STUDY OF ELECTROLYTE IMBALANCE IN PREOPERATIVE CASES OF ACUTE INTESTINAL OBSTRUCTION IN ADULTS

Author:

Ramraghull R.1,Vengatesh M.Prema2,Baskaran V.R.3,Fathima T.Husna1

Affiliation:

1. Final Post Graduate, Department of General Surgery, Rajah Muthiah Medical College, Annamalai University, Chidambaram, Tamil Nadu, India.

2. Associate Professor, Department of General Surgery, Rajah Muthiah Medical College, Annamalai University, Chidambaram, Tamil Nadu, India

3. Professor, Chief and HOD, Department of General Surgery, Rajah Muthiah Medical College, Annamalai University, Chidambaram, Tamil Nadu, India.

Abstract

An observational prospective study was carried out at Rajah Muthiah Medical College and Hospitals, Annamalai Nagar for the study period of October 2019 to September 2021. The aim of the study was to evaluate changes in the level of different electrolytes in the body in cases of acute intestinal obstruction from the onset of symptoms to the period of presentation. As a matter of study 50 cases were taken as sample size. Major electrolytes were taken into consideration, sodium, potassium, chloride, urea and bicarbonate. Regular blood investigations were done to check their values and it was compared with the eggleston series. It was studied that there is persistent hyponatremia which had no relation to the duration of obstruction, potassium level remained almost constant, hypochloraemia occurred ,in the early stages acidosis was noted and elevation in blood urea level was noted especially after 3rd day of obstruction.

Publisher

World Wide Journals

Reference9 articles.

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2. David Sung et al Intestinal secretion. After I.V. fluid infusion in small bowel obstruction AJS 1971, 121: 91-95.

3. Eggleston et al - Sequential electrolyte and acid base changes in acute small intestinal obstruction in man. IJS 38 : 1976 429-435

4. Hasting Wright et al, water absorption in experimental closed segment obstruction of ileum in man AJS 1971 121: 96-99.

5. Harold Ellis - Intestinal obstruction, Appleton century crofts 1982.

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