Abstract

Introduction: Small intestinal obstruction is a common surgical emergency that accounts for at least 20% of all admissions to a surgical service. Aims and objectives: To study the various clinical features and biochemical profile in small intestinal obstruction and to study the biochemical changes with outcome of treatment. Materials and methods: Observational cross-sectional study was conducted in RIMS, Imphal, Manipur for two years with sample size of 82 patients of small intestinal obstruction getting admitted in the Department of Surgery. Results: Total 82 patients were included out of which 63 were males and 19 were females presented with symptoms of pain abdomen, vomiting, constipation and abdominal distension. Mechanical obstruction was recorded in 76 (92.68%) cases, paralytic ileus in 5 (6.1%), while in 1 (1.21%) the type was not determined. Causes of intestinal obstruction were of obstruction followed by strangulated hernias (15.85%) and ileocaecal TB peritonitis (9.76%) was the main cause of paralytic ileus. Conclusion: Most common cause of small intestinal obstruction was adhesions and bands and 52 patients managed by surgery and 30 students managed conservatively.