ISSN: 1300-0292
İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED
CINAHL, Index Copernicus,
Chemical Abstracts (CA),
Excerpta Medica / EMBASE
Dil: Türkçe, İngilizce
İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri
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Clinical Analysis Of Patients Operated Ondue To Mechanical Intestinal Obstruction
Suat Hayri KAĞIZMAN*, Metin BELVİRANLI**, Mustafa ŞAHİN***,
Celalettin VATANSEV***, Ömer KARAHAN****, Hüsnü ALPTEKİN*****
*Op.Dr.Selçuk Üniversitesi Tıp Fakültesi Genel Cerrahi Kliniği,
**Doç.Dr.Selçuk Üniversitesi Tıp Fakültesi Genel Cerrahi Kliniği,
***Yrd.Doç.Dr.Selçuk Üniversitesi Tıp Fakültesi Genel Cerrahi Kliniği,
****Prof.Dr.Selçuk Üniversitesi Tıp Fakültesi Genel Cerrahi Kliniği,
*****Dr.Selçuk Üniversitesi Tıp Fakültesi Genel Cerrahi Kliniği, KONYA
In this study, 287 patients with mechanical intestinal obstruction who underwent emergency operation between April 1983 and April 1996 were rewieved retrospectively. About 75% of the obstruction was in small intestine, 20% in colon and 5% in both. The most frequent causes of obstruction were adhesive bands (31.7%), volvulus (21.3%), strangulated hernia (13.2%) and intestinal tumours (12.9%). About 20,9% of adhesive obstructions occured during the first month after laparotomy and the most common causes were appendicectomy and cholecystectomy. There was an increased risk of a food bolus obstruction in the patient who had had a gastrojejunostomy. In the comparison of the cases operated on before and after 1990 of the study, adhesive obstructions and obstructed hernias decreased from 40% and 12.5% to 26% and 10% respectively. Obstructed tumours increased from 6.5% to 18%. The volvulus ratio was unchanged. The postoperative complication rate was 53.6% and the most freguent cause was infection. The mortality rate was 11.1%.
Keywords: Ileus, Volvulus, Besoar, Adhesion
Turkiye Klinikleri J Med Sci 1997, 17:203-209
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