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Original Research 


Prospective study of acute intestinal obstruction in adults based on etiology and severity indicators

Naresh Meena, Shivaji H Vidyarthi, Dinesh Kumar Barolia, Boski Gupta, Dhiraj Daga.

Abstract
Background: Intestinal obstruction is a common clinical entity in surgeons practice. In a large number of patient, therapeutic options are surgery versus conservative treatment; the choice of the treatment, that is, surgical versus conservative depends mainly on the surgeon’s assessment and therefore, is a clinical challenge to decide.

Aims and Objectives: The purpose of our study is early detection of strangulated bowel obstruction based on a clinical, laboratory, and radiological parameters, a severity indicator score developed by combining these parameters.

Materials and Methods: It was a hospital-based prospective observational study of 100 patients between April 2019 and October 2020 who presented with intestinal obstruction. Clinical, laboratory, and radiological parameters were noted and scoring was done as per severity scores.

Results: Common cause of obstruction in this study was adhesions 41%, tuberculosis 13%, malignance 8%, and mesenteric ischemia 6% followed by intussusception and volvulus. Patients who had score <3 were managed conservatively, while 90.9% of patients having a score of three or more where operated on, which was statistically significant.

Conclusion: Evaluation of the patient is not only to confirm the diagnosis but also timely management of strangulation and prevention of ischemia of gut to improve morbidity and mortality. This study used a severity scoring system of clinical parameters, laboratory and radiological investigation to help in the decision-making of treatment in a case of intestinal obstruction.

Key words: Intestinal Obstruction; Acute; Surgery; Severity Score; Etiology


 
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How to Cite this Article
Pubmed Style

Meena N, Vidyarthi SH, Barolia DK, Gupta B, Daga D. Prospective study of acute intestinal obstruction in adults based on etiology and severity indicators. Natl J Physiol Pharm Pharmacol. 2022; 12(11): 1865-1870. doi:10.5455/njppp.2022.12.094322022009102022

Web Style

Meena N, Vidyarthi SH, Barolia DK, Gupta B, Daga D. Prospective study of acute intestinal obstruction in adults based on etiology and severity indicators. https://www.njppp.com/?mno=110989 [Access: March 02, 2023]. doi:10.5455/njppp.2022.12.094322022009102022

AMA (American Medical Association) Style

Meena N, Vidyarthi SH, Barolia DK, Gupta B, Daga D. Prospective study of acute intestinal obstruction in adults based on etiology and severity indicators. Natl J Physiol Pharm Pharmacol. 2022; 12(11): 1865-1870. doi:10.5455/njppp.2022.12.094322022009102022


Vancouver/ICMJE Style

Meena N, Vidyarthi SH, Barolia DK, Gupta B, Daga D. Prospective study of acute intestinal obstruction in adults based on etiology and severity indicators. Natl J Physiol Pharm Pharmacol. (2022), [cited March 02, 2023]; 12(11): 1865-1870. doi:10.5455/njppp.2022.12.094322022009102022


Harvard Style

Meena, N., Vidyarthi, . S. H., Barolia, . D. K., Gupta, . B. & Daga, . D. (2022) Prospective study of acute intestinal obstruction in adults based on etiology and severity indicators. Natl J Physiol Pharm Pharmacol, 12 (11), 1865-1870. doi:10.5455/njppp.2022.12.094322022009102022


Turabian Style

Meena, Naresh, Shivaji H Vidyarthi, Dinesh Kumar Barolia, Boski Gupta, and Dhiraj Daga. 2022. Prospective study of acute intestinal obstruction in adults based on etiology and severity indicators. National Journal of Physiology, Pharmacy and Pharmacology, 12 (11), 1865-1870. doi:10.5455/njppp.2022.12.094322022009102022


Chicago Style

Meena, Naresh, Shivaji H Vidyarthi, Dinesh Kumar Barolia, Boski Gupta, and Dhiraj Daga. "Prospective study of acute intestinal obstruction in adults based on etiology and severity indicators." National Journal of Physiology, Pharmacy and Pharmacology 12 (2022), 1865-1870. doi:10.5455/njppp.2022.12.094322022009102022


MLA (The Modern Language Association) Style

Meena, Naresh, Shivaji H Vidyarthi, Dinesh Kumar Barolia, Boski Gupta, and Dhiraj Daga. "Prospective study of acute intestinal obstruction in adults based on etiology and severity indicators." National Journal of Physiology, Pharmacy and Pharmacology 12.11 (2022), 1865-1870. Print. doi:10.5455/njppp.2022.12.094322022009102022


APA (American Psychological Association) Style

Meena, N., Vidyarthi, . S. H., Barolia, . D. K., Gupta, . B. & Daga, . D. (2022) Prospective study of acute intestinal obstruction in adults based on etiology and severity indicators. National Journal of Physiology, Pharmacy and Pharmacology, 12 (11), 1865-1870. doi:10.5455/njppp.2022.12.094322022009102022


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