A Clinical analysis of Intestinal Obstruction in the Adult
Journal of the Korean Surgical Society
; : 335-342, 1997.
Artigo
em Coreano
| WPRIM (Pacífico Ocidental)
| ID: wpr-20282
Biblioteca responsável:
WPRO
ABSTRACT
Three hundred nine adult patients with the diagnosis of intestinal obstruction were treated at the Department of Surgery, Seoul National University Hospital during 5 years and three months from September 1989 to December 1994. A clinical analysis of those patients was done and the following results were obtained. The most prevalent age group was sixth decade in cases of 90(29%) and male to female ratio was 2.11. The etiologic factors included adhesions 206(66.7%), malignant disease 51(16.5%), hernia 10(3.2%), intussusception 9(2.9%), ischemic injury 7(2.3%), bezoar 6(1.9%), volvulus 6(1.9%), inflammatory disease 5(1.6%), intestinal tuberculosis 5(1.6%), and others 3(0.9%). Malignant obstructions increased and it may be caused by increased cases of cancer operation. The location of intestinal obstruction was small bowel in cases of 275(89%) and large bowel in the remained proportion. The frequency of strangulation was 14.2% and its causes were adhesion(56.8%), ischemic injury(15.9%), hernia(9.1%), malignant disease(6.8%), volvulus(6.8%), intestinal tuberculosis(2.3%), and intususception(2.3%). The main cardinal symptoms on admission were abdominal pain(93.9%), vomiting(79.3%), abdominal distension(72.8%), diarrhea(24.9%), obstipation(17.2%), bloody stool(11.7%) and the physical signs were abdominal tenderness(74.8%), abdominal distension(72.8%), altered bowel sound(55.0%), tachycardia(18.1%), fever(17.5%), rebound tenderness(8.4%) . Toxic signs such as fever, tachycardia, rebound tenderness with leukocytosis over 10,000/mm3 have the clinical significance in the strangulated obstruction. Operations were done in 196 cases and the types of operative procedures were resection (23.7%), bypass surgery (11.4%), adhesiolysis (11.1%), colostomy (8.4%), herniorrhaphy(1.8%), bezoar removal (1.8%), and others (0.6%). Operative complications occurred in 44 cases(22.4%) and among them, wound infection was the most common cause(7.7%).The overall mortality was 3.2% and sepsis was the most common cause(30%).
Texto completo:
Disponível
Contexto em Saúde:
ODS3 - Saúde e Bem-Estar
/
Doenças Negligenciadas
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ODS3 - Meta 3.3 Acabar com as doenças tropicais negligenciadas e combater as doenças transmissíveis
/
ODS3 - Meta 3.4 Reduzir as mortes prematuras devido doenças não transmissíveis
Problema de saúde:
Meta 3.3: Acabar com as doenças tropicais negligenciadas e combater as doenças transmissíveis
/
Diarreia
/
Doenças Negligenciadas
/
Tuberculose
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Infecções Diarreicas
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Sepse
/
Tuberculose
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Doença Cardiovascular
/
Doenças do Sistema Digestório
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Procedimentos Cirúrgicos Operatórios
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Taquicardia
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Tuberculose
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Infecção dos Ferimentos
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Bezoares
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Colostomia
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Mortalidade
/
Sepse
/
Volvo Intestinal
/
Diagnóstico
Tipo de estudo:
Estudo diagnóstico
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Estudo prognóstico
Limite:
Adulto
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Feminino
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Humanos
/
Masculino
País/Região como assunto:
Ásia
Idioma:
Coreano
Revista:
Journal of the Korean Surgical Society
Ano de publicação:
1997
Tipo de documento:
Artigo