CLINICAL PROFILE AND OUTCOME OF ACUTE INTESTINAL OBSTRUCTION AMONG ADULTS IN A TERTIARY CARE CENTRE IN KERALA
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2026
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| _version_ | 1866901881588023296 |
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| author | Kevin Babu , Dr Jayan Stephen , Dr Nizarudeen A |
| author_facet | Kevin Babu , Dr Jayan Stephen , Dr Nizarudeen A |
| contents | <div> <div> <p><strong>Background</strong>: Acute intestinal obstruction (IO) is a common surgical emergency with significant morbidity and mortality. Etiology and outcomes vary geographically. Aim: To study the clinical profile, management, and outcomes of acute intestinal obstruction in a tertiary care centre in Kerala.</p> <p><strong>Methods</strong>: A record-based descriptive study was conducted on 116 adult patients admitted with acute dynamic intestinal obstruction in 2021. Data on demographics, clinical features, etiology, imaging, management, and outcomes were analysed using SPSS 27.</p> <p><strong>Results</strong>: The mean age was 57.07 years, with male predominance (71.6%). The most common symptom was abdominal distension (85.3%), followed by constipation (75.9%). Adhesions (35.3%) were the leading cause, followed by internal hernia (24.1%) and obstructed hernia (14.7%). Sensitivity of X-ray and USG in diagnosis was 64.7% and 77.6%, respectively. Surgical management was required in 85% of cases. Postoperative complications occurred in 27.6%, with surgical site infection being most common (21.3%). Mortality was 16.4%, primarily associated with sepsis and bowel gangrene.</p> <p><strong>Conclusion</strong>: The pattern of intestinal obstruction in this region differs from Western reports, with obstructed hernia being a significant cause. High mortality underscores the need for early diagnosis, prompt surgical intervention, and vigilant postoperative care.</p> </div> </div> <div></div> |
| format | Recurso digital |
| id | zenodo_https___doi_org_10_5281_zenodo_18873279 |
| institution | Zenodo |
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| publishDate | 2026 |
| publisher | Zenodo |
| record_format | zenodo |
| spellingShingle | CLINICAL PROFILE AND OUTCOME OF ACUTE INTESTINAL OBSTRUCTION AMONG ADULTS IN A TERTIARY CARE CENTRE IN KERALA Kevin Babu , Dr Jayan Stephen , Dr Nizarudeen A <div> <div> <p><strong>Background</strong>: Acute intestinal obstruction (IO) is a common surgical emergency with significant morbidity and mortality. Etiology and outcomes vary geographically. Aim: To study the clinical profile, management, and outcomes of acute intestinal obstruction in a tertiary care centre in Kerala.</p> <p><strong>Methods</strong>: A record-based descriptive study was conducted on 116 adult patients admitted with acute dynamic intestinal obstruction in 2021. Data on demographics, clinical features, etiology, imaging, management, and outcomes were analysed using SPSS 27.</p> <p><strong>Results</strong>: The mean age was 57.07 years, with male predominance (71.6%). The most common symptom was abdominal distension (85.3%), followed by constipation (75.9%). Adhesions (35.3%) were the leading cause, followed by internal hernia (24.1%) and obstructed hernia (14.7%). Sensitivity of X-ray and USG in diagnosis was 64.7% and 77.6%, respectively. Surgical management was required in 85% of cases. Postoperative complications occurred in 27.6%, with surgical site infection being most common (21.3%). Mortality was 16.4%, primarily associated with sepsis and bowel gangrene.</p> <p><strong>Conclusion</strong>: The pattern of intestinal obstruction in this region differs from Western reports, with obstructed hernia being a significant cause. High mortality underscores the need for early diagnosis, prompt surgical intervention, and vigilant postoperative care.</p> </div> </div> <div></div> |
| title | CLINICAL PROFILE AND OUTCOME OF ACUTE INTESTINAL OBSTRUCTION AMONG ADULTS IN A TERTIARY CARE CENTRE IN KERALA |
| url | https://doi.org/10.5281/zenodo.18873279 |