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In Zambia, surgical task shifting began in 2002 with the medical licentiate program, which trains clinical officers in basic surgeries like hernia repairs, bowel obstruction surgery, hysterectomies and more.
With a diagnosis of gastric outlet obstruction, surgery was done after 2 weeks.
With a possible diagnosis of giant liver hemangioma causing acute abdominal discomfort and intestinal obstruction, surgery followed.
In general, in patients presenting with bowel obstruction colonoscopy has a more limited and selective role compared to surgery and of course for the majority of our patient cases with bowel obstruction surgery was, as expected, the mainstay of therapy.
Our study shows peritonitis to be a more important prognostic factor than time from onset of symptoms to surgery in emergent colonic obstruction surgery, a result consistent with previous study [ 16].
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GLP-1 is involved in gastrointestinal motility, 6 and the patients with intestinal obstruction had a past medical history of intestinal obstruction or abdominal surgery.
Other factors for poor prognosis are venous and lymphatic invasion, deficient healthy tissue margins at surgery, obstruction or perforation of the bowel, and poor differentiation at histology [ 2- 5].
7– 10 Prior studies have demonstrated the value of TEG indices for predicting hemorrhage and vascular obstruction after surgery or trauma.
Many patients develop an episode of small bowel obstruction or require emergency surgery with adhesiolysis for small bowel obstruction.
Examples include repair of pathological fractures, insertion of tracheostomy or gastrostomy tubes, bowel resections for obstruction, or vascular access surgery.
Besides, there were no differences between the two subgroups of patients with respect to the presence of obstruction or previous abdominal surgery.
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CEO of Professional Science Editing for Scientists @ prosciediting.com