Abstract:
Background: Intestinal obstruction occurs when the normal flow of intestinal contents is
interrupted.. The causes of intestinal obstruction differ not only from country to country but also
with in the different regions of the same country. Several factors contribute to poor management
outcomes in the case of intestinal obstruction
Objective: Objective of the study is to find out the various common cause of intestinal
obstruction, management outcomes and associated factors of intestinal obstruction in Gelemso
General Hospital, from April 1st 2015 to March 31 , 2018.
Method: Hospital based cross sectional retrospective study was conducted on384 patients by
using simple random sampling technique on secony data from, medical charts of patients
admitted with intestinal obstruction from April, 1,2016–March 31 2018 Collected data was
entered to Epi data ver 3.1and analyzed using statistical software package (SPSS ver 22 ). Both
discritive and analytical analysis were employed. The study was conduted from July
20─25∕2018.
Result: The result of the study showed that the most leading causes of intestinal obstruction is
Small bowl Volvulus107(27%) , followed by adhesion 89(23%) , sigmoid Volvulus 86(22%),
hernia52(13.5) and intussusceptions 41(10.7%) occupied third ,fourth ,and fifth position
respectively 30(7.8%) patients developed Unfavourable management outcomes before
discharged from the hospital .Analysis showed the major predictors of management outcome of
intestinal obstruction was age greater than fifty years (p-value =0.02), residence (p-value =
0.032), duration of illness (p-value = 0.03),and clinical presentation, and type of procedure
Conclusion & Recommendation: The findings indicate that the most common causes of intestinal
obstruction was small bowl Volvulus, it identifies that age gr , residence, duration of illness
type of procedure and clinical presentation were factors associated with management outcome of
intestinal obstruction. Health professionals should increase public awareness on IO and apply
early intervention Standard of Procedure,appropriate surgical technique and post operative care
with sterile technique
