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Proportion, Associated Factors and Management Outcome Intestinal Obstruction Among Acute Abdomen in Tibebe Ghion Specialized Hospital, Bahr Dar, Ethiopia, 2021

Received: 17 January 2023     Accepted: 7 April 2023     Published: 27 April 2023
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Abstract

Background; One of the most prevalent acute abdominal illnesses, intestinal obstruction (IO), frequently necessitates immediate surgical treatment in a hospital setting. Surgical care, however, can occasionally result in unfavorable results marked by both fatal and nonfatal postoperative sequelae. Objective; to assess the proportion and associated factors of the results of the management of intestinal obstruction at TGSH Bahir Dar Ethiopia 2021 Methods; an institution-based cross-sectional study was conducted among patients who were surgically treated for IO during the last 1 year at the TGSH. Patient participants were selected using a systematic random sampling technique. A structured research tool was used to collect all the necessary data from the patients’ medical records. Data was analyzed by using SPSS version 21 Frequencies with percentages was used to describe the surgical management outcome of IO. Binary logistic regression model was used to explore the determinant factors associated with the surgical management outcome of IO. Factors at P value< 0.05 were declared statically significant. Result: There were 2023 total surgical admissions in the TGSH surgical ward over the course of the 12-month study period. The adjusted odds ratio (AOR) for intestinal obstruction is 3.24 with a 95% confidence interval (CI) for men (p=0.003). AOR=12.53 and 95% CI showed a significant association between living in a rural area and intestinal blockage. Duration of illness before operation (in days) had also significantly associated with intestinal blockage. Conclusion: The second most typical cause of acute abdomen in TGSH was intestinal obstruction. Hence, this study found that small intestinal obstruction was more common than large bowel obstruction. The most common causes of minor and large bowel blockage were, respectively, adhesion/band and sigmoid volvulus. IO was more prevalent in rural areas and among men. Most patients were relatively old, in the 5th and6th decades of life.

Published in Journal of Surgery (Volume 11, Issue 2)
DOI 10.11648/j.js.20231102.13
Page(s) 41-54
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This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2023. Published by Science Publishing Group

Keywords

Intestinal Obstruction, Prevalence, Causes, Management Outcome

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    Erdachew Gallo Beyene, Tewodros Kassahun Tarekegn, Rediet Habtu Lebelo, Helen Assefa Berhe, Hiwot Samuel Legesse, et al. (2023). Proportion, Associated Factors and Management Outcome Intestinal Obstruction Among Acute Abdomen in Tibebe Ghion Specialized Hospital, Bahr Dar, Ethiopia, 2021. Journal of Surgery, 11(2), 41-54. https://doi.org/10.11648/j.js.20231102.13

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    Erdachew Gallo Beyene; Tewodros Kassahun Tarekegn; Rediet Habtu Lebelo; Helen Assefa Berhe; Hiwot Samuel Legesse, et al. Proportion, Associated Factors and Management Outcome Intestinal Obstruction Among Acute Abdomen in Tibebe Ghion Specialized Hospital, Bahr Dar, Ethiopia, 2021. J. Surg. 2023, 11(2), 41-54. doi: 10.11648/j.js.20231102.13

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    AMA Style

    Erdachew Gallo Beyene, Tewodros Kassahun Tarekegn, Rediet Habtu Lebelo, Helen Assefa Berhe, Hiwot Samuel Legesse, et al. Proportion, Associated Factors and Management Outcome Intestinal Obstruction Among Acute Abdomen in Tibebe Ghion Specialized Hospital, Bahr Dar, Ethiopia, 2021. J Surg. 2023;11(2):41-54. doi: 10.11648/j.js.20231102.13

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  • @article{10.11648/j.js.20231102.13,
      author = {Erdachew Gallo Beyene and Tewodros Kassahun Tarekegn and Rediet Habtu Lebelo and Helen Assefa Berhe and Hiwot Samuel Legesse and Fitsum Terefe Asfaw and Solomon Endale Dagnachew and Michael Million Minase and Rediet Abebe Mekonnen and Efrata Sentayehu Teshome and Teame Kiflom Gaim and Salem Sium Mesfin},
      title = {Proportion, Associated Factors and Management Outcome Intestinal Obstruction Among Acute Abdomen in Tibebe Ghion Specialized Hospital, Bahr Dar, Ethiopia, 2021},
      journal = {Journal of Surgery},
      volume = {11},
      number = {2},
      pages = {41-54},
      doi = {10.11648/j.js.20231102.13},
      url = {https://doi.org/10.11648/j.js.20231102.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20231102.13},
      abstract = {Background; One of the most prevalent acute abdominal illnesses, intestinal obstruction (IO), frequently necessitates immediate surgical treatment in a hospital setting. Surgical care, however, can occasionally result in unfavorable results marked by both fatal and nonfatal postoperative sequelae. Objective; to assess the proportion and associated factors of the results of the management of intestinal obstruction at TGSH Bahir Dar Ethiopia 2021 Methods; an institution-based cross-sectional study was conducted among patients who were surgically treated for IO during the last 1 year at the TGSH. Patient participants were selected using a systematic random sampling technique. A structured research tool was used to collect all the necessary data from the patients’ medical records. Data was analyzed by using SPSS version 21 Frequencies with percentages was used to describe the surgical management outcome of IO. Binary logistic regression model was used to explore the determinant factors associated with the surgical management outcome of IO. Factors at P value.05 were declared statically significant. Result: There were 2023 total surgical admissions in the TGSH surgical ward over the course of the 12-month study period. The adjusted odds ratio (AOR) for intestinal obstruction is 3.24 with a 95% confidence interval (CI) for men (p=0.003). AOR=12.53 and 95% CI showed a significant association between living in a rural area and intestinal blockage. Duration of illness before operation (in days) had also significantly associated with intestinal blockage. Conclusion: The second most typical cause of acute abdomen in TGSH was intestinal obstruction. Hence, this study found that small intestinal obstruction was more common than large bowel obstruction. The most common causes of minor and large bowel blockage were, respectively, adhesion/band and sigmoid volvulus. IO was more prevalent in rural areas and among men. Most patients were relatively old, in the 5th and6th decades of life.},
     year = {2023}
    }
    

