Subacute Intestinal Obstruction: Clinical Profile and Short-term Follow up in a Tertiary Care Hospital in Bangladesh

Jimma Hossain; Md. Shakhawat Hossain; Md Naushad Ali; Md Shafiul Alam; Abu hena Md. Shohel Rana; Md. Maniruzzaman Sarkar; Md. Noor Islam

doi:10.37591/rrjoi.v8i3.593

Abstract

Background: Subacute intestinal obstruction (SAIO) implies incomplete, intermittent, or recurrent obstruction. The diagnosis of SAIO is usually delayed and several patients continue to suffer from symptoms for weeks and months due to the waxing and waning nature of the disease. Objective: To see the clinical presentation, aetiology, type of management and short-term outcome of the patients of SAIO. Method: This prospective cohort study was performed in the Department of Gastroenterology, Rangpur Medical College Hospital, Rangpur, Bangladesh, from Jan 2015 to Dec 2017 over a period of two years. A total of 100 diagnosed patient of SAIO who was admitted during the study period was taken as patients. Patients with acute strangulated and complicated intestinal obstructions were excluded from the study. Results: Males were predominant than female (4.3:1) in this study. Duration of symptom was <1 month in 41.0% cases, 1–3 months in 28.0% cases and >3 months in 31.0% cases. A single episode was found in 14.0% cases, 2–3 episodes was in 43.0% cases and >3 episodes in 43.0% cases. Maximum patients (79.0%) had colicky abdominal pain. Eighty-eight patients were treated conservatively and 12.0% were surgical. According to aetiology, 28.0% of cases had intestinal TB, 18.0% had small/large gut adenocarcinoma, 4.0% had Crohn’s disease, and 1.0% had post-operative band and adhesions in this study. In this study, 18 (18.0%) patients cured completely, 51.0% partially, 19.0% persistent symptoms and 12.0% were expired. Conclusion: SAIO is more common in a male. Fifty-one (51.0%) patients were diagnosed. Most of the diagnosed cases were intestinal TB (28.0%). Eighty-eight (88.0%) were treated conservatively and among them 19.3% cured completely and 52.3% had partial improvement. Keywords: Subacute intestinal obstruction, intestinal TB, Crohn’s disease, short-term outcomeCite this ArticleJimma Hossain, Md. Shakhawat Hossain, Md. Naushad Ali et al. Subacute Intestinal Obstruction: Clinical Profile and Short-term Follow up in a Tertiary Care Hospital in Bangladesh. Research & Reviews: A Journal of Immunology. 2018; 8(3): 19–23p.