scholarly journals Etiologic Spectrum of Intestinal Obstruction in Ningxia District: A Retrospective Analysis of 4908 Cases in a 10-Year Period

2019 ◽  
Vol 2019 ◽  
pp. 1-7
Author(s):  
Wei Jiang ◽  
Wenyan Li ◽  
Qian Hao ◽  
Yuping Yao ◽  
Yajun Li ◽  
...  
Keyword(s):  
Intestinal Obstruction ◽  
Bowel Obstruction ◽  
Clinical Manifestations ◽  
Therapeutic Interventions ◽  
Malignant Bowel Obstruction ◽  
Increasing Trend ◽  
Adhesive Intestinal Obstruction ◽  
Adhesive Obstruction ◽  
Medical University ◽  
Overall Mortality

Background. Economic disparity contributes to the variation of intestinal obstruction (IO) etiologic spectrum. Clarifying the etiology distribution in local regions can help to unravel IO and promote early diagnosis, henceforth making sure standardized therapeutic interventions. Methods. Medical data of 4908 inpatients diagnosed with IO admitted to the General Hospital of Ningxia Medical University between January 2004 and December 2013 were recruited and analyzed retrospectively. The associated profiles included demographic features, clinical manifestations, and previous therapeutic operations. Results. 4908 cases of intestinal obstruction were identified during the period of study. It denoted that the hospitalization rate of IO has maintained upward momentum; the top four causes of IO were adhesion, tumor, intussusception, and hernias. These covered up nearly 80% of the total constitution. Among them, adhesive intestinal obstruction accounted for 45.17%, malignant bowel obstruction for 21.09%, intussusception for 8.72%, and hernia for 4.73%; abdominal surgery constituted for the majority (78.62%) of adhesive obstruction. The followed up analysis also found that appendectomy accounted for the biggest percentage, 28% of operation cases. Malignant bowel obstruction can have a rate of 96.43% in 1035 cases led by tumor lesions. Of which, the primary intestinal malignant tumor accounted for 68.64% and metastatic tumors for 31.36%. Nearly 50% occurred in the large intestine. The overall mortality of all 4908 cases was 4.7%. Conclusion. The hospitalizations of IO delineated an increasing trend. Adhesion was the main etiology in IO. The odds of malignant bowel obstruction was increasing in the proportion of IO. There were some differences towards the etiologic spectrum compared with western countries.

scholarly journals DIAGNOSTICS AND COMPLEX TREATMENT OF ADGHESIVE INTESTINAL OBSTRUCTION

2019 ◽  
pp. 59-62
Author(s):  
V. B. Bоrisenko ◽  
А. М. Kovalev
Keyword(s):  
Polyethylene Glycol ◽  
Surgical Treatment ◽  
Intestinal Obstruction ◽  
Clinical Laboratory ◽  
Hypotonic Solution ◽  
Polyethylene Glycol 4000 ◽  
Treatment And Prevention ◽  
Ultrasound Diagnostics ◽  
Adhesive Intestinal Obstruction ◽  
Adhesive Obstruction

Summary: Develop a comprehensive program for the diagnosis, treatment and prevention of intestinal adhesive obstruction.  Analyzed the results of diagnosis and treatment of 60 patients with acute adhesive intestinal obstruction. The diagnostic program included clinical, laboratory, X-ray and ultrasound diagnostics. Local barrier prevention of peritoneal adhesive disease was performed with a solution of polyethylene glycol 4000 according to the method developed by us. Conservative therapy was effective in 19 (31.7%) cases. 41 (68.3%) patients with a progression of adhesive ileus were operated. Laparoscopic adheolysis was performed in 4 (9.8%) patients. In 37 (90.2%) cases, surgical treatment was performed in the traditional method. The proposed diagnostic and treatment program with priority use of ultrasound diagnostics allows in a short time to establish a detailed diagnosis of adhesive intestinal obstruction and to determine the indications for surgical treatment. Intraoperative use of hypotonic solution polyethylene glycol 4000 allows to reliably prevent the development of peritoneal adhesive disease and adhesive obstruction.

scholarly journals Short-Term Clinical Outcomes after Using Novel Deeper Intubation Technique (DIT) of Ileus Tube for Acute Bowel Obstruction Patients

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Yanlu Tan ◽  
Haibin Chen ◽  
Wenji Mao ◽  
Qin Yuan ◽  
Jun Niu
Keyword(s):  
Clinical Outcomes ◽  
Bowel Obstruction ◽  
Remission Rate ◽  
Short Term ◽  
Intubation Technique ◽  
Lower Pain ◽  
Adhesive Intestinal Obstruction ◽  
Symptomatic Remission ◽  
Adhesive Obstruction ◽  
Lower Pain Score

