Professor of Surgery, Malla Reddy Medical College for Women, Hyderabad, Telangana, India.

Associate Professor of Surgery, Malla Reddy Medical College for Women, Hyderabad, Telangana, India.
Intestinal obstruction ,Mortality rate ,Tertiary care hospital ,

The mortality rate of intestinal obstruction is as high as 30% in spite of extensive research and studies done till now. Although the mortality rate continues to decrease with better understanding of pathophysiology improvements in diagnostic techniques and surgical management, most of these are limited to the major hospitals with better health care facilities. This study was conducted at a tertiary care hospital during the period of 2012 August to 2014 August among a total of fifty patients diagnosed as acute intestinal obstruction. Diagnosis is done pre-operatively as Acute Intestinal Obstruction with the guidance of clinical and radiological and biochemical parameters. Small bowel obstruction was the common cause of obstruction with 72% of the cases compared to 28% due to large bowel obstruction. Males were affected more with nearly twice the number of patients compared to females (M : F = 1.94 : 1). Small bowel obstruction was the common cause in both males and females. Small bowel obstruction was seen more in young (32%) and middle aged (26%) people, compared to large bowel obstruction with 8% and 8% respectively. whereas nearly equal frequency was seen in people who were more than 60 yrs old 14% and 12% in small and large bowel obstruction respectively.

5 , 6 , 2015