DOI: 10.36347/sasjs

Pages: 141-143

This study is needed because intestinal obstruction is frequently encountered problem in general surgery and is associated with considerable morbidity and mortality. A better understanding of the pathophysiology of bowel obstruction and the use of isotonic fluid resuscitation, intestine tube decompression, and antibiotics has greatly reduced the mortality rate for patients with a mechanical bowel obstruction. However, patients with a bowel obstruction still represent some of the most difficult and vexing problems that surgeons face with regard to correct diagnosis, optimal timing of therapy, and appropriate treatment. Patients suffering from this condition require careful evaluation and management. There is need to evaluate strategies for operative and non-operative management of intestinal Obstruction. 53% of total was conservative cases having pain, vomiting and distension less severity compared to 47% of total operated cases. Out of all cases, adhesions cases were 24%. The average hospital stay of conservative cases was 5 days and that of operative was 14 days. The cases with conservative treatment showed improvement within 72 hrs. Many studies and review article published on this topic. Different studies shown the same result that is, adhesions being most common etiological factor should be treated conservatively first as in our study. Out of all adhesions cases, 79% rate reported showed that appendicectomies and colorectal resections were responsible for 43% of cases.