital, surgical unit-4 from January 2015 to January 2016, on 100 consecutive cases of intestinal obstruction. The data was entered and analyzed on computer software SPSS version 23. Frequency percentage was calculated for numerical variables (age) and for qualitative variable like sex distribution, bowel involvement, causes of intestinal obstruction, symptomatology of intestinal obstruction, duration of presentation with obstruction, treatment offered, resection Vs non-resection of bowel, postoperative complications, postoperative adhesions, associated diseases and morbidity and mortality. Results: A total number of 100 patients presented with intestinal obstruction in the surgical emergency of Jinnah Hospital Lahore were included in this study in both genders. In our study adhesions and bands was commonest cause with 31% of patients followed by TB abdomen 23% and external hernias 18%. Other causes were colonic tumor 9%, volvulus 7%, paralytic ileus 4%, internal hernias 3% and intossusceptions 2%. Out of them 76% underwent operation and 24% relieved by conservative treatment. In 34% resection of gut was done. Most common complications were postoperative obstruction in 18%, wound infection in 17%, respiratory complications in 13%, residual abscess 13% and DVT in 2%. The mortality rate was 8%. Conclusion: From this study it is concluded that postoperative adhesions and bands are commo-nest cause of intestinal obstruction followed by TB abdomen, external hernias, colonic tumors, volvulus, paralytic ileus, internal hernias and intussusceptions and that pattern of intestinal obstruction depends upon geographical factors.

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