Ten years ago, what was the main etiology of intestinal obstructions? Historical perspective: A retrospective cohort study.

Abstract

Aims: Etiology of intestinal obstruction differs between countries. This study was designed to review a large series of patients with intestinal obstruction in an attempt to represent our historical aspect of experience in Turkey 10 years ago.

Methods: A review of the charts of 1387 patients admitted for intestinal obstruction during an 8-year period (2000 through 2007) was carried out.

Results: Cases were divided into two groups. Group A consisted of 1186 (85.5%) patients underwent operation. The remaining 201 (14.5%) patients managed non-operatively constituted group B. External strangulated hernias (inguinal, femoral, umbilical and incisional) were the most common cause of intestinal obstruction in group A, accounting for 46% of cases. Neoplasms and adhesions were common cause accounting for 19% and 18% of cases respectively.

Conclusion: External hernias are the most common cause of intestinal obstruction in our hospital. Increased efforts to repair external hernias electively before strangulation occurs are likely to reduce the incidence. Some major changes in etiology rank are present in current literature. New studies have to be performed to reveal current condition.

Keywords

• Intestinal obstruction,Etiology,Hernia,Adhesions,Neoplasms

On yıl önce intestinal obstrüksiyonlarda ana etiyoloji neydi? Tarihsel açıdan inceleme: Retrospektif kohort çalışma

Öz

Amaç: İntestinal obstrüksiyon etiyolojisi ülkeler arasında farklılık göstermektedir. Bu çalışma Türkiye’deki 10 yıl önceki deneyimlerimizi temsilen geniş bir hasta serisini sunmayı amaçlamaktadır.

Metod: Sekiz yıllık sure içerisinde (2000 – 2007) intestinal obstrüksiyon nedeniyle başvuran 1381 hastanın dosyası incelendi.

Bulgular: Olgular iki gruba ayrıldı. A Grubunu ameliyata alınan 1186 (%85.5) hasta oluşturdu. Geriye kalan 201 ameliyat dışı tedavi uygulanan hasta B grubunu oluşturdu. Eksternal boğulmuş fıtıkların (%46) (inguinal, femoral, umblikal ve insizyonel) A grubu içerisinde intestinal obstrüksiyona sebep olan en sık neden olduğu saptandı. Tümör ve adezyonlar; %19 ve %18’lik oranla sık görülen nedenler içinde yer aldı.

Sonuç: Eksternal herniler intestinal obstrüksiyon nedenleri arasında en sık neden olarak saptandı. Eksternal hernileri olan hastaları elektif şartlarda boğulma gerçekleşmeden ameliyata teşvik etmek bu sıklığı düşürebilir. Mevcut literatürde etiyoloji sıralamasında bazı önemli değişiklikler mevcuttur. Yeni çalışmalar mevcut durumu ortaya çıkarmak için yapılmalıdır.

Anahtar Kelimeler

• İntestinal obstrüksiyon; Etiyoloji,Fıtık,Adezyon,Tümör

Kaynakça

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