Mahesh M Pukar et al / International Journal of Biomedical Research 2015; 6(09): 689-697. 689 IJBR (2015) 6 (09) www.ssjournals.com International Journal of Biomedical Research ISSN: 0976-9633 (Online); 2455-0566 (Print) Journal DOI: 10.7439/ijbr CODEN: IJBRFA Original Research Article Assessment of Large Gut Obstruction in Rural setup Mahesh M Pukar, Honeypalsinh H Maharaul and Kirtana Shah * Sumandeep Vidyapeeth University, At & Po Pipariya, Taluka Waghodia, Near Shah Medical College, Vadodara, Gujarat 391760 *Correspondence Info: Dr. Kirtana Shah, Sumandeep Vidyapeeth University, At & Po Pipariya, Taluka Waghodia, Near Shah Medical College, Vadodara, Gujarat 391760 E-mail: drkirtanashah@yahoo.in Abstract Introduction: Large bowel Obstruction is a widespread, emergent condition, which requires early identification, meticulous work up and prompt surgical intervention, wherever indicated. Materials and Methods: 25 consecutive patients of all age groups (excluding pediatric age group) presenting with large bowel obstruction, who had been admitted in Dhiraj Hospital, between May 2010 to September 2013, were selected randomly. Results and Discussion: Present study revealed highest number of cases of large bowel obstruction occurring in age-group 51-60 years (9 years- 36%). In our study, no significant difference had been noted with respect to age & sex related incidence and distribution of large bowel obstruction. In this study, colorectal malignancy was found to be the biggest contributors of large bowel obstruction with nearly half the cases attributed to it (13 cases- 52%). Keywords: Large bowel Obstruction, Abdominal Distension, endometriosis, 1. Introduction Large bowel Obstruction is a widespread [1], emergent condition, which requires early identification, meticulous work up and prompt surgical intervention, wherever indicated. Large bowel obstruction is a result of underlying pathologies, and is known to result most often from various infections, malignancies, mechanical reasons, incarcerated hernias, strictures, intussusception, volvulus, endometriosis and adynamic causes (pseudo obstruction)[2][3]. Intestinal obstruction is one of the commonly encountered clinical entities [4]. The mortality has reduced significantly by instituting the treatment at the earliest opportunity. 1-4% of mortality in emergency surgeries is contributed by reasons directly and indirectly related to acute intestinal obstruction. Now with better understanding of pathophysiology[1][5], improvement in radiological techniques of diagnosis and high degree of refinement in correction of fluid and electrolyte imbalance, introduction of antibiotics to effective bacteriological control, introduction of techniques in gastrointestinal decompression, improved anaesthesia techniques has replaced staged procedures and number of days in hospital stay[6]. Large Bowel Malignancy is significantly associated with increased intake of dietary animal fat, smoking, reduced amount of fibres in diet (low residue diet) and alcohol consumption. Patients with large bowel obstruction are known to present with a wide array of symptoms, such as abdominal pain, nausea, vomiting, constipation, distension of abdomen, altered bowel habit, bleeding per rectum and malaise. Patients are managed operatively, either as palliative measure or as therapeutic measure (depending upon extent of underlying pathologies and patient’s clinical state). The present study includes 25 (Twenty five) cases of large bowel obstruction who presented to our institute with varied presentation. 2. Materials and Methods 25 consecutive patients of all age groups (excluding pediatric age group) presenting with large bowel obstruction, who had been admitted in Dhiraj Hospital, between May 2010 to September 2013, were selected randomly. Out of these 25 cases, 10 were males & 15 were females. A detailed