Intestinal Obstruction Caused by Malignant Disease  (Incidence and Management)

A. Al-katib, Ali

	Intestinal Obstruction Caused by Malignant Disease (Incidence and Management)
Medical Journal of Babylon
Article 1, Volume 2, Issue 2, 2005, Pages 214-226
Author
Ali A. Al-katib
Abstract
This prospective study was carried out on 229 cases of intestinal obstruction admitted to surgical unit at Babylon general hospital over three year’s period from April 1999 to December 2001. Sixty patients out of total number were concentrated in our study that cases intestinal obstruction due to malignant while (169 patients) were non-malignant intestinal obstruction excluded from our study. Five patients due to small to bowel obstruction and (55 patients) due to large bowel. The aetiology of malignancy in intestinal obstruction (26, 2%) of all intestinal obstruction was this is increase of cases during last three years. this percentage divided into (2, 2%) SBOand (24%) LBOso colorectal carcinoma most common causes of LBO. Left-sided colon most common site in large bowel than in right sided colon due to maligncies. Malignant small bowel obstruction was rare because the primary neoplasm of small bowel is rare right colonic obstruction by tumor can be managed by resection with primary anastmosis whil left colonic obstruction managed by decompression or resection with decompression. The patient with malignant intestinal obstruction has incidence of wound infection (16,7%) while cardiopulmonary complication (20%) greater than other complication .the mortality rate is(26,3%) in obstructing caseespecially for late presentation. So the aim of this study is to evaluate the incidence of malignant intestinal obstruction during last three years and also to evaluate the mortality and morbidity in this group of patients in Babylon general teaching hospital.

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