A clinical review was made on 115 cases of intestinal obstruction, who admitted to department of surgery of Gyeong Sang National University Hospital from Jan, 1987 to July, 1991.
1) The most prevalent age group was 7th decade(13% in male and 15.8% in female) and male to female ratio was 2 ; 1
2) The most common etiology leading to intestinal obstruction was postoperative adhesion (45.2%), and intussusception(23.5%), neoplasm(9.6%), and congenital megacolon(7.0%) in orders.
3) The cardinal symptoms and signs were vomiting(74.8%), abdominal pain(65.2%), abdominal distension(54.8%), abdominal tenderness(53.9%), hypoperistalsis(29.6%), and obstipation(28.7%).
4) The previous operation leading to adhesive intestinal obstruction were acute appendicitis (27.3%), gynecologic disease(16.4%), gastroduodenal operation(14.5%) and hepatobiliary operation(10.9%).
5) The time interval between the previous operation and postoperative adhesive intestinal obstruction were 1-6 months and over 5 years in 12 cases(21.8%) respectively, 7-12 months in 11 cases(20.0%), and 1-3 years in 10 cases(18.2%).
6) The operative procedure were performed in 76 cases with emergency base 52 cases(45.2%) and elective 24 cases(20.9%) and conservative management in 39 cases(33.9%).
7) The type of operative procedure were adhesiolysis in 22 cases(28.9%), manual reduction in 20 cases(26.3%), and small bowel resection in to cases.
8) The 36 complications were developed in 28 patients of 76 operative management(36.8%) and the most common complication was pulamonary complication(33.3%).
9) The operative mortality was 3 cases out of 76 cases(4.0%) and the cause of death was sepsis.
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