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Incidence and Causes of Intestinal Obstruction in Saudi Adults: Tertiary Care Hospital Study

Author Affiliations

  • 1 Demonstrator of Anatomy, Dept. of Anatomy, Faculty of Medicine (Rabigh Branch), King Abdulaziz University, Jeddah, SAUDI ARABIA
  • 2 General and Laparoscopic Surgery (France), Department of Surgery, Faculty of Medicine, King Abdulaziz University, Jeddah, SAUDI ARABIA

Int. Res. J. Medical Sci., Volume 2, Issue (2), Pages 22-24, February,28 (2014)

Abstract

To determine the incidence and causes of intestinal obstruction in Adults. This is a retrospective review of all adult patients who were diagnosed with intestinal obstruction at King Abdulaziz University Hospital between January 2005 and December 2012. According to the cause, patients were classified into two categories: patients with mechanical obstruction and patients with functional obstruction. The patients’ medical records were reviewed for age, gender, causes of the intestinal obstruction, clinical picture, diagnostic imaging and management. The data were entered and analyzed using the statistical package for social sciences (SPSS Inc, Chicago, IL, USA), version 16.00. Total of 320 cases of intestinal obstruction, 184 were males (57.5%) and 136 were females (42.5%). The mean age was 47.11±13.74 years old (range 18-89). Mechanical obstruction were found in 232 patients (72.5%) while functional obstruction were found in 88 patient (27.5%). The most common cause of intestinal obstruction was post-operative adhesionswhich was reported in 92 patients (28.75%); it was followed by intestinal tumors in 43 patients (13.44%), diverticular disease in 41 patients (12.81%), post-abdominal surgery paralytic ileus in 33 patients (10.31%), mesenteric ischemia in 31 patients (9.67%), Crohn’s disease in 28 patients (8.75%), intra-abdominal infection in 24 patients (7.5%), foreign body impaction in 6 patients (1.9%), impacted stool in 6 patients (1.9%), intussusception in 6 patients (1.9%), mesenteric lymphadenopathy in 4 patients (1.25%), ascariasis in 3 patients (0.94%) and abscess of intestinal wall in 3 patients (0.94%). Post-operative abdominal adhesions was the most common cause of intestinal obstruction in our patients (28.78%) followed by intestinal tumor (13.44). It is important for the clinician and surgeon to know common causes of this problem in order to provide proper patient management.

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