Current spectrum of intestinal obstruction

Author:

McEntee G1,Pender D2,Mulvin D1,McCullough Majella2,Naeeder S3,Farah S4,Badurdeen M S4,Ferraro V1,Cham C1,Gillham N1,Matthews P1

Affiliation:

1. North Tees General Hospital, Stockton-on-Tees, UK

2. Darlington Memorial Hospital, Darlington, Stockton-on-Tees, UK

3. Bishop Auckland General Hospital, Bishop Auckland, Stockton-on-Tees, UK

4. Hartlepool General Hospital, Hartlepool, UK

Abstract

Abstract In a 12-month prospective study incorporating four neighbouring district general hospitals, 228 patients required a total of 236 admissions with intestinal obstruction. The aetiological factors included adhesions 75 (32 per cent), malignant disease 61 (26 per cent), strangulated hernias 59 (25 per cent), volvulus 10 (4 per cent), acquired megacolon 6 (3 per cent), pseudo-obstruction 4 (2 per cent), faecal impaction 6 (3 per cent) and miscellaneous 15 (6 per cent). The peak incidence for obstruction due to adhesions, malignant disease and strangulated hernias each occurred in the eighth decade. Surgery was performed within 48 h of admission in 29 per cent adhesive obstructions (22), 30 per cent obstructions due to malignant disease (18) and 68 per cent strangulated hernias (40) - bowel resection rates in these three groups were 13·5, 50 and 29 per cent, respectively. The overall mortality was 11·4 per cent (26 deaths) and postoperative mortality was 12·3 per cent (19 deaths). During the 12-month study period, 228 patients required a total of 2993 impatient hospital days as a result of intestinal obstruction. Postoperative adhesions have become the commonest cause of intestinal obstruction but strangulated hernias and intra-abdominal malignant disease still account for 50 per cent of all cases and mortalities. Obstruction due to strangulated hernias and intra-abdominal malignant disease typically occurs in the elderly age group where a more aggressive policy of elective surgical intervention is likely to be associated with increased postoperative morbidity and mortality.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Reference20 articles.

1. The spectrum of intestinal obstruction today;Nelson;B J Clin Pract,1984

2. Adhesive obstruction;Bevan;Ann R Coll Surg Engl,1984

3. Acute intestinal obstruction in the adult;Bevan,1982

4. Small bowel obstruction in the elderly;Zadeh;Am Surg,1985

5. Small bowel obstruction. The role of non-operative treatment in simple intestinal obstruction and predictive criteria for strangulation obstruction;Bizer;Surgery,1981

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3