Background; One of the most prevalent acute abdominal illnesses, intestinal obstruction (IO), frequently necessitates immediate surgical treatment in a hospital setting. Surgical care, however, can occasionally result in unfavorable results marked by both fatal and nonfatal postoperative sequelae. Objective; to assess the proportion and associated factors of the results of the management of intestinal obstruction at TGSH Bahir Dar Ethiopia 2021 Methods; an institution-based cross-sectional study was conducted among patients who were surgically treated for IO during the last 1 year at the TGSH. Patient participants were selected using a systematic random sampling technique. A structured research tool was used to collect all the necessary data from the patients’ medical records. Data was analyzed by using SPSS version 21 Frequencies with percentages was used to describe the surgical management outcome of IO. Binary logistic regression model was used to explore the determinant factors associated with the surgical management outcome of IO. Factors at P value< 0.05 were declared statically significant. Result: There were 2023 total surgical admissions in the TGSH surgical ward over the course of the 12-month study period. The adjusted odds ratio (AOR) for intestinal obstruction is 3.24 with a 95% confidence interval (CI) for men (p=0.003). AOR=12.53 and 95% CI showed a significant association between living in a rural area and intestinal blockage. Duration of illness before operation (in days) had also significantly associated with intestinal blockage. Conclusion: The second most typical cause of acute abdomen in TGSH was intestinal obstruction. Hence, this study found that small intestinal obstruction was more common than large bowel obstruction. The most common causes of minor and large bowel blockage were, respectively, adhesion/band and sigmoid volvulus. IO was more prevalent in rural areas and among men. Most patients were relatively old, in the 5th and6th decades of life.
| Published in | Journal of Surgery (Volume 11, Issue 2) |
| DOI | 10.11648/j.js.20231102.13 |
| Page(s) | 41-54 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2023. Published by Science Publishing Group |
Intestinal Obstruction, Prevalence, Causes, Management Outcome
| [1] | Michael J. Zinner, Stanley W. Ashley et al: Maginot’s Abdominal Operations. 11th Ed. New York: McGraw Hill, 2007. |
| [2] | Craig T. Albanese, John T. Anderson et al; Current surgical diagnosis and treatment. 12th ed. California: The McGraw- Hill Companies, Inc, 2006. |
| [3] | F. Charles Brunicardi, Dana K. Andersen et al: Schwartz Principles of Surgery. 9th Ed. Texas: McGraw-Hill, 2010. |
| [4] | Zeki Abdurahman, Mohammed Kedir. Chronic Sigmoid Volvulus Ethiop. J. Health Biomed Sci., 2010. Vol. 3, No. 1. |
| [5] | Shaikh MS, Dholia KR. Current Spectrum of Acute Intestinal obstruction at CMC Larkana. Medical Channel. 2010; 16 (2): 74–8. |
| [6] | QuillDS, Devlin HB, DehamKR. Surgical operation rates. A 12 year experiencesin Stocktonontees. AnnRCollSurgEngl. 2007; 65 (7): 248–53. |
| [7] | Khanzada TW, Samad A. Etiological spectrum of dynamic intestinal obstruction, Department of Surgery, Isra University Hospital, Hyderabad, Pakistan. GomalJMedSci. 2006; 12 (1): 35–6. |
| [8] | Miller G, Boman J, Shrier I, Gordon PH. Etiology of small bowel obstruction. Am J Surg. 2000; 180 (1): 33–36. doi: 10.1016/S0002-9610(00)00407-4. [PubMed] [CrossRef] [Google Scholar]. |
