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Article
Evaluation of Adhesions Induced Intestinal Obstructionfollowing Abdominal Penetrating Missile Injuries

Authors: Bassam Farouk بسام فاروق --- Warqaa Mazin Akram ورقاء مازن اكرم --- Mohammed A. Al-Atroshi محمد التروشي
Journal: Al-Kindy College Medical Journal مجلة كلية الطب الكندي ISSN: 18109543 Year: 2009 Volume: 5 Issue: 1 Pages: 91-98
Publisher: Baghdad University جامعة بغداد

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Abstract

Objectives: To evaluate the incidence of adhesions induced intestinal obstruction after explorative laparotomy due to bullet/shell injury in Al-Kindi teaching hospital/Baghdad.Results: Thirty-six out of the 76 cases with adhesionsinduced intestinal obstruction (A.I.I.O.) had history oflaparotomy for penetrating missile injury, 26 of them wereexplored as a method of management of A.I.I.O. withmean age (22 for those explored, ٣٧ for those treatedconservatively), 16 of them presented within a year or lessfrom the previous surgery.Methods: Comparative interventional prospective study of cases with adhesions induced intestinal obstruction admitted to the surgical wards in Al-Kindi teaching hospital from the 1st of January 2008 to 31st of December 2008. cases were followed considering the indications of previous laparotomies, the patients age, gender, duration between previous surgery and their presentation with intestinal obstructionConclusion: Cases required surgical interventions for treatment were mainly those following explorative laparotomy for penetrating missile injury they were mainly of young age Groups.


Article
Are Indications For Esophago Gastro Duodenoscopy Properly Followed?

Authors: Zuhair B Kamal زهير كمال --- Mohammed A Al-Atroshi محمد التروشي --- aad H Sultan سعد سلطان --- Wisam A Hussein وسام حسين
Journal: Al-Kindy College Medical Journal مجلة كلية الطب الكندي ISSN: 18109543 Year: 2011 Volume: 7 Issue: 1 Pages: 56-60
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Symptoms related to the upper gastro-intestinal tract are very common. Attribution of these symptoms to upper G. I. T.diseases are usually done on clinical bases, which could be confirmed by Esophago Gastro Duodenoscopy (EGD). The use of such tools might increase the diagnosis accuracy for such complaints. The indications for upper G I endoscopy might decrease the negative results of endoscopies.Objective: To follow strict indications for Esophago Gastro Duodenoscopy in order to decrease the negative endoscopy results. Methods: One thousand eight hundred and ninety cases were subjected to EGD from Feb. 1999 to Feb 2009 at Alkindy Teaching Hospital and Abd-Al-Majeed private hospital in Baghdad, Iraq. A special endoscopy unit form was prepared containing data from patients, clinical complaint, indications for endoscopy request, and the endoscopic diagnosis, biopsies were taken when indicated and subjected to histopathological examination. All these data were studied and analyzed.Results: Out of the total 1890 patients there were 1114 males and 776 females with male to female ratio 3/2, the most common age group ranged from 21 to 50 years with a mean age of 32 years. Upper abdominal pain was the most common indication (30%), upper GI bleeding (27.94%), duodenal ulcer follow up (25.5%). The diagnosis of chronic DU was established in (40.21%) of cases, normal endoscopic results were found in (34.6%), duodenitis and gastritis in (15.2%).Conclusion: The high number of normal gastrointestinal endoscopies necessitates the need to follow strict indications before subjecting the patients for endoscopy.

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