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Morbidity and Mortality of Acute Mechanical Intestinal Obstruction in the General Surgery Department of the Ignace Deen National Hospital in Conakry

Received: 7 November 2021     Accepted: 25 November 2021     Published: 24 December 2021
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Abstract

The aim of this study is to assess the morbidity and mortality factors associated with acute mechanical intestinal obstruction. Acute mechanical bowel obstruction is one of the most common pathologies in emergency digestive surgery. The objective of this study was to assess mortality from acute mechanical intestinal obstruction. Materials and methods: This was a descriptive and analytical typical observational study from April 1 to September 30, 2020 in the General Surgery Department of the Ignace Deen National Hospital, Conakry University Hospital. Results: Acute mechanical bowel obstructions accounted for 18% of digestive surgical emergencies. The average age was 43.94 years old. The sex ratio was 2.26 in favor of men. The 40-59 age group was the most represented with 41.9%. The most common aetiologies were bridles 40.32% followed by pelvic colon volvulus 27.42%. The site of the obstacle was on the small bowel in 69% and on the colon in 31% of cases. Bowel resection followed by end-to-end anastomosis was performed in 53.22% of cases and flange resection in 40.32% of cases. Mortality was 23%, statistically correlated with ASA≥II score, site of occlusion, bowel resection, surgical site infection and stercoral fistula. Conclusion: Acute mechanical intestinal obstruction was frequent. Their etiologies were multiple. The care recorded a significant mortality. Improving the prognosis of acute mechanical intestinal obstruction depends on early and adequate management.

Published in Journal of Surgery (Volume 9, Issue 6)
DOI 10.11648/j.js.20210906.15
Page(s) 277-281
Creative Commons

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), 2021. Published by Science Publishing Group

Keywords

Mechanical Acute Bowel Obstruction, Morbidity, Mortality

References
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[6] Harouna Y, Yaya H, Abarchi H, RakotoMJ, Gazi M, Seibou A et coll. Les occlusions intestinales: principales causes et morbi-mortalité à l’hôpital National de Niamey Niger étude prospective à propos de 124 cas. Médecine d'Afrique Noire 2000; 47 (4): 204-207.
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[8] Idris OL, Adejumobi OM, Kolawole OA, Oguntola AS, Akanbi OO, Beyioku KB et coll. Acute mechanical bowel obstruction among adults seen at the Ladoke Akintola University of technology teaching hospital in Nigeria. East and Central African Journal of Surgery 2015; 20 (1): 73-78.
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Cite This Article
  • APA Style

    Mamadou Sakoba Barry, Soriba Naby Camara, Hamidou Sylla, Aboubacar Toure, Aïssatou Taran Diallo. (2021). Morbidity and Mortality of Acute Mechanical Intestinal Obstruction in the General Surgery Department of the Ignace Deen National Hospital in Conakry. Journal of Surgery, 9(6), 277-281. https://doi.org/10.11648/j.js.20210906.15

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    ACS Style

    Mamadou Sakoba Barry; Soriba Naby Camara; Hamidou Sylla; Aboubacar Toure; Aïssatou Taran Diallo. Morbidity and Mortality of Acute Mechanical Intestinal Obstruction in the General Surgery Department of the Ignace Deen National Hospital in Conakry. J. Surg. 2021, 9(6), 277-281. doi: 10.11648/j.js.20210906.15

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    AMA Style

    Mamadou Sakoba Barry, Soriba Naby Camara, Hamidou Sylla, Aboubacar Toure, Aïssatou Taran Diallo. Morbidity and Mortality of Acute Mechanical Intestinal Obstruction in the General Surgery Department of the Ignace Deen National Hospital in Conakry. J Surg. 2021;9(6):277-281. doi: 10.11648/j.js.20210906.15