Background. The ileus tube has been widely used for the treatment of acute small bowel obstruction. However, it is difficult to get the tube sufficiently adjacent to the obstruction site due to various reasons. Methods. We developed a novel intubation technique, named Deeper Intubation Technique (DIT), by using the Zebra Urological Guidewire and digital gastrointestinal fluoroscopy, where we deepened the catheter intubation, and further compared the effects of DIT with the Traditional Intubation Technique (TIT) on the short-term clinical outcomes of 183 patients. Results. The average intubation depth of DIT apparently exceeds that of TIT (213.89±31.11 vs. 134.67±18.22 cm, P<0.001). Compared with patients in the TIT group, patients in the DIT group got a lower pain score (P<0.001), shorter recovery time for anal exhaust defecation (2.87±1.50 vs. 3.37±1.52 d, P=0.040), higher recovery rate in anal exhaust defecation (24 h, 16.8% vs. 5.7%, P=0.021; 48 h, 46.3% vs. 27.3%, P=0.009), better symptomatic remission rate and imaging relief rate (P<0.05), and increased drainage volume (1006.88±583.45 vs. 821.02±358.73 ml, P=0.009). Importantly, the emergency surgery rate in the DIT group was lower than that in the TIT group (3.2% vs. 13.6%, P=0.014). In addition, the DIT procedure was effective for patients with adhesive obstruction but not for cancerous and stercoral bowel obstruction. Conclusion. Compared to TIT, DIT produced better short-term clinical outcomes, indicating that DIT is a safe and feasible technique for the treatment of adhesive intestinal obstruction.

scholarly journals Morphofunctional changes of the hemocirculatory bed of the liver in different types of acute small bowel obstruction

2018 ◽  
Vol 17 (3) ◽  
pp. 92-101
Author(s):  
V. E. Milyukov ◽  
V. G. Motalov ◽  
H. M. Sharifova
Keyword(s):  
Small Bowel ◽  
Intestinal Obstruction ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Unit Area ◽  
Clinical Manifestations ◽  
Acute Intestinal Obstruction ◽  
Vascular Bed ◽  
Different Types ◽  
Acute Small Bowel Obstruction

The purpose of the work - to identify patterns of changes in the morphofunctional organization of the vascular bed of the liver at different stages of development of strangulational and obturating acute small bowel obstruction (ASBO). Material and methods. The study was performed on 33 adult mongrel dogs of both sexes weighing 17-20 kg. The morphology of the liver in normal was studied on 2 (two) of those dogs. Twelve animals were simulated with a strangulational ASBO. In 12 animals, a low obturating ASBO was simulated. A morphometric method was used to assess the change in the volume of the vascular bed in terms of the degree of change in the area of the vessels per unit area. Results. In the dynamics of the development of the disease, we revealed patterns of changes in the morphofunctional organization of the vascular bed of the liver. Conclusions. In the process of formation of obturating ASBO, in spite of the absence of clinical manifestations of acute intestinal obstruction, the emergence of a basis for the development of polyorganic insufficiency has already been observed from 2 days.

scholarly journals Non-operative Management of Adhesive Intestinal Obstruction in Children over a 12 year period at Waikato Hospital

2021 ◽  
Vol 21 (7) ◽  
pp. 433-439
Author(s):  
Aaron Ooi ◽  
Jitoko Kelepi Cama ◽  
Udaya Samarakkody ◽  
Askar Kukkady ◽  
Stuart Brown
Keyword(s):  
Intestinal Obstruction ◽  
Bowel Obstruction ◽  
Case Series ◽  
Operative Management ◽  
Initial Surgery ◽  
Time Period ◽  
Case Series Study ◽  
Significant Difference ◽  
Adhesive Intestinal Obstruction ◽  
Non Operative Management

Title: Non-Operative Management of Adhesive Intestinal Bowel Obstruction in Children over a 12year Period at Waikato HospitalIntroduction: Post-operative small bowel adhesions causing bowel obstruction is common in adults but is uncommon in the paediatric age group. The incidence of adhesive intestinal obstruction (AIO) requiring surgical intervention ranges between 2-8% in paediatric patients and majority would occur within the first 2 years after surgery. Aim: To review our experience at a tertiary centre in children under 15years who were admitted with adhesive intestinal obstruction over a 12 year time period and to compare this with other international reports Methodology: This retrospective case series study of all paediatric surgical patients (aged between 1-15 years) admitted with adhesive intestinal obstruction to Waikato Hospital over a 12 year time period were identified by ICD-10-AM codes. Their demographic variables, information of previous surgery and the admissions details including particulars of management were tabulated. Results: Out of 66 admissions, 10 were excluded and 56 admissions were analysed. 35 patients were successfully managed non-operatively and 21 patients proceeded for operative management (7 early and 14 late). Of the operative group, 3 underwent bowel resections (2 early and 1 late). There was no statistically significant difference between length of stay (LOS) among patients with non-operative and operative management. There was also no statistically significant difference between LOS among patients with early (≤24 hours) operative management and late (>24 hours) operative management. In assessing secondary aims, statistically significant differences in the time of presentation from initial surgery was noted for patients who underwent appendectomy who trended towards earlier presentation compared to other laparotomies. Conclusion: This study demonstrated that there could still be a role of non-operative management of children with adhesive bowel obstruction but decision on further management should be clearly defined within 24hours to prevent development of complications.

