Association of feces sign with prognosis of non-emergency adhesive small bowel obstruction

Autor: Yuta Yamamoto, Yusuke Miyagawa, Masato Kitazawa, Hirokazu Tanaka, Masatsugu Kuroiwa, Nao Hondo, Makoto Koyama, Satoshi Nakamura, Shigeo Tokumaru, Futoshi Muranaka, Yuji Soejima
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Asian Journal of Surgery, Vol 44, Iss 1, Pp 292-297 (2021)
Druh dokumentu: article
ISSN: 1015-9584
48174319
DOI: 10.1016/j.asjsur.2020.07.012
Popis: Background: /Objective: The feces sign has been reported as a possible predictive factor for non-operative treatment of small bowel obstruction. However, its relationship with prognosis of non-emergency adhesive small bowel obstruction remains unclear. This study aimed to clarify the relationship between the feces sign and prognosis of non-emergency adhesive small bowel obstruction. Methods: Ninety-two patients with non-emergency adhesive small bowel obstruction with the transitional zone visible on computed tomography were included. Patients were categorized into two groups: feces sign positive (n = 40) and negative (n = 52). Clinical features and prognosis were compared between the two groups. Cox proportional hazards regression models incorporating the feces sign were used to analyze odds of diet resumption and discharge. Results: Patients with feces sign were younger (p = 0.015), had a higher body mass index (p = 0.027), and a lower white blood cell count (p = 0.019) on admission. More patients with feces sign were successfully treated with fasting and/or nasogastric tube placement (p
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