International Clinical and Medical Case Reports Journal (ISSN: 2832-5788) | Volume 4, Issue 6 | Case Report | Open Access
Houhong Wang*
Department of General Surgery, The Affiliated Bozhou Hospital of Anhui Medical University, China
*Correspondence to: Houhong Wang
Fulltext PDFBackground: Vomiting is a common and significant symptom in intestinal obstruction, yet its relationship with the disease's characteristics, severity, and prognosis remains incompletely understood. This retrospective study aimed to analyze the characteristics of vomiting in patients with intestinal obstruction and explore its associations with etiology, disease severity, and treatment outcomes.
Methods: Data from 130 patients diagnosed with intestinal obstruction and admitted to a single tertiary hospital between 2021 and 2024 were retrospectively reviewed. Information on the frequency, timing, content, and associated symptoms of vomiting, along with patient demographics, etiology, treatment methods, and outcomes, was collected. Statistical analyses were performed to identify correlations between vomiting characteristics and other clinical variables.
Results: Vomiting occurred in 85% (110/130) of patients. Patients with high - grade obstruction had more frequent vomiting (mean 5.2 ± 1.8 times per day) compared to those with low - grade obstruction (2.8 ± 1.2 times per day, p < 0.001). Bilious vomiting was more common in patients with small bowel obstruction (72%, 58/80) than in those with large bowel obstruction (25%, 10/40, p < 0.001). Multivariate analysis showed that frequent vomiting (≥ 4 times per day, OR = 2.9, 95% CI: 1.3 - 6.4, p = 0.009) and bilious vomiting (OR = 2.3, 95% CI: 1.1 - 4.9, p = 0.031) were independent risk factors for poor prognosis.
Conclusion: Vomiting characteristics in intestinal obstruction patients are closely related to the disease's severity and prognosis. Understanding these characteristics can assist in the early assessment of patients and guide treatment decisions.
Intestinal Obstruction; Vomiting; Vomiting Characteristics; Prognosis; Retrospective Analysis
Houhong Wang. Retrospective Analysis of Etiology, Treatment Outcomes, And Risk Factors in Intestinal Obstruction. Int Clinc Med Case Rep Jour. 2025;4(7):1-4.