RESUMEN
INTRODUCTION: Intestinal obstruction can be defined as impairment to the abnormal passage of intestinal contents that may be due to either mechanical obstruction or failure of normal intestinal motility in the absence of an obstructing lesion.The causes of a small bowel obstruction can be divided into three categories: extra luminal, intrinsic, Intraluminal. METHODOLOGYThis is a retrospective observational study. All patients presenting to the Emergency and Out-Patient Department of surgery unit with features of intestinal obstruction were screened to identify the patients with AIO. RESULTS AND DISCUSSIONIn this study total 60 no. of pt. were evaluated during the period of January 2017 to June 2018. From these 60 pts. 22 pts. managed conservatively where as 38 pts. were managed surgically. Overall mean age group of these pt. was 54 and M:F ratio was 1.3:1. Male has higher incidence than female .Among these pts. abdominal pain and vomiting are more common symptom than obstipation .Among this 60 patients, 20 patients had previous abdominal surgery, 16 patient had exploratory laparotomy for abdominal trauma , perforation, gynaec procedure , appendicitectomy, etc. 4 patient developed features of obstruction following laproscopic T.L. among these 6 patients were managed conservatively and 14 patient undergo surgery.Mean duration for surgically managed was 2.8 days. Mean duration for conservatively managed patients was 2.9 days. Among the surgically managed pts. 14 had adhesions, 11 had stricture, 8 had obstructed hernia, 1 had intussusception, 4 had abdominal TB. Surgical procedures were done according to the cause of the obstruction.History of abdominal surgery was found to be more frequent in whom obstruction was relieved conservatively.