Analysis of cause and treatment of acute intestinal obstruction in different age groups in metropolitan
10.3760/cma.j.issn.1671-0274.2001.01.012
- VernacularTitle:城市老年人和成年人急性肠梗阻病因及治疗分析
- Author:
Wenhui LOU
1
;
Xinyu QIN
Author Information
1. Zhongshan Hospital Medical School Fudan University
- From:
Chinese Journal of Gastrointestinal Surgery
2001;4(1):37-39
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the cause and therapeutic effect of acute intestinal obstruction of different age groups in metropolitan. Method The data of 165 cases of acute intestinal obstruction admitted in our department from January 1995 to December 1999 were analyzed retrospectively. Patients over 60 belonged to aged group and the ones below 60 belonged to adult group. Results Among 165 cases, 98 cases belonged to the aged group while 67 belonged to the adult group. There were 68 cases of colorectal cancer, 45 cases of adhesion, 13 cases of cancer metastasis, 10 cases of volvulus of sigmoid colon, 7 cases of oblique hernia and 22 cases of other causes. Cancer was the main cause in the aged group (44.9%, 44/98) and adult group (55.2%, 37/67) (P＞0.05) . Adhesion accounted for 30. 6% (30/98) and 22.4% (15/67) in these two groups. 79.5% of the patients with colorectal cancer in the aged group and 94.6% in the adult group recieved operation(P＜0.05) . The resection rate of colorectal cancer was almost the same between the two groups. The mortality was 7.1% (7/98) in the aged group and 2.9% (2/67) in the adult group respectively(P＜0.05) . Conclusions Tumor is the main cause of acute intestinal obstruction in metropolitan followed by adhesion. The mortality is significantly high in aged group.
