Naseer Ahmed Baloch, Khan Mohammad Babar, Mohammad Azam Mengal, Shehzada Ameer A Babar.
Spectrum of mechanical Intestinal Obstruction.
J Surg Pak Jan ;7(1):7-9.

A prospective study of 116 cases of mechanical bowel obstruction was carried out in the Department of Surgery, Sandemen Provincial Teaching Hospital Quetta over a period of two years (May 99-Apr 01). The objectives of study were to find out causes of mechanical intestinal obstruction in this locality and to evaluate the morbidity, mortality and outcome of these patients and compare the results with other studies conducted within the country and abroad. The diagnosis was established on the basis of history, clinical findings, radiological examination and by exploration of abdomen and histopathological examination in selected cases. Abdominal tuberculosis was found to be the commonest cause in 29.3% of patients, followed by obstructed/strangulated external hernias in 27.5% of patients. Among the other causes bands and adhesions were found in 17.2% and volvulus of colon in 13.7%. Out of these 56% were having simple intestinal obstruction. 26 patients developed complications, mainly chest and wound problems. The mortality rate was 3.4%. Seventy five patients (64.6%) visited O.P.D. for follow up.

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