Surgery for acute abdominal conditions in intellectually-disabled adults

ANZ Journal of Surgery
Kamran Khalid, Saleh M Al-Salamah

Abstract

Intellectually-disabled patients with acute abdominal conditions are susceptible to late diagnosis and adverse outcome due to impaired communication, altered behaviour, neurological impairment, associated congenital anomalies, variable reaction to pain and drugs and various difficulties in perioperative management. The present study aims to present the experience of surgery for acute abdominal conditions in intellectually-disabled patients. Various difficulties encountered during the management are highlighted and measures to overcome these problems are discussed. A prospective descriptive population study was performed through the prospective collection of data on consecutive intellectually-disabled adults operated for acute abdominal conditions over a 5-year period. Study parameters included demographic details, clinical presentation, diagnostic modalities, operative findings and outcome in terms of morbidity and mortality. Of 19 men and three women with a mean age of 28.3 years, anorexia, vomiting, and increasing abdominal distension were the most common presenting features. History of pica was available in 36.4% of patients. Intestinal obstruction, acute appendicitis, volvulus and pseudo-obstruction of the colon were the mo...Continue Reading

References

Jan 1, 1987·Epidemiologic Reviews·M Kiely
Aug 1, 1994·Journal of Intellectual Disability Research : JIDR·J Jancar, C J Speller
Jul 3, 1999·The European Journal of Surgery = Acta Chirurgica·M B van der KolkR J Goris

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Citations

Jan 8, 2008·Southern Medical Journal·Mohammed Morad
Dec 14, 2011·Psychogeriatrics : the Official Journal of the Japanese Psychogeriatric Society·Koichi MiyakawaHeii Arai
Jan 29, 2021·Journal of Surgical Case Reports·Kylie JohnsonEric Steen

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