| [9] | Ten Broek RP, Issa Y, van Santbrink EJ, et al. Burden of adhesions in abdominal and pelvic surgery: systematic review and met-analysis. BMJ. 2013; 347: f5588. doi: 10.1136/bmj.f5588. [PMC free article] [PubMed] [CrossRef] [Google Scholar]. |
| [10] | Harken. A. H., earnest. G, Moore: small bowel obstruction, surgical Secrete, 5th edition, Elsevier: philadelphia, 2004, p: 170-174. |
| [11] | Green field’s, Mullholland M W, Oldham KT, et al: ileus and bowel obstruction, surgery: scientific principle and practice, 4rd edition, Lippincott, Williams and wilkins, Philadelphia, 2006. |
| [12] | Cappell MS, Batke M. Mechanical obstruction of the small bowel and colon. MedClin North Am. 2008; 92 (3): 575–97. |
| [13] | Gore RM, Silvers RI, Thakrar KH, et al. Bowel obstruction. RadiolClin N Am. 2015; 53 (6): 1225–40. |
| [14] | Batke M, Cappell MS. A dynamic ileus and acute colonic pseudo-obstruction. Med Clin North Am. 2008; 92 (3): 649–70. |
| [15] | Saunders MD, Kimmey MB. Systematic review: acute colonic pseudo-obstruction. Aliment PharmacolTher. 2005; 22: 917–25. |
| [16] | Frago R, Ramirez E, Millan M, Kreisler E, del Valle E, Biondo S. Current management of acute malignant large bowel obstruction: a systematic review. Am J Surg. 2014; 207 (1): 127–38. |
| [17] | Roses RE, Folkert IW, Krouse RS. Malignant bowel obstruction: reappraising the value of surgery. SurgOncolClin N Am. 2018; 27 (4): 705–15. |
| [18] | Kendrick ML. Partial small bowel obstruction: clinical issues and recent technical advances. Abdom Imaging 2009; 34: 329. |
| [19] | ShawanaAsad, Hafizullah Khan et al; aetiological factors in mechanical intestinal obstruction. J Ayub Med CollAbbottabad. 2011; 23 (3). |
| [20] | Mequanint N, Berhanetsehay T, Wondimagegn P (2017) Assessment of non-traumatic acute abdominal cases treated operatively at wolaita sodo teaching and referral hospital, Southern Ethiopia. Journal of Pharmacy and Alternative Medicine 14: 25-33. |
| [21] | Abeje w et al.: Retrospective analysis of mortalities in a tertiary care hospital in Northeast Ethiopia. BMC Research Notes20147: 46. |
| [22] | COSECSA/ASEA Publication- Inguinal Hernia Repair is Safe in Africa-East and Central African Journal of Surgery. July/August; 2013 Volume 18 (2). |
| [23] | P. K Okeny, T. G Hwang, D. M Ogwang: Acute Bowel Obstruction in a Rural Hospitals in Northern Uganda. East and Central African Journal of Surgery Volume 16 Number 1 March/April 2011. |
| [24] | Steven h. Untracht. Surgery in Africa, where resources are scarce: optimal management of intestinal obstruction and similar abdominal emergencies. Johnstown, Pennsylvania, USA. 1, 1-30. |
| [25] | Heis HA et al. Sigmoid volvulus in the Middle East. World J Surg. 2008; 32: 459–64. |
| [26] | Lawal, O. O., Olayinka, O. S. and Bankole, J. O. Spectrum of causes of intestinal obstruction in adult Nigerian patients. 2005, S. African J. Surg., 43: 34-36. |
| [27] | Ohene-Yeboah, M. Acute surgical admissions for abdominal pain in adults in Kumari, Ghana. 2006, Aust. N. Zealand J. Surg., 76: 898-903. |
| [28] | GEORGE D. ZUIDEMA, CHARLES J. YEO et al, Shackelford's Surgery of the Alimentary Tract, 5th Ed, Ann Arbor, Michigan: W. B. Saunders Company, 2002. |
| [29] | Ullah S, Khan M. Intestinal obstruction: A Spectrum of causes, Department of Surgery, Postgraduate Medical Institute Lady Reading Hospital, Peshawar Pakistan. JPMI. 2008; 8 (1): 210–3. |
