Study of Intestinal Obstruction in Telangana Population
Introduction: Intestinal obstruction occurs when there is an interruption in the forward flow of intestinal contents. This interruption can occur at any point along the length of the gastrointestinal tract and clinical symptoms often vary based on the level of obstruction. Materials and Methods: A total of 86 patients between 19 and 68 years were regularly visiting the hospital (Mediciti Institute of Medical Sciences, Ghanpur, Medchal-501401, Telangana) were selected for study because the clinical evaluation of intestinal obstruction is a surgical emergency and treatment would largely depend on early diagnosis and skillful management. Results: The clinical manifestations were 100% pain in abdominal, 100% distention of abdomen 72 (83.7%) had vomiting, 69 (80.2%) had tenderness, 62 (72%) had constipation, 64 (74.4%) had dehydration, 16 (18.6%) had fever, 24 (27.9%) had palpable mass, 63 (73.2%) had increased bowel sound, and 11 (12.7%) had decreased bowel sounds. The etiology of intestinal obstruction was, 30 (34.8%) had adhesion and band, 16 (18.6%) had hernia, 15 (17.4%) had tuberculosis (TB) stricture, 13 (15.1%) had volvulus, and 12 (13.9%) had malignancy. Types of operations were 21 (24.4%) had resection and end to end ileo-ileal anastomosis, 24 (27.9) had release of adhesion band, 16 (18.6%) had hernia repair, 6 (6.97%) had 13 (15%) had untwisting volvulus, 4 (4.65%) had resection and end to end jejunoileal anastomosis, and 2 (2.32%) had tube caestomy. Post-operative had were 7 (8.13%) had wound infections, 5 (5.18%) had respiratory infections, 3 (3.48%) had entero-cutaneous fistula, 4 (4.65%) had prolonged ileus, 8 (9.30%) deaths due to septicemia. Conclusion: Intestinal obstruction, which still remains an important surgical emergency, obstructions due to adhesions is increasing due to abdominal and pelvic surgeries; obstruction due to TB stricture will have post-surgical complications. Early operation is mandatory to avoid development peritonitis and systemic sepsis associated with multi-organ failure.