Min Li1, Jianan Ren1, Weiming Zhu1, Yousheng Li1, Yunzhao Zhao1, Jun Jiang1, Jieshou Li1, Ning Li2. 1. Department of General Surgery, Jinling Hospital, Medicine School of Nanjing University, 305 East Zhongshan Road, Nanjing, Jiangsu Province, China. 2. Department of General Surgery, Jinling Hospital, Medicine School of Nanjing University, 305 East Zhongshan Road, Nanjing, Jiangsu Province, China. Electronic address: liningrigs@vip.sina.com.
Abstract
BACKGROUND: The aim of this study was to identify if long intestinal tube splinting could really decrease recurrent adhesive small bowel obstruction (ASBO) by survival analysis. METHODS: A retrospective analysis was performed on 1,071 patients who underwent operation for postoperative ASBO between December 2001 and 2008 at our unit. According to the risk factors of recurrent ASBO, all patients were divided into high-risk recurrence group and low-risk recurrence group regardless of whether they received tube splinting. The efficiency of tube splinting for reducing recurrence in each group was investigated, respectively. RESULTS: The risk of recurrent ASBO increased in the patients with perioperative blood loss of 300 mL or more. In the high-risk recurrence group, tube splinting can reduce recurrence (P = .045). In the low-risk recurrence group, tube splinting had no influence on recurrence (P = .91). CONCLUSIONS: Long intestinal tube splinting can prevent recurrence of ASBO only in the patients with high risk of recurrence.
BACKGROUND: The aim of this study was to identify if long intestinal tube splinting could really decrease recurrent adhesive small bowel obstruction (ASBO) by survival analysis. METHODS: A retrospective analysis was performed on 1,071 patients who underwent operation for postoperative ASBO between December 2001 and 2008 at our unit. According to the risk factors of recurrent ASBO, all patients were divided into high-risk recurrence group and low-risk recurrence group regardless of whether they received tube splinting. The efficiency of tube splinting for reducing recurrence in each group was investigated, respectively. RESULTS: The risk of recurrent ASBO increased in the patients with perioperative blood loss of 300 mL or more. In the high-risk recurrence group, tube splinting can reduce recurrence (P = .045). In the low-risk recurrence group, tube splinting had no influence on recurrence (P = .91). CONCLUSIONS: Long intestinal tube splinting can prevent recurrence of ASBO only in the patients with high risk of recurrence.
Authors: Lea Lorentzen; Mari N Øines; Erling Oma; Kristian K Jensen; Lars N Jorgensen Journal: J Gastrointest Surg Date: 2017-10-13 Impact factor: 3.452