| [30] | Cirocchi R, Abraha I, Farinella E, Montedori A, Sciannameo F. Laparoscopic versus open surgery in small bowel obstruction. Cochrane Database Syst Rev. 2010; 17 (2): 751–5. Shaikh MS, Dholia KR. Current Spectrumof Acute Intestinal obstruction at CMC Larkana. Medical Channel. 2010; 16 (2): 74–8. |
| [31] | Winslet MC, William NS, Bulstrode CJK, O’Connel PR. Bailey and love’s short practice of surgery: intestinal obstruction. 25th ed. London: Arnold; 2008. p. 1189–202. |
| [32] | Gebrie et al. Int J Surg Res Pract 2019, 6: 099 Volume 6 | Issue 2 DOI: 10.23937/2378-3397/1410099 Management Outcome and Associated Factors of Surgically Treated Non Traumatic Acute Abdomen at Attat Hospital, Gurage Zone, Ethiopia. |
| [33] | Soressa et al. BMC Surgery (2016) 16: 38 DOI 10.1186/s12893-016-0150-5 Prevalence, causes and management outcome of intestinal obstruction in Adama Hospital, Ethiopia. |
| [34] | M. Yohannes, M. Fanta, and T. Molla, “Proportion of intestinal obstruction and associated factors among patients Surgery Research and Practice 7 with non-traumatic acute abdomen admitted to surgical ward in Debre Birhan referral hospital, north East Ethiopia,” American Journal of Biomedical and Life Sciences, vol. 5, no. 3, pp. 54–62, 2017. |
| [35] | Ayalew T. Small intestinal volvulus in adults of Gondar region, N, W Ethiopia. Ethiop Med J. 2001; 30: 111–4. |
| [36] | Nega B. Pattern of acute abdomen and variables associated with advert outcome in a rural primary setting. Ethiop Med J. 2009; 47 (2): 143–51. |
| [37] | Faiz O, Banerjee S, Tekkis P, Papagrigoriadiset S, Rennie J, et al. (2007) We still need to operate at night. World J Emerg Surg 2: 29. |
| [38] | Demissie M. Small intestinal volvulus in Southern Ethiopia. EAMJ. 2005; 78 (4): 208–11. |
| [39] | Berhane Y, Girmay K, Gebresilassie A (2016) Outcome of emergency surgical operations performed for non-traumatic acute abdomen among adults in Mekele Hospital, Tigray, Ethiopia, 2013. European Journal of Pharmaceutical and Medical Research 3: 106-111. |
| [40] | A yenew, Z Gizaw, AT Workneh D, Fentahun N (2016) Outcome of non-traumatic surgical acute abdomen. |
| [41] | Hanks L, Lin CP, Tefera G, Seyoum N (2014) Abdominal surgical emergencies at Tikur Anbesa Specialized Hospital in Ethiopia; A shifting paradigm. East and Central African Journal of Surgery 19: 90-94. |
| [42] | Al-Mulhim AA (2006) Emergency general surgical admissions. Prospective institutional experience in non-traumatic acute abdomen: Implications for education, training and service. Saudi Med J 27: 1674-1679. |
| [43] | Nyundo M, Rugwizangoga E, Ntakiyiruta G, Kakande I (2013) Outcome of Emergency Abdominal Surgery at Kigali University Teaching Hospital: A review of 229 cases. East and Central African Journal of Surgery 18. |
| [44] | Tassew B, Haile MT, Tefera TB, Balda SS, Gonfa KB, et al. (2017) Presentation and outcome of acute abdomen in goba referral hospital, Goba, Southeast Ethiopia: Retrospective Study. SM J Fam Med 1: 1003. |
| [45] | Tsegaye S, Osman M, Bekele A (2006) Surgically treated acute abdomen at Gondar University Hospital, Ethiopia. East and Central African Journal of Surgery 12: 53-57. |
| [46] | Agbo SP, Oboirien M (2016) Adult intestinal obstruction: Risk factors and management. Merit Research Journal of Medicine and Medical Sciences 4: 351-355. |
| [47] | Espinoza R, BalbontÃn P, Feuerhake S. Acute abdomen in the elderly. Rev Med Chil. 2004; 132 (12): 1505–12. |
| [48] | Adesunkanmi ARK, Agbakwuru E. Changing pattern of acute intestinal obstruction in a tropical African population. East Afr Med J. 2011; 73 (11): 727–31. |