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  • TY  - JOUR
    T1  - Proportion, Associated Factors and Management Outcome Intestinal Obstruction Among Acute Abdomen in Tibebe Ghion Specialized Hospital, Bahr Dar, Ethiopia, 2021
    AU  - Erdachew Gallo Beyene
    AU  - Tewodros Kassahun Tarekegn
    AU  - Rediet Habtu Lebelo
    AU  - Helen Assefa Berhe
    AU  - Hiwot Samuel Legesse
    AU  - Fitsum Terefe Asfaw
    AU  - Solomon Endale Dagnachew
    AU  - Michael Million Minase
    AU  - Rediet Abebe Mekonnen
    AU  - Efrata Sentayehu Teshome
    AU  - Teame Kiflom Gaim
    AU  - Salem Sium Mesfin
    Y1  - 2023/04/27
    PY  - 2023
    N1  - https://doi.org/10.11648/j.js.20231102.13
    DO  - 10.11648/j.js.20231102.13
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 41
    EP  - 54
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.20231102.13
    AB  - Background; One of the most prevalent acute abdominal illnesses, intestinal obstruction (IO), frequently necessitates immediate surgical treatment in a hospital setting. Surgical care, however, can occasionally result in unfavorable results marked by both fatal and nonfatal postoperative sequelae. Objective; to assess the proportion and associated factors of the results of the management of intestinal obstruction at TGSH Bahir Dar Ethiopia 2021 Methods; an institution-based cross-sectional study was conducted among patients who were surgically treated for IO during the last 1 year at the TGSH. Patient participants were selected using a systematic random sampling technique. A structured research tool was used to collect all the necessary data from the patients’ medical records. Data was analyzed by using SPSS version 21 Frequencies with percentages was used to describe the surgical management outcome of IO. Binary logistic regression model was used to explore the determinant factors associated with the surgical management outcome of IO. Factors at P value.05 were declared statically significant. Result: There were 2023 total surgical admissions in the TGSH surgical ward over the course of the 12-month study period. The adjusted odds ratio (AOR) for intestinal obstruction is 3.24 with a 95% confidence interval (CI) for men (p=0.003). AOR=12.53 and 95% CI showed a significant association between living in a rural area and intestinal blockage. Duration of illness before operation (in days) had also significantly associated with intestinal blockage. Conclusion: The second most typical cause of acute abdomen in TGSH was intestinal obstruction. Hence, this study found that small intestinal obstruction was more common than large bowel obstruction. The most common causes of minor and large bowel blockage were, respectively, adhesion/band and sigmoid volvulus. IO was more prevalent in rural areas and among men. Most patients were relatively old, in the 5th and6th decades of life.
    VL  - 11
    IS  - 2
    ER  - 

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Author Information
  • Department of Surgery Yekatite 12 Hospital Medical College, Addis Ababa, Ethiopia

  • Department of Medicine, Hayat Medical College, Addis Ababa, Ethiopia

  • Department of Medicine, College of Health and Medical Science, Mekelle University, Mekelle, Ethiopia

  • Department of Medicine, College of Health Science, Addis Ababa University, Tikurs Anbessa, Addis Ababa, Ethiopia

  • Department of Medicine, Myung sung Medical College, Addis Ababa, Ethiopia

  • Department of Surgery Yekatite 12 Hospital Medical College, Addis Ababa, Ethiopia

  • Department of Medicine, Hayat Medical College, Addis Ababa, Ethiopia

  • Department of Medicine, St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia

  • Department of Public Health, Kea Med Medical College, Addis Ababa, Ethiopia

  • Department of Medicine, Africa Medical College, Addis Ababa, Ethiopia

  • Department of Nursing, Asmara College of Health Sciences, Asmara, Eritrea

  • Department of Nursing, Asmara College of Health Sciences, Asmara, Eritrea

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