CHARACTERISTICS OF PATIENTS WITH INTESTINAL OBSTRUCTION SECONDARY TO ADHESIONS, IN THE COMPLEJO HOSPITALARIO DR. ARNULFOARIAS MADRID, PANAMA, 2015

Abstract

INTRODUCTION. The intestinal obstruction secondary to adhesions is very frequent, being its main treatment the conservative management, however, there are factors that can predict the failure of this, and lead us towards an onset surgical treatment, which would decrease morbi-mortality.
OBJETIVE. Describe the characteristics of patients with intestinal obstruction secondary to adhesions.
METHODS. It’s a descriptive, retrospective and cross-sectional study. 80 files were reviewed.
RESULTS. There was no significant difference between sexes. There was a predominance of 56% of obstruction in people over 65 years. 47.5% of the patients were treated conservatively, 35% failed and surgery was performed. The failure of conservative management predominated in people over 65 years of age. Patients with heart disease (14%), cancer (19%) and radiotherapy (12%) were more likely to undergo surgery. More than 60% of the failure in conservative management had more than 5 days of evolution. 90% of patients with failed conservative management had leukocytosis. More than 90% of patients with positive tomographic findings required surgery. Over 90% of failed conservative management were hospitalized for 5 days or more and had complications in more than 50%.
CONCLUSION. It was demonstrated that sex was not related to the development of the Intestinal Obstruction. Patients older than 65 years, surgical history, time of evolution, heart disease and cancer, leukocytosis and positive findings on CT scan are associated with conservative management failure, complications and longer hospital stay.