A retrospective analysis of 201 patients with small bowel resection admitted to Department of Surgery, Jeonbug National University Hospital during the past 8 years from 1975 to 1982 was conducted.
The ratio of male to female was 2.5:1 and the age distribution revealed the highest incidence in 3rd decade (20.4%).
The causes of small bowel resection were intestinal strangulation (36.3%), trauma (22.4 %), complicated typhoid enteritis (13.9%), tumor (10.0%) and others in order of frequency. And the most common cause of strangulation was volvulus, 28 in 73 cases.
Among the 201 cases of small bowel resection, the history of previous operation was observed in 42 cases (20.9%). The most frequent type of the previous operations was the appendiceal operation and the most common cause of resection in the previously operated patients was intestinal adhesion.
As to-the regions resected and their frequency, the ileum was resected most frequently (46.8%), follwed by ileal resection including right colon (28.9%), jejunal resection (16.9%) and jejunoileal resection (7.4%).
As for the length of resection, resection within 20cm was conducted most frequently (55.2%) followed by resection of 21~l00cm (37.8%), resection of l01~200cm (4.5%), and resection over 201 cm (2.5%).
The mean duration of hospitalization was lengthened parallel to the increment of the length of resection.
The postoperative complications were developed in 90 cases (48.8%) with predominance of wound complications including infection, seroma and dehescence.
The postoperative mortality was 6.0% and its most common cause was sepsis.
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