Etiologies of intestinal obstruction and its seasonal distribution in Kashan, Iran: high prevalence of Bezoar in fall and winter

Moussavi, Nushin; Moussavi, Gholam-Abbas; ,; Talari, Hamidreza

doi:10.48307/FMSJ.2021.25.1.801

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Volume 25, Issue 1 (Bimonthly 2021)

Feyz Med Sci J 2021, 25(1): 801-806

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Etiologies of intestinal obstruction and its seasonal distribution in Kashan, Iran: high prevalence of Bezoar in fall and winter

Nushin Moussavi ^*

, Gholam-Abbas Moussavi

, Hamidreza Talari

Department of Surgery, Faculty of Medicine, Kashan University of Medical Sciences, Kashan, I.R. Iran. , n.moussavi@yahoo.com

Abstract: (2251 Views)

Background: Bowel obstruction is a common cause of emergency surgical interventions. The most common etiologies are adhesion bands, hernias, tumors, and in children, intussusception. Bezoar is an uncommon cause of bowel obstruction. Some fruits such as persimmon tend to form bezoars, and as this fruit is used ubiquitously in Iran, it was decided to evaluate the etiology and seasonal distribution of bowel obstruction in Kashan.
Material and Methods: This cross-sectional study was performed on patients who were admitted due to intestinal obstruction in Shahid Beheshti Hospital, Kashan, from 2012 to 2017. Relevant information including demographic data, etiology of bowel obstruction and the season of admission were obtained. Data were entered in SPSS software. For analysis, chi-squared test and Fisher test were used.
Results: Three-hundred seventy patients with a mean age of 52.07±10.05 years were included. Adhesion band was the most common etiology of bowel obstruction (26.2%), followed by intussusception (8.6%) and bezoar (7.2%). Adhesion band was the most common etiology in all seasons; bezoars were more common in fall and winter (8.7% and 7.8%, respectively).
Conclusion: Bezoar is a common cause of bowel obstruction in Kashan. As a higher incidence was observed in fall and winter, it is probably associated with ingestion of bezoar-inducing fruits such as persimmon. According to this high incidence and associated morbidity and mortality, preventive measures, including patient education and improvement of dental health seem to be essential.

Keywords: Bowel obstruction, Intestinal obstruction, Etiology, Bezoar, Adhesion band

Full-Text [PDF 789 kb] (1029 Downloads)

Type of Study: Research | Subject: medicine, paraclinic
Received: 2020/04/10 | Revised: 2021/04/11 | Accepted: 2021/01/30 | Published: 2021/04/6

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Moussavi N, Moussavi G, Talari H. Etiologies of intestinal obstruction and its seasonal distribution in Kashan, Iran: high prevalence of Bezoar in fall and winter. Feyz Med Sci J 2021; 25 (1) :801-806
URL: http://feyz.kaums.ac.ir/article-1-4110-en.html

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