Document Detail

Intestinal obstructions: what has changed so far?
MedLine Citation:
PMID:  20302033     Owner:  NLM     Status:  MEDLINE    
The aim of this study is to evaluate the changing factors related to surgery in intestinal obstruction. The surgical records of patients who were operated for intestinal obstruction at Hacettepe University Medical School during the years 1980-1985 and 2000-2005 were evaluated retrospectively. There were 92 patients in group I and 185 patients in group II. The cause of intestinal obstruction was adhesions in 41.30% of the patients in group I and tumors in 45.95% of the patients in group II (P = 0.0001). Patients with peritoneal carcinomatosis constituted 3.26% of the patients in group I and 27.03% of the patients in group II (P = 0.0001). Abdominal computed tomography was not used in the first group and was used in 60.54% of those in the second group (P = 0.0001). Complications were seen in 40.54% of patients in the second group and in 26.08% of patients in the first group (P = 0.01). During the past 20 years, changes have occurred that were related to causes, diagnostic tools, and nutritional support for patients undergoing surgery for intestinal obstruction. Despite these changes, no changes in length of hospital stay or mortality have been reported. Intestinal obstruction due to peritoneal carcinomatosis seems to be a growing problem.
Derya Karakoc; Alptekin Memis; Iskender Sayek
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International surgery     Volume:  94     ISSN:  0020-8868     ISO Abbreviation:  Int Surg     Publication Date:    2009 Oct-Dec
Date Detail:
Created Date:  2010-03-22     Completed Date:  2010-05-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0043524     Medline TA:  Int Surg     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  344-9     Citation Subset:  IM    
Department of General Surgery, Hacettepe University Medical School, Sihhiye, Ankara, Turkey.
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MeSH Terms
Aged, 80 and over
Chi-Square Distribution
Diagnostic Imaging
Intestinal Neoplasms / complications,  diagnosis,  epidemiology,  surgery
Intestinal Obstruction / diagnosis,  epidemiology,  etiology,  surgery*
Middle Aged
Postoperative Complications / epidemiology
Retrospective Studies
Risk Factors
Treatment Outcome
Turkey / epidemiology

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