| [49] | Kotiso B, Abdurahman Z. Pattern of acute abdomen in adult patients in Tikur Anbessa Teaching Hospital, Addis Ababa. East Cent Afr J Surg. 2006; 12 (1): 47–52. |
| [50] | Johson. Prevalence of sigmoid volvulus in Tikur Anbessa hospital: Addis Abeba. EMJ. 2002; 4 (2): 129–32. |
APA Style
Erdachew Gallo Beyene, Tewodros Kassahun Tarekegn, Rediet Habtu Lebelo, Helen Assefa Berhe, Hiwot Samuel Legesse, et al. (2023). Proportion, Associated Factors and Management Outcome Intestinal Obstruction Among Acute Abdomen in Tibebe Ghion Specialized Hospital, Bahr Dar, Ethiopia, 2021. Journal of Surgery, 11(2), 41-54. https://doi.org/10.11648/j.js.20231102.13
ACS Style
Erdachew Gallo Beyene; Tewodros Kassahun Tarekegn; Rediet Habtu Lebelo; Helen Assefa Berhe; Hiwot Samuel Legesse, et al. Proportion, Associated Factors and Management Outcome Intestinal Obstruction Among Acute Abdomen in Tibebe Ghion Specialized Hospital, Bahr Dar, Ethiopia, 2021. J. Surg. 2023, 11(2), 41-54. doi: 10.11648/j.js.20231102.13
AMA Style
Erdachew Gallo Beyene, Tewodros Kassahun Tarekegn, Rediet Habtu Lebelo, Helen Assefa Berhe, Hiwot Samuel Legesse, et al. Proportion, Associated Factors and Management Outcome Intestinal Obstruction Among Acute Abdomen in Tibebe Ghion Specialized Hospital, Bahr Dar, Ethiopia, 2021. J Surg. 2023;11(2):41-54. doi: 10.11648/j.js.20231102.13
Share This Article
Twitter
Linked In
Facebook
Copy
Download@article{10.11648/j.js.20231102.13,
author = {Erdachew Gallo Beyene and Tewodros Kassahun Tarekegn and Rediet Habtu Lebelo and Helen Assefa Berhe and Hiwot Samuel Legesse and Fitsum Terefe Asfaw and Solomon Endale Dagnachew and Michael Million Minase and Rediet Abebe Mekonnen and Efrata Sentayehu Teshome and Teame Kiflom Gaim and Salem Sium Mesfin},
title = {Proportion, Associated Factors and Management Outcome Intestinal Obstruction Among Acute Abdomen in Tibebe Ghion Specialized Hospital, Bahr Dar, Ethiopia, 2021},
journal = {Journal of Surgery},
volume = {11},
number = {2},
pages = {41-54},
doi = {10.11648/j.js.20231102.13},
url = {https://doi.org/10.11648/j.js.20231102.13},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20231102.13},
abstract = {Background; One of the most prevalent acute abdominal illnesses, intestinal obstruction (IO), frequently necessitates immediate surgical treatment in a hospital setting. Surgical care, however, can occasionally result in unfavorable results marked by both fatal and nonfatal postoperative sequelae. Objective; to assess the proportion and associated factors of the results of the management of intestinal obstruction at TGSH Bahir Dar Ethiopia 2021 Methods; an institution-based cross-sectional study was conducted among patients who were surgically treated for IO during the last 1 year at the TGSH. Patient participants were selected using a systematic random sampling technique. A structured research tool was used to collect all the necessary data from the patients’ medical records. Data was analyzed by using SPSS version 21 Frequencies with percentages was used to describe the surgical management outcome of IO. Binary logistic regression model was used to explore the determinant factors associated with the surgical management outcome of IO. Factors at P value.05 were declared statically significant. Result: There were 2023 total surgical admissions in the TGSH surgical ward over the course of the 12-month study period. The adjusted odds ratio (AOR) for intestinal obstruction is 3.24 with a 95% confidence interval (CI) for