Early postoperative small bowel obstruction is an independent risk factor for subsequent adhesive small bowel obstruction in patients undergoing open colectomy
| Autor: | Kyu Joo Park, Soo Young Lee, Suung Chul Heo, Heung Kwon Oh, Seung Bum Ryoo, Eun Kyung Choe |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors medicine.medical_treatment Colonic Pouches Tissue Adhesions Gastroenterology Colonic Diseases Young Adult Enteral Nutrition Ileus Risk Factors Laparotomy Internal medicine Colostomy Intestine Small medicine Humans Postoperative Period Prospective Studies Prospective cohort study Defecation Colectomy Aged Aged 80 and over business.industry Hazard ratio Middle Aged medicine.disease Surgery Bowel obstruction Cardiothoracic surgery Female business Intestinal Obstruction Abdominal surgery Follow-Up Studies |
| Zdroj: | World journal of surgery. 38(11) |
| ISSN: | 1432-2323 |
| Popis: | This prospective study was performed to investigate whether postoperative ileus (POI) or early postoperative small bowel obstruction (EPSBO) affects the development of adhesive small bowel obstruction (SBO) in patients undergoing colectomy. We prospectively enrolled 1,002 patients who underwent open colectomy by a single surgeon. POI was defined as the absence of bowel function for more than 5 days or as a delay in oral intake beyond 7 days postoperatively. EPSBO was defined as the clinical and radiologic identification of SBO after resuming oral intake between postoperative days 7 and 30. Adhesive SBO was defined as SBO developing after 30 days because of intraperitoneal adhesion. The associations between POI, EPSBO, patient- and surgery-related variables, and the development of adhesive SBO were analyzed. A total of 85 (8.5 %) patients developed POI, and 42 patients (4.2 %) developed EPSBO, with seven patients experiencing both POI and EPSBO. During the follow-up period (median 51 months), 70 patients (7.0 %) developed adhesive SBO, six (8.6 %) of whom needed laparotomy. The occurrence of adhesive SBO was significantly higher in patients with EPSBO than in those without EPSBO (26.5 vs. 7.5 % at 5 years, P |
| Databáze: | OpenAIRE |
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