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  • @article{10.11648/j.js.20210906.15,
      author = {Mamadou Sakoba Barry and Soriba Naby Camara and Hamidou Sylla and Aboubacar Toure and Aïssatou Taran Diallo},
      title = {Morbidity and Mortality of Acute Mechanical Intestinal Obstruction in the General Surgery Department of the Ignace Deen National Hospital in Conakry},
      journal = {Journal of Surgery},
      volume = {9},
      number = {6},
      pages = {277-281},
      doi = {10.11648/j.js.20210906.15},
      url = {https://doi.org/10.11648/j.js.20210906.15},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20210906.15},
      abstract = {The aim of this study is to assess the morbidity and mortality factors associated with acute mechanical intestinal obstruction. Acute mechanical bowel obstruction is one of the most common pathologies in emergency digestive surgery. The objective of this study was to assess mortality from acute mechanical intestinal obstruction. Materials and methods: This was a descriptive and analytical typical observational study from April 1 to September 30, 2020 in the General Surgery Department of the Ignace Deen National Hospital, Conakry University Hospital. Results: Acute mechanical bowel obstructions accounted for 18% of digestive surgical emergencies. The average age was 43.94 years old. The sex ratio was 2.26 in favor of men. The 40-59 age group was the most represented with 41.9%. The most common aetiologies were bridles 40.32% followed by pelvic colon volvulus 27.42%. The site of the obstacle was on the small bowel in 69% and on the colon in 31% of cases. Bowel resection followed by end-to-end anastomosis was performed in 53.22% of cases and flange resection in 40.32% of cases. Mortality was 23%, statistically correlated with ASA≥II score, site of occlusion, bowel resection, surgical site infection and stercoral fistula. Conclusion: Acute mechanical intestinal obstruction was frequent. Their etiologies were multiple. The care recorded a significant mortality. Improving the prognosis of acute mechanical intestinal obstruction depends on early and adequate management.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Morbidity and Mortality of Acute Mechanical Intestinal Obstruction in the General Surgery Department of the Ignace Deen National Hospital in Conakry
    AU  - Mamadou Sakoba Barry
    AU  - Soriba Naby Camara
    AU  - Hamidou Sylla
    AU  - Aboubacar Toure
    AU  - Aïssatou Taran Diallo
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    N1  - https://doi.org/10.11648/j.js.20210906.15
    DO  - 10.11648/j.js.20210906.15
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 277
    EP  - 281
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.20210906.15
    AB  - The aim of this study is to assess the morbidity and mortality factors associated with acute mechanical intestinal obstruction. Acute mechanical bowel obstruction is one of the most common pathologies in emergency digestive surgery. The objective of this study was to assess mortality from acute mechanical intestinal obstruction. Materials and methods: This was a descriptive and analytical typical observational study from April 1 to September 30, 2020 in the General Surgery Department of the Ignace Deen National Hospital, Conakry University Hospital. Results: Acute mechanical bowel obstructions accounted for 18% of digestive surgical emergencies. The average age was 43.94 years old. The sex ratio was 2.26 in favor of men. The 40-59 age group was the most represented with 41.9%. The most common aetiologies were bridles 40.32% followed by pelvic colon volvulus 27.42%. The site of the obstacle was on the small bowel in 69% and on the colon in 31% of cases. Bowel resection followed by end-to-end anastomosis was performed in 53.22% of cases and flange resection in 40.32% of cases. Mortality was 23%, statistically correlated with ASA≥II score, site of occlusion, bowel resection, surgical site infection and stercoral fistula. Conclusion: Acute mechanical intestinal obstruction was frequent. Their etiologies were multiple. The care recorded a significant mortality. Improving the prognosis of acute mechanical intestinal obstruction depends on early and adequate management.
    VL  - 9
    IS  - 6
    ER  - 

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Author Information
  • Department of General Surgery, Ignace National Hospital, Faculty of Health Sciences and Technology, Gamal Abdel Nasser University of Conakry, Conakry, Guine

  • Department of Visceral Surgery, Friendship Hospital Sino Guinean, Faculty of Health Sciences and Technology, Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • Department of Visceral Surgery, Donka National Hospital, Faculty of Health Sciences and Technology, Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • Department of General Surgery, Ignace National Hospital, Faculty of Health Sciences and Technology, Gamal Abdel Nasser University of Conakry, Conakry, Guine

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