Background: Acute intestinal obstruction is one of common abdominal emergencies and is associated with significant morbidity and mortality, especially if it progresses to bowel ischemia. The aim of this study is to analyse various modes of presentation of acute intestinal obstruction in both children and adult age group, etiopathogenesis, various therapeutic modalities of treatment and to accomplish operative management and anticipate the post-operative complication.

Aims and Objectives: 1.To analyze the different clinical presentations, causes and treatment options available for intestinal obstruction cases.

2. My dissertation includes study of 50 cases of intestinal obstruction on randomized selection.
3. To diagnose the intestinal obstruction early so that we can prevent complications caused by delayed diagnosis and treatment.
4. To study the follow up and analysis of these patients for 3 months.

Methods: Fifty consecutive patients of all age groups presenting with acute intestinal obstruction were admitted in Andhra Medical College King George hospital were taken randomly and managed between January 2017 to January 2018. A detailed examination was done as per proforma after admission. Plain X-ray erect abdomen was done in all cases except inguinal hernias with obstruction.

Results: Mean age distribution was 45 years. Incidence in male was more compared to female. Pain abdomen was found in 50(100%), vomiting in 44 (88%), distension abdomen in 40 (80%) and constipation in 46 (92%) patients as main complaint. Commonest cause was postoperative adhesions. Mean duration of stay in hospital was between 1-5 weeks (average 2 weeks).

Conclusion: All age groups were involved. More commonly found in males than females. Main complaint was pain abdomen followed by constipation, vomiting, and distension. Plain X-ray abdomen and ultrasonography were important. Pathology ranged from simple bands to malignant obstruction. Postoperative adhesions were the commonest cause of obstruction. Earlier the presentation better the outcome was found.

Keywords: Intestinal obstruction, Intussusception, Resection and anastomosis.

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Dr K. Jagadeesh

Postgraduate, Department of General surgery, King George Hospital, Andhra Medical College, Visakhapatnam, India