men (p=0.003). AOR=12.53 and 95% CI showed a significant association between living in a rural area and intestinal blockage. Duration of illness before operation (in days) had also significantly associated with intestinal blockage. Conclusion: The second most typical cause of acute abdomen in TGSH was intestinal obstruction. Hence, this study found that small intestinal obstruction was more common than large bowel obstruction. The most common causes of minor and large bowel blockage were, respectively, adhesion/band and sigmoid volvulus. IO was more prevalent in rural areas and among men. Most patients were relatively old, in the 5th and6th decades of life.},
year = {2023}
}
TY - JOUR T1 - Proportion, Associated Factors and Management Outcome Intestinal Obstruction Among Acute Abdomen in Tibebe Ghion Specialized Hospital, Bahr Dar, Ethiopia, 2021 AU - Erdachew Gallo Beyene AU - Tewodros Kassahun Tarekegn AU - Rediet Habtu Lebelo AU - Helen Assefa Berhe AU - Hiwot Samuel Legesse AU - Fitsum Terefe Asfaw AU - Solomon Endale Dagnachew AU - Michael Million Minase AU - Rediet Abebe Mekonnen AU - Efrata Sentayehu Teshome AU - Teame Kiflom Gaim AU - Salem Sium Mesfin Y1 - 2023/04/27 PY - 2023 N1 - https://doi.org/10.11648/j.js.20231102.13 DO - 10.11648/j.js.20231102.13 T2 - Journal of Surgery JF - Journal of Surgery JO - Journal of Surgery SP - 41 EP - 54 PB - Science Publishing Group SN - 2330-0930 UR - https://doi.org/10.11648/j.js.20231102.13 AB - Background; One of the most prevalent acute abdominal illnesses, intestinal obstruction (IO), frequently necessitates immediate surgical treatment in a hospital setting. Surgical care, however, can occasionally result in unfavorable results marked by both fatal and nonfatal postoperative sequelae. Objective; to assess the proportion and associated factors of the results of the management of intestinal obstruction at TGSH Bahir Dar Ethiopia 2021 Methods; an institution-based cross-sectional study was conducted among patients who were surgically treated for IO during the last 1 year at the TGSH. Patient participants were selected using a systematic random sampling technique. A structured research tool was used to collect all the necessary data from the patients’ medical records. Data was analyzed by using SPSS version 21 Frequencies with percentages was used to describe the surgical management outcome of IO. Binary logistic regression model was used to explore the determinant factors associated with the surgical management outcome of IO. Factors at P value.05 were declared statically significant. Result: There were 2023 total surgical admissions in the TGSH surgical ward over the course of the 12-month study period. The adjusted odds ratio (AOR) for intestinal obstruction is 3.24 with a 95% confidence interval (CI) for men (p=0.003). AOR=12.53 and 95% CI showed a significant association between living in a rural area and intestinal blockage. Duration of illness before operation (in days) had also significantly associated with intestinal blockage. Conclusion: The second most typical cause of acute abdomen in TGSH was intestinal obstruction. Hence, this study found that small intestinal obstruction was more common than large bowel obstruction. The most common causes of minor and large bowel blockage were, respectively, adhesion/band and sigmoid volvulus. IO was more prevalent in rural areas and among men. Most patients were relatively old, in the 5th and6th decades of life. VL - 11 IS - 2 ER -
Information
Email: