Abstract

Dr. Abdul Hamid Samoon*, Dr. Ashiq Hussain Raina, Dr. Ferkhand Mohi-ud-din, Dr. Ajaz Ahmad Shah, Dr. Irshad Ahmad Kumar

ABSTRACT

Introduction: Ascaris lumbricoides (AL) is the most prevalent, largest human helminth and the most common cause of small bowel obstruction (SBO) among children in the developing countries. It is manifested in the low socio-economic conditions and poor hygiene. In Kashmir prevalence of AL is found to be 68.30%. Methodology: This study was conducted in the Department of General surgery, Sri Maharaja Hari Singh (SMHS) Hospital an associated hospital with the Government Medical College Srinagar, J&K, India. The prospective study was conducted over a period from October 2017 to September 2018 (One Year) on 186 patients. Gastrografin was given as per weight 2 ml/Kg BW and data was analysed. Results: In our study out of 186 patients 118 were males and 68 were females. The mean age was 8.2 years with most common age group of 5-9 years (Range 2-17years). Mean total duration of symptoms was 12.6 h, with passage of flatus in 10.3 h and passage of stools in 14.9 h. Mean interval between hospital admission and oral intake was 19.5 h. The mean total duration of hospital stay was 26.2 h. 7 (3.8%) patients required laparotomy owing to the failure of conservative treatment for 3 days. Conclusion: In our study we concluded that Gastrografin is an effective worm obstruction reliever in small children, decreasing the morbidity associated with it.