Retrospective Study of Acute Small Bowel Obstruction: In Eastern India

ABSTRACT

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.