de la Garza-Villaseñor L
Departamento de Cirugía General, Dirección General de Cirugía, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, México, D. F.
Rev Gastroenterol Mex. 2001 Oct-Dec;66(4):193-6.
Intestinal obstruction is one of the leading causes of admission to emergency wards around the world, and its etiology has changed over the past century.
The goal of this study was to ascertain the causes of intestinal obstruction at our Institution and compare the results with other reports of Mexican, U.S., and Canadian hospitals.
Retrospective review of a cohort of patients with intestinal obstruction operated on between 1985 and 2000. Demographic data and operative findings were obtained.
Our cohort included 452 patients, 55.3% were women; mean age for the entire group was 54 years. The obstruction was located in the small bowel in 86.9% of cases and the leading causes were adhesions (58.6%), hernia (16.1%) and neoplasia (13.9%). Other etiologic factors had a low incidence that varied between 4.4 and 0.22%.
The most common causes of intestinal obstruction are similar to those reported in the U.S., British and Canadian medical literature. Some tertiary-level Mexican institutions showed the same incidence of etiology, but some large general hospitals in Mexico City showed etiologic factors reported 100 years ago by the current so-called developed countries, i.e., that the same socioeconomic conditions existed in both population groups nearly a century apart.
肠梗阻是全球急诊病房收治患者的主要原因之一，其病因在过去一个世纪发生了变化。
本研究的目的是确定我院肠梗阻的病因，并将结果与墨西哥、美国和加拿大医院的其他报告进行比较。
对1985年至2000年间接受手术治疗的肠梗阻患者队列进行回顾性研究。获取人口统计学数据和手术结果。
我们的队列包括452名患者，55.3%为女性；整个组的平均年龄为54岁。86.9%的病例梗阻位于小肠，主要原因是粘连（58.6%）、疝（16.1%）和肿瘤（13.9%）。其他病因因素的发生率较低，在4.4%至0.22%之间。
肠梗阻最常见的病因与美国、英国和加拿大医学文献中报道的相似。一些墨西哥三级医疗机构显示出相同的病因发生率，但墨西哥城的一些大型综合医院显示出当前所谓发达国家100年前报道的病因因素，即两个相隔近一个世纪的人群存在相同的社会经济状况。
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