Similarities between Preexplorative Diagnosis and Perexplorative Findings of Intestinal Obstruction Patients in Two Tertiary Care Hospitals in Bangladesh

Journal of Enam Medical College Pub Date : 2019-09-22 DOI:10.3329/jemc.v9i3.43243

S. Akter, D. Paul, D. Das

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Abstract

Background: Intestinal obstruction is a common surgical problem that surgeons face in clinical practice. Still intestinal obstruction is a major problem in medical college hospitals in Bangladesh. Causes of intestinal obstruction remain same as earlier. There is lack of statistical data in our country. So, this study will be helpful in various aspect of management of intestinal obstruction patients by providing data. Objective: To find out similarities between preoperative diagnosis with actual peroperative findings of intestinal obstruction. Materials and Methods: This cross-sectional study was conducted from April 2013 to April 2014 at Enam Medical College Hospital and Dhaka Medical College Hospital. Two hundred patients were selected by purposive sampling of diagnosed cases of intestinal obstruction. Results: Among the subjects male were 124 (62%) and female were 76 (38%). Mean age was 34.56 ± 9.13 years. The maximum respondents were from 21–30 years age group (54%) followed by 31–40 years (18%) age group. Chronic intestinal obstruction was present in 53% cases and acute intestinal obstruction in 47% cases. The clinical profile showed that all patients had abdominal pain followed by vomiting (78%). The preoperative diagnosis of intestinal obstruction was neoplastic obstruction (24%) followed by obstructed hernia (22.5%). The highest similarities (100%) were observed in case of volvulus and ileosigmoid knotting. Obstructed hernia had the highest accuracy (97.7%) followed by neoplastic obstruction (91.66%). Maximum patients (13.5%) suffered from wound infection followed by burst abdomen (3%). Conclusion: The preoperative diagnoses are very much similar to peroperative findings. The clinical parameters and other mandatory diagnostic tools commonly used in tertiary level hospitals in our country showed diagnostic accuracy in diagnosis of intestinal obstruction. J Enam Med Col 2019; 9(3): 155-159

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孟加拉国两家三级护理医院对肠梗阻患者的探索性诊断和反复研究结果的相似性

背景：肠梗阻是外科医生在临床实践中面临的常见外科问题。肠梗阻仍然是孟加拉国医学院医院的一个主要问题。肠梗阻的原因与早期相同。我国缺乏统计数据。因此，本研究将为肠梗阻患者管理的各个方面提供数据。目的：了解肠梗阻的术前诊断与术中实际表现的相似性。材料和方法：这项横断面研究于2013年4月至2014年4月在搪瓷医学院医院和达卡医学院医院进行。通过对诊断为肠梗阻的病例进行有目的的抽样，选择了200名患者。结果：受试者中男性124人（62%），女性76人（38%）。平均年龄34.56±9.13岁。最多的受访者来自21至30岁年龄组（54%），其次是31至40岁（18%）年龄组。53%的病例出现慢性肠梗阻，47%的病例出现急性肠梗阻。临床资料显示，所有患者都有腹痛，然后呕吐（78%）。术前对肠梗阻的诊断是肿瘤性梗阻（24%），其次是梗阻性疝（22.5%）。在肠扭转和回鞘样打结的病例中观察到最高的相似性（100%）。梗阻性疝的准确率最高（97.7%），其次是肿瘤性疝（91.66%）。最多的患者（13.5%）是伤口感染，然后是腹部爆裂（3%）。结论：术前诊断与术后发现非常相似。我国三级医院常用的临床参数和其他强制性诊断工具对肠梗阻的诊断具有准确性。搪瓷医学杂志2019；9（3）：155-159

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Journal of Enam Medical College

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审稿时长

35 weeks