Diagnosis and treatment of mechanical bowel obstruction
Main Article Content
Were admitted 166 patients to the Hospital Universitario del Valle with a clinical diagnosis of mechanical bowel obstruction in 1983; 64.5% of patients were male, and only 39% of cases consulted less than 24 hours between the onset of symptoms and admission. The more frequent symptoms and signs were abdominal pain (86%), nausea and vomiting (79%), and abdominal distension (69%). Plain X-ray abdominal films showed signs of intestinal obstruction in 47%, even though 40% of patients had incarcerated inguinal hernias, and films were not taken in the majority of patients.
The etiology for the obstruction was external hernias in 40.4%, postsurgical adhesions in 25.9%, congenital lesions in 14.5%, intussusception in 6.6%, malignancy in 3.6%, and others in 9%. The intestines were normal in 44.6%, intestinal ischemia in 40.4%, and necrosis in 15%. The vast majority of obstructions were located at the ileon. The overall frequency of complications was 21.6%, and mortality was 2.4%. The average hospital stay was 6.3 days.
Downloads
- Carlos Manzano, Edgar Torres, Bridel Miranda, Ligadura de la arteria hepática trauma severo hígado , Colombia Medica: Vol. 5 No. 1 (1974)
- Armando González, Armando Vernaza, Leonardo Velásquez, Rodrigo Guerrero, Diego Fajardo, Edilberto Gómez, Miguel Esmeral, Laparotomía rutinaria o selectiva en trauma abdominal abierto y cerrado , Colombia Medica: Vol. 7 No. 3 (1976)
- María Victoria Pérez, Jaime Rubiano, Armando González, Edgar Torres, Abraham Kestengerg, Manejo de heridas precordiales en el Hospital Universitario del Valle. Un nuevo enfoque. , Colombia Medica: Vol. 15 No. 4 (1984)
- Armando Vernaza, Edilberto Gómez, Laparoscopia diagnóstica: 460 casos en el Hospital Universitario del Valle , Colombia Medica: Vol. 14 No. 2,3 (1983)
- Armando González M, Soleil Velásquez, Rita Iglesias, Olga L Rojas, Edgar Torres, La infección de heridas limpias como patrón de la calidad del cuidado quirúrgico. , Colombia Medica: Vol. 14 No. 1 (1983)
- Armando González M, Carlos Barbato, Leonardo Velásquez, Edgar Torres, Roberto Arrom, Armando Vernaza, Apendicitis en el Hospial Universitario del Valle Cali 1964-1973 , Colombia Medica: Vol. 8 No. 2 (1977)
- Alcibíades Hernández, Armando Gonzáles, Abraham Kestenberg, Edilberto Gómez, Colon trauma: analysis of the medical records of 165 patients at the Hospital Universitario del Valle, Cali, Colombia , Colombia Medica: Vol. 19 No. 3 (1988)
- Olga Lucía Rojas, Armando Gonzáles, Edilberto Gómez, Edgar Torres, Acute appendicitis - diagnosis and treatment , Colombia Medica: Vol. 18 No. 4 (1987)
- Armando Gonzáles M., Olga Lucía Rojas, Edilberto Gómez, Edgar Torres, Etiology, management, and outcomes of biliary obstructive disease at the Hospital Universitario del Valle, Cali, Colombia. , Colombia Medica: Vol. 20 No. 2 (1989)
- Carlos Alberto Ordóñez, Ricardo Ferrada D., Edgar Torres, Guillermo Flórez, Open abdomen in intra-abdominal sepsis. Nylon mesh with zipper , Colombia Medica: Vol. 20 No. 4 (1989)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
The copy rights of the articles published in Colombia Médica belong to the Universidad del Valle. The contents of the articles that appear in the Journal are exclusively the responsibility of the authors and do not necessarily reflect the opinions of the Editorial Committee of the Journal. It is allowed to reproduce the material published in Colombia Médica without prior authorization for non-commercial use