Retrospective Analysis of Vomiting Characteristics and Prognosis in Middle-aged Patients with Intestinal Obstruction

Houhong Wang

Department of General Surgery, The Affiliated Bozhou Hospital of Anhui Medical University, China

^*Correspondance to: Houhong Wang 

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Abstract:

Background: Intestinal obstruction in middle-aged patients often presents with vomiting, but the specific characteristics of vomiting and its relationship with the disease's severity and prognosis remain not fully understood. This retrospective study aimed to analyze the vomiting features in middle-aged patients with intestinal obstruction and explore their associations with etiology, disease progression, and treatment outcomes. Methods: Data from 100 middle-aged patients (aged 40 - 59 years) diagnosed with intestinal obstruction and admitted to a single tertiary hospital between 2021 and 2024 were retrospectively reviewed. Information on vomiting frequency, content, onset time, associated symptoms, medical history, treatment methods, and outcomes was collected. Statistical analyses were performed to identify correlations between vomiting characteristics and other clinical variables. Results: Vomiting occurred in 78% (78/100) of middle-aged patients. Patients with small bowel obstruction had a higher frequency of bilious vomiting (68%, 46/68) compared to those with large bowel obstruction (22%, 7/32, p < 0.001). Multivariate analysis showed that high vomiting frequency (≥4 times/day, OR = 2.5, 95% CI: 1.2 - 5.3, p = 0.021), bilious vomiting (OR = 2.1, 95% CI: 1.1 - 4.2, p = 0.033), and a history of abdominal surgery (OR = 3.1, 95% CI: 1.4 - 6.8, p = 0.005) were independent risk factors for poor prognosis. Conclusion: Vomiting characteristics in middle-aged patients with intestinal obstruction are closely related to the disease's nature and prognosis. Recognizing these features can assist in early assessment and guide more targeted treatment strategies.

Keywords:

Middle-aged patients; Intestinal obstruction; Vomiting; Prognosis; Retrospective analysis; Abdominal surgery

Cite the Article:

Houhong Wang. Retrospective Analysis of Vomiting Characteristics and Prognosis in Middle-aged Patients with Intestinal Obstruction. Ann Clin Case Rep. 2025; 10: 2754..