Clinical analysis of the diagnosis and treatment of early postoperative inflammatory intestinal obstruction, report of 40 cases

doi:10.3877/cma.j.issn.1674-3946.2021.01.029

Abstract

Abstract:

Objective

To analyze the clinical features of early postoperative inflammatory intestinal obstruction, and to discuss its diagnosis and management protocol.

Methods

From June 2012 to June 2017, clinical data of 40 cases of early inflammatory intestinal obstruction were analyzed retrospectively. Their clinical features, protocols of diagnosis and management, and prognosis were summarized.

Results

38 cases were cured within 2 weeks by conservative treatment, with an average of (12.8±2.5 ) days, while the other 2 cases without improvement by conservative treatment, then received re-operation.

Conclusions

Regular detailed physical examinations and associated diagnostic tools are mandatory for suspicious patients of early postoperative inflammatory intestinal obstruction. Prompt diagnosis and conservative therapy might achieve satisfactory results in most cases. Reoperation is needed for those who fail after conservative course and have symptoms of completely or strangulation intestinal obstruction or peritonitis.

Key words: Intestinal obstruction, Inflammatory bowel diseases, Diagnosis, Treatment

He Li, Xiaohua Zhou, Xingchao Chen. Clinical analysis of the diagnosis and treatment of early postoperative inflammatory intestinal obstruction, report of 40 cases[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2021, 15(01): 101-103.

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