Logo-aim
Arch Iran Med. 2023;26(5): 241-247.
doi: 10.34172/aim.2023.37
PMID: 38301086
PMCID: PMC10685864
Scopus ID: 85171482766
  Abstract View: 1236
  PDF Download: 756

Original Article

A Seven-Year Etiological Study of Adult Bowel Obstruction in Shiraz, Iran

Seyed Ali Hosseini 1,2 ORCID logo, Mohammed Abdzaid Akool 3, Amir Hossein Emami Meybodi 4 ORCID logo, Seyed Vahid Hosseini 2,4* ORCID logo

1 Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran
2 Colorectal Research Center, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
3 Department of Surgery, Faculty of Medicine, Jabir Ibn Hayyan Medical University, Najaf, Iraq
4 Department of Surgery, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
*Corresponding Author: Seyed Vahid Hosseini, Email: hoseiniv@sums.ac.ir

Abstract

Background: Bowel obstruction is a disorder in the passage of bowel contents, the etiology of which varies depending on temporal and geographical conditions. This study investigated the etiology of bowel obstruction in a large number of patients at an adult surgery referral center in southern Iran.

Methods: In this cross-sectional study, we reviewed the medical records of all patients admitted to Shahid Faghihi hospital (Shiraz, Iran) between 2014 and 2020 with a diagnosis of small or large bowel obstruction. Patients with missing or obscure data on etiology were excluded. Data was collected on the patients’ age, gender, history of relevant surgeries, comorbidities, cause of obstruction, site/type of obstruction, treatment, intensive care unit (ICU) admission, length of hospital stay, and outcome. Statistical analyses were made using SPSS v. 25.0.

Results: A total of 2781 bowel obstruction patients (61.4% males, 38.6% females) with a median age of 58 (IQR 43-71) years were studied. Most responded to non-surgical treatment (61.3%). While the obstruction was mostly partial (65.5%), 94.4% of patients with complete obstruction required surgery. Small bowel obstruction (SBO) was almost three times more prevalent than large bowel obstruction (LBO). Adhesion bands were the leading cause of SBO (66.77%), while LBO was primarily due to colorectal tumors (33.9%).

Conclusion: The predominant etiology of LBO was colorectal cancer, suggesting that policymakers should improve surveillance programs to detect the condition earlier. Regarding SBO, the leading cause was adhesion bands, indicating the necessity of further efforts to reduce the rate of adhesions following intra-abdominal operations.


Cite this article as: Hosseini SA, Abdzaid Akool M, Emami Meybodi AH, Hosseini SV. A seven-year etiological study of adult bowel obstruction in Shiraz, Iran. Arch Iran Med. 2023;26(5):241-247. doi: 10.34172/aim.2023.37
First Name
 
Last Name
 
Email Address
 
Comments
 
Security code


Abstract View: 1237

Your browser does not support the canvas element.


PDF Download: 756

Your browser does not support the canvas element.

Submitted: 27 Dec 2021
Revision: 05 Feb 2023
Accepted: 19 Mar 2023
ePublished: 01 May 2023
EndNote EndNote

(Enw Format - Win & Mac)

BibTeX BibTeX

(Bib Format - Win & Mac)

Bookends Bookends

(Ris Format - Mac only)

EasyBib EasyBib

(Ris Format - Win & Mac)

Medlars Medlars

(Txt Format - Win & Mac)

Mendeley Web Mendeley Web
Mendeley Mendeley

(Ris Format - Win & Mac)

Papers Papers

(Ris Format - Win & Mac)

ProCite ProCite

(Ris Format - Win & Mac)

Reference Manager Reference Manager

(Ris Format - Win only)

Refworks Refworks

(Refworks Format - Win & Mac)

Zotero Zotero

(Ris Format - Firefox Plugin)