This clinical report is based on a review of the records of 239 patients with intestinal obstruction that were managed at the Department of Srugery, St. Columban's Hospital, Mokpo, Korea durign 5 years from January, 1986 to December, 1990.
@ES The results of the study were obtained as follows:
@EN 1) The most prevalent age group was the first decade and the ratio of male to female was revealed 1.75 : 1.
2) In the seasonal incidences, 3 months from July to September was predominent(36.0%).
3) The causative disease were intussusception in 96 cases(40.2%), postoperative adhesions in 87 cases(36.4%), external hernia in 17 cases(7.1%), neoplasm in 10 cases(4.1%).
4) The previous abdominal operation leading to intestinal obstruction revealed appendectomy(30.6%), small bowel surgery(26.9%), gastroduodenal surgery(12.0%), gynecologic surgery(10.1%).
5) The location of intestinal obstruction were 82.8% in small bowel, and 17.2% in large bowel.
6) The incidence of bowel strangulation was 35 cases(14.6%).
7) The cardinal symptoms and were abdominal pain(85.8%), abdominal tenderness(77.8%), abdominal distention(67.4%), vomiting(66.1%).
8) Among 239 cases, 82 cases(34.3%) had conservative treatment, 101 cases(42.3%) emergency operation, and 56 cases(23.4%) delayed elective operation.
9) The type of operation procedure were resection and anastomosis(30.6%), manual reduction and appendectomy(25.5%), adhesiolysis(20.4%).
10) The hospitalization period under 10 days was 77.8%.
11) The incidence of postoperative complication was 31 cases(19.7%), and the most common complication was wound infection.
12) The over all motality rate was 4 cases(1.7%) and the most common cause of death was sepsis.
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