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SAS Journal of Surgery | Volume-3 | Issue-08
Subacute Intestinal Obstruction: An Experience in Eastern India
Sasmita. Sethi, B. Nembian Raja Rajan
Published: Aug. 30, 2017 | 126 83
DOI: 10.36347/sasjs
Pages: 214-217
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Abstract
Around 356 patients presented with subacute intestinal obstruction. All presented with symptoms of nausea, vomiting, abdominal distension and obstipation 143 (40.1%) were managed surgically (emergency and elective surgeries) and 213 (59.8%) managed conservatively. Along with routine investigations, some patients required diagnostic laparoscopy when there was a diagnostic dilemma. Some patients required investigations like CECT abdomen & pelvis and CBNAAT for tuberculosis. Frequent causes of subacute intestinal obstruction are post-operative adhesions in 129 (36.2%), intestinal tuberculosis in 98 (27.5%), bands and adhesions in 48 (13.5%). Usual surgery done was resection and anastomosis of the affected gangrenous part with ileostomy or colostomy and the commonest site affected was ileum.