113 patients who were admitted ana treated under the diagnosis of intestinal obstruction in the department of surgery, Chungnam National University Hospital from 1985. 3. 1. to 1987. 12. 31., are analyzed,
The results are as followings :
1) The sex ratio of male to female was 2 : 1.
2) As to the age distribution, 1st decade was most prevalent(43%), followed by 6th decade(14%), 3rd decade(12%), & 5th decade(12%).
3) 6% of patients was treated previously due to intestinal obstruction.
4) Most frequent symptoms were abdominal pain, vomiting, & abdominal distention.
5) Most frequent physical signs were abdominal distention, abdominal tenderness, followed by hyperperistalsis.
6) The most frequent cause of ileus was postoperative adhesion(50%), followed by intussusception(39%), & cancer(6%).
7) As to the method of treatment, 2/3 of patients with intestinal adhesion were successfully treated with tubs decompression, and 2/3 of patients with intussusception with barium enema.
8) As to the- method of operation, adhesiolysis was carried out in 40% of patients, and segmental resection and anastomosis in 36% of patients.
9) Among the patients who had response to nasogastric or nasointestinal tote decompression, 80% of patients was improved within 49 hours, ana 96% of patients within 72 hours.
10) Postoperation complications were occured in 24% of patients, such as pleural effusion, enterocutaneous fistula, paralytic ileus, & pneumonia.
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