Parameter Predicting the Recurrence of Adhesive Small Bowel Obstruction in Patients Managed with a Long Tube
| Autor: | Takumi Sakakibara, Yasuhiro Kodera, Yoshinao Komatsu, Toyohisa Yaguchi, Akimasa Nakao, Tadao Ishikawa, Akio Harada |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Decompression medicine.medical_treatment Contrast Media Tissue Adhesions Recurrence Intestine Small medicine Humans Intubation Tube (container) Intubation Gastrointestinal Aged Diatrizoate Meglumine Aged 80 and over business.industry Middle Aged Vascular surgery Decompression Surgical medicine.disease Cardiac surgery Surgery Bowel obstruction Cardiothoracic surgery Multivariate Analysis Drainage Regression Analysis Female business Intestinal Obstruction Abdominal surgery |
| Zdroj: | World Journal of Surgery. 31:80-85 |
| ISSN: | 1432-2323 0364-2313 |
| DOI: | 10.1007/s00268-006-0158-6 |
| Popis: | Some of our patients showed a recurrence of adhesive small bowel obstruction (ASBO) with nonoperative management. The aim of this study was to evaluate the parameters predicting the recurrence of ASBO in patients managed with a long tube. Of 234 patients with ASBO admitted from April 1998 to September 2002, a total of 91 who recovered with nonoperative management after long tube placement were enrolled in this retrospective clinical study. We divided them into two groups for follow-up: the recurrence group and the no-recurrence group. We compared baseline characteristics, the number of previous ASBO admissions, the number of abdominal operations, the interval from the onset of symptoms to long-tube insertion, the duration of long-tube placement, the type of the contrasted intestine through the long tube, the location of the long-tube tip, and the drainage volume through the long tube between the two groups. We then examined the cumulative recurrence rate. A significant difference was found in the number of previous ASBO admissions, the duration of long-tube placement (77 hours vs. 43 hours), the contrasted intestine through the long tube, and the location of the long-tube tip. By multivariate analysis, the duration of long-tube placement was an independent parameter predicting the recurrence of ASBO. These results suggest that the duration of long-tube placement might serve as a parameter for predicting recurrence of ASBO in patients managed with a long tube. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink