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The pattern of intestinal obstruction in Chinese is similar to that in Caucasians, where adhesions account for the largest number of cases. The occurrence in Malays, Indians, Pakistanis and Ceylonese is similar to that in other developing communities where external hernia is commonest while adhesive or tumour obstruction is rare; however, these racial groups do not exhibit the high incidence of intussusception and volvulus found in Africa and India. The operative mortality was 13\u00b79 per cent, which is comparable to that in Western series. The major adverse factors in intestinal obstruction, i.e. extremes of age, associated disease, gangrenous bowel, large bowel obstruction and malignancy, were confirmed. Fluid and electrolyte imbalance was frequent, as in other tropical series, but with intensive preoperative correction it was not an important adverse factor.<\/jats:p>","DOI":"10.1002\/bjs.1800631219","type":"journal-article","created":{"date-parts":[[2007,3,2]],"date-time":"2007-03-02T12:46:08Z","timestamp":1172839568000},"page":"963-965","source":"Crossref","is-referenced-by-count":8,"title":["The pattern of intestinal obstruction in Malaysia"],"prefix":"10.1093","volume":"63","author":[{"given":"T K","family":"Ti","sequence":"first","affiliation":[{"name":"Department of Surgery, University of Malaya , Kuala Lumpur,","place":["Malaysia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N K","family":"Yong","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Malaya , Kuala Lumpur,","place":["Malaysia"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1976,12,1]]},"reference":[{"key":"2024101614211002300_bib1","first-page":"146","volume-title":"Proceedings of the Second Malaysian Congress of Medicine","author":"Alhady","year":"1965"},{"key":"2024101614211002300_bib2","first-page":"261","article-title":"Acute intestinal obstruction in Jamaica","volume":"122","author":"Brooks","year":"1966","journal-title":"Surg. 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