scholarly journals Intestinal Obstruction due to Acute Appendicitis

2020 ◽  
Vol 14 (2) ◽  
pp. 346-353 ◽  
Author(s):  
Pham Hong Duc ◽  
Ngo Minh Xuan ◽  
Nguyen Huu Thuyet ◽  
Huynh Quang Huy
Keyword(s):  
Computed Tomography ◽  
Small Bowel ◽  
Acute Appendicitis ◽  
Intestinal Obstruction ◽  
Small Bowel Obstruction ◽  
Male Patient ◽  
Bowel Obstruction ◽  
Clinical Manifestations ◽  
Specific Research ◽  
The Right

Acute appendicitis has been proven to be a usual cause of mechanical small bowel obstruction since 1901, but there has been very little specific research on this subject. It usually occurs as an effect of adhesion because of periappendicular inflammation. Although previous studies exist, this presentation of acute appendicitis is not widely identified, which might lead to delays in making the right diagnosis and initiating treatment. We herein report a 17-year-old male patient who presented with the clinical manifestations of intestinal obstruction and fever for 3 days. Preoperative ultrasound and subsequent computed tomography were performed. On laparotomy, an obstructed bowel was seen, and the appendix was recognized to be the cause. We herein report a case of intestinal obstruction due to acute appendicitis and present an overview of the literature.

Possibilities of radiologiсal techniques in the diagnosis of acute adhesive intestinal obstruction caused by Meckel diverticulum

2019 ◽  
pp. 93-99
Author(s):  
V. K. Labutin ◽  
M. V. Rostovtsev ◽  
N. V. Nudnov ◽  
V. A. Kulabuhov ◽  
E. V. Pronkina
Keyword(s):  
Intestinal Obstruction ◽  
Distal Part ◽  
Clinical Manifestations ◽  
Meckel Diverticulum ◽  
Adhesive Intestinal Obstruction

Meckel diverticulum is a non-permanent diverticulum of the distal part of the ileum, which is the remnant of the yolk duct. Meckel diverticulum is a true diverticulum formed by all layers of the ileum wall. Usually it is located on the antimesenteric edge of the ileum at 60 cm from the ileocecal angle. This pathology is often asymptomatic, and the patient begins to be examined only when complications appear. Clinical manifestations depend on the type of complications.

scholarly journals ASSESSMENT AND MANAGEMENT OF INTESTINAL OBSTRUCTION IN PATIENTS ATTENDING TERTIARY CARE INSTITUTE

2021 ◽  
Vol 5 (11) ◽  
Author(s):  
Manish R. Malani ◽  
Sangita Santosh Nimbalkar
Keyword(s):  
Abdominal Pain ◽  
Inguinal Hernia ◽  
Intestinal Obstruction ◽  
Bowel Obstruction ◽  
Tertiary Care ◽  
Diagnostic Techniques ◽  
Acute Intestinal Obstruction ◽  
Postoperative Adhesions ◽  
Operative Findings ◽  
Adhesive Obstruction

Background and Aim: Bowel obstruction is the most common intra-abdominal problem faced by general surgeons in their practice. Therefore better understanding of pathophysiology, improvement in diagnostic techniques, fluid and electrolyte correction, much potent antibiotics and knowledge of intensive care is required. present study was undertaken to study the management and post-operative complications of intestinal obstruction. Material and Methods: This is a prospective study of 97 cases presenting with symptoms and signs suggestive of acute intestinal obstruction. All patients are subjected to required preoperative biochemical investigations. Patients who showed reduction in abdominal distention and improvement in general condition especially in individuals with postoperative adhesions, a chance of conservative management was taken (by extending the supportive treatment) for further 12 to 24 hours; those who showed improvement by moving bowels, reduction in pain and tenderness was decided for conservative treatment, such individuals were excluded in this study. Results: The occurrence of acute intestinal obstruction was common in male in comparison with female. The commonest presenting symptom was abdominal pain (100%) followed by vomiting (92.7%), distention of abdomen (87.6%) and absolute constipation (53.6%). In this study, Adhesive obstruction (56.7%) was the commonest cause of acute intestinal obstruction. Release of adhesions and bands was done in 43 cases. Resection and end-to-end anastomosis was done in 25 cases, which included cases of intussusceptions, adhesions, stricture, ileocaecal growth, colonic growth. Conclusion: Most common etiological factor for intestinal obstruction is postoperative adhesions. Obstructed Inguinal Hernia is second most common cause of intestinal obstruction. Clinic radiological and operative findings put together can bring about the best and accurate diagnosis of intestinal obstruction. Key Words: Abdominal pain, Adhesions, Bands, Bowel obstruction, Inguinal Hernia,

scholarly journals Management of adhesive intestinal obstruction

1970 ◽  
Vol 32 (2) ◽  
pp. 18-20
Author(s):  
A Niyaf ◽  
RS Bhandari ◽  
KP Singh
Keyword(s):  
Intestinal Obstruction ◽  
Bowel Obstruction ◽  
Expectant Management ◽  
Developed Countries ◽  
High Morbidity ◽  
Male Predominance ◽  
Good Outcome ◽  
Extrinsic Compression ◽  
Initial Surgery ◽  
Adhesive Intestinal Obstruction

Introduction: Adhesive intestinal obstruction is an inevitable complication of abdominal surgeries. It has high morbidity with associated poor quality of life and predisposition to repeated hospitalization. Commonest cause of bowel obstruction in developed countries is postoperative adhesions with extrinsic compression of the intestine. Most of them can be managed conservatively. Methods: A retrospective study of 30 patients admitted with the diagnosis of post operative adhesive partial bowel obstruction was conducted by analyzing their medical records. Demographic data, clinical presentation including duration, previous surgical procedures, treatments received for the condition and successful conservative approach versus requirement of operative intervention were assessed. Results: The median age was 31 yrs, most in their third decade of life. Male predominance was noted. Pelvic surgeries and gynecological surgeries (26%) were found to be the most common cause of adhesive bowel obstruction followed by appendectomy (16%). More than two third of the patients (76.7%) developed symptoms within two years of the initial surgery. Successful conservative treatment was noted in 22 patients (73.3%) and discharged on fourth day of admission. Eight patients (26.6%) underwent surgery. They all underwent adhesiolysis and had good outcome. Conclusions: The time-honored practice of expectant management of adhesive partial bowel obstruction has equally good outcome, as compared to various interventions practiced Keywords: Adhesive bowel obstruction; conservative management DOI: http://dx.doi.org/10.3126/joim.v32i2.4939 Journal of Institute of Medicine, August, 2010; 32: 18-20

scholarly journals The Advantages of Minimally Invasive Surgery for Peritoneal Adhesions in Children

2018 ◽  
Vol 15 (3) ◽  
pp. 260-263
Author(s):  
Elena Yu. Dyakonova ◽  
Igor V. Poddubny ◽  
Аlexey A. Gusev ◽  
Аleksandr S. Bekin
Keyword(s):  
Laparoscopic Surgery ◽  
Intestinal Obstruction ◽  
Laparoscopic Approach ◽  
Main Group ◽  
Control Group ◽  
Peritoneal Adhesions ◽  
Surgical Interventions ◽  
Randomized Controlled Studies ◽  
Adhesive Intestinal Obstruction ◽  
Adhesive Obstruction

Background.Laparoscopic surgery has advantages over laparotomy. In pediatric practice, only single studies have been devoted to the leading role of laparoscopy in the treatment of peritoneal adhesions in children; randomized controlled studies have not been conducted.Objective.Our aim was to assess the advantages of laparoscopic methods of surgical treatment in patients with adhesive intestinal obstruction.Results.The main group included 58 children aged from 10 days to 18 years who underwent laparoscopic surgery. The control group included 49 children with acute adhesive intestinal obstruction. The incidence of early and late adhesive obstruction was 18 (31%) and 40 (69%) cases in the main group, 21 (42.9%) and 28 (57.1%) cases in the control group. The number of previous surgical interventions in the main group ranged from 1 to 6, in the control group – from 1 to 7. The advantages of a laparoscopic approach to the treatment of acute adhesive obstruction are confirmed by a significantly lower expression of the postoperative intestinal paresis and rapid recovery of peristalsis, early onset of enteral nutrition, and relatively rapid discharge from the hospital. It is important to note the absence of early and late postoperative complications in the laparoscopic group, especially repeated cases of intestinal obstruction (in contrast to the control group where two patients required repeated operations for obstruction).Conclusion.Laparoscopic technologies are a method of choice in the treatment of children with acute adhesive intestinal obstruction regardless of the age of patients, the extent of the adhesion process, the anatomical mechanism of intestinal obstruction.

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