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Long Intestinal Tube Splinting Really Prevent Recurrence of Postoperative Adhesive Small Bowel Obstruction? A Study of 1071 Cases

Authors
  • Li, Min
  • Ren, Jianan
  • Zhu, Weiming
  • Li, Yousheng
  • Zhao, Yunzhao
  • Jiang, Jun
  • Li, Jieshou
  • Li, Ning1, 2, 3, 4
  • 1 Department of General Surgery
  • 2 Jinling Hospital
  • 3 Medicine School of Nanjing University
  • 4 Jiangsu Province
Type
Published Article
Journal
The American Journal of Surgery
Publisher
Elsevier
Publication Date
Jan 01, 2014
Accepted Date
Oct 24, 2013
Identifiers
DOI: 10.1016/j.amjsurg.2013.10.027
Source
Elsevier
Keywords
License
Unknown

Abstract

BackgroundThe aim of this study was to identify if or not long intestinal tube splinting could really decrease recurrent adhesive small bowel obstruction (ASBO) by survival analysis. MethodsA retrospective analysis was performed on 1071 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 or not they received tube splinting. The efficiency of tube splinting for reducing recurrence in each group was investigated, respectively. ResultsThe risk of recurrent ASBO increased in the patients with perioperative blood loss ≥300ml. In high-risk recurrence group, tube splinting can reduce recurrence [P=0.045]. In low-risk recurrence group, tube splinting had no influence on recurrence [P=0.91]. ConclusionsLong intestinal tube splinting can prevent recurrence of ASBO only in the patients with high risk of recurrence.

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