Co-Morbidities and Post-Operative Complications in Patients of Acute Intestinal Obstruction at Tertiary Care Institute of North India

Abstract

Background: There is limited information on the post operative complications and associated co-morbidities for bowel obstruction. Present study was done to evaluate the Co-Morbidities and Post operative complications in Patients of acute intestinal obstruction at IGMC Shimla. Material and Methodology: This cross sectional study was done among total of 50 patients admitted with features of acute intestinal obstruction in the general surgery department of Indira Gandhi Medical College Shimla, randomly selected during the period from 15 June 2019 to 15 June 2020. Data regarding Socio-demographic Characteristics, Co-Morbidities and Post operative complications was extracted and analysed using Epi Info Software v7. Results: The study showed the peak incidence of Intestinal obstruction in the age group 51-60 (11) and 61-70(10) years .Mean age in our current study was 53 years and male to female ratio was 3:1. In present study diabetes (18%) was the most common co-morbidity followed by hypertension (10%). Surgical site infection (SSI) was the most common post-operative complication (33%) followed by respiratory tract infection (17%) and septicemia (7%). This study shows that major complications occurred in patients having both hypertension and diabetes. Patients with diabetes are more liable to complications than hypertension. Conclusion: Our study concluded that diabetes and hypertension were the most common co-morbidities while Surgical site infection, respiratory tract infection and septicemia (SSI) were the most common post-operative complication among patients of Acute Intestinal Obstruction.