MỘT SỐ ĐẮC ĐIỂM BỆNH LÝ TẮC RUỘT DO BÃ THỨC ĂN TẠI BỆNH VIỆN ĐA KHOA TỈNH THÁI BÌNH

Abstract

Objective: Review some diseases characteristics of intestinal obstruction caused by phytobeazoar at Thai Binh Provincial General Hospital. Methods: Cross-sectional descriptive study, performed on 52 patients with intestinal obstruction caused by phytobeazoar operated at Thai Binh Provincial General Hospital from January to June 2023. Variables recorded: Age; Medical history (history of abdominal surgery, history of accompanying medical diseases, history of eating fiber and history of tooth loss); Clinical symptoms and abdominal X-ray; Lesions on abdominal computed tomography and lesions during surgery. Results: Mean age was 69.7 years. 30.8% had a history of abdominal surgery (17.3% had a history of gastric bypass surgery); 28.8% had accompanying medical diseases. 23.1% had a history of eating high-fiber foods, which is a risk factor for intestinal obstruction caused by phytobeazoar; 21.1% had tooth loss and poor chewing. Abdominal pain occurs in 98.1%. 100% had abdominal distention; Floating intestinal loops occur in 80.8%; Signs of snake crawling occurred in 21.1%; The mass was palpable in 5.7%; 96.2% of patients had a typical air-fluid level on abdominal X-ray. There were 48/52 cases with preoperative abdominal computed tomography. Of these, 97.9% had signs of intestinal obstruction; 66.7% saw the image that the cause of the blockage was phytobeazoar. During surgery, 92.3% had peritoneal fluid; 98.1% had intestinal dilatation. The most common location of phytobeazoar is in the ileum, accounting for 80.8%; 15.4% had phytobeazoar in 2 locations in the digestive tract; 11.5% had phytobeazoar in the stomach and intestines. Conclusion: Intestinal obstruction caused by phytobeazoar is common in the elderly. History of gastric bypass surgery, history of eating high-fiber foods and tooth loss are factors that suggest the cause of intestinal obstruction. Computed tomography is an effective method in diagnosing the cause and location of intestinal obstruction.