The character, diagnosis and treatment for early postoperative inflammatory small bowel obstruction / 中国现代普通外科进展

ABSTRACT

Objective:To investigate the character,diagnosis and treatment for early postoperative inflammatory small bowel obstruction (EBSBO). Methods: From April 1997 to May 2000 with 7 cases of EPSBO,their ages ranged form 21 to 59 years old. The time of onset of intestinal obstruction was at 4 to 9 days after operation. We also revieved the recent literature. Results:All patients were initially treated with a nasogastric tube,TPN,Growth hormone,a-drenocortical hormone, somatostatin. Three patients were resolved eftectually and four need operation.of them,one occured intestinal fistula. Conclusion:BPSBO usually occures with in two weeks after operation. The clinical symptomes are vomiting and distention, but less abdominal pain. The reason includs mechanical and motility factores, none sustaines bowel infarction. According to the different causes,conservative treatment is as carried out initially,if nonopera-tian isn't successful .operation should be considered.