Retrospective Study of Acute Small Bowel Obstruction: In Eastern India

This is a study conducted in a tertiary care hospital in eastern India aiming to provide detailed description of etiology progression and management of acute small bowel obstruction in our patients. Methods: Around 215 patients presented with features of acute intestinal obstruction.All presented with pain abdomen ,vomiting and distension and constipation. Results: Subsequently 58 patients managed conservatively and rest 157 patients managed surgically.In most of the patients multiple air fluid level are the most common radiological findings.External hernias (34.4%) are the most common causeof acute small bowel obstruction.Resection and anastomosis(24.8%) done in of strangulated bowel and rest are managed by hernia repair, adhesiolysis and stomy formation,Wound infection are the most common post-operative complication. Morbidity(2%) and mortality was mainly due to old age and late presentation. Conclusion: In all cases early diagnosis and surgical intervention are the keys to reduce complications and mortality.

Application of nasointestinal decompression intubation in small bowel obstruction / 介入放射学杂志

Objective To evaluate the nasointestinal decompression intubation in acute small intestinal obstruction. Methods Ten patients with acute small bowel obstruction received nasointestinal decompression intubation under x-ray guidance. The nasointestinal decompression tube passing over a guidewire was inserted into small intestine near Tres ligament or further down distally with assistance of patients adopting in multi-physical positions. Results The intubation of nasointestinal decompression tubes into small intestine was technically successful in all patients with average procedural time of 16 min.(10 ～ 35 min). After placement of the tube, all patients obtained various degrees of symptoms relief including abdominal pain, distention, vomiting, etc. Four patients with simple adhesive obstruction recovered completely and the tube was removed 2 weeks later. Three patients were refered to surgical operation, and 3 others gave up for further treatment. There were no complications such as bleeding or perforation related to intubation. Conclusion Nasointestinal decompression intubation under guidance of X-ray is rather simple, less time consuming, especially with high efficiency for preoperative gastrointestinal decompression and treating simple adhesive bowel obstruction; ought to